Abstract:
Triple negative breast cancers (TNBC) lacking hormone receptors and HER-2 amplification are very aggressive tumors. Since relevant differences between primary tumors and metastases could arise during tumor progression as evidenced by phenotypic discordances reported for hormonal receptors or HER-2 expression, in this analysis we studied changes that occurred in our TNBC model IIB-BR-G throughout the development of IIB-BR-G-MTS6 metastasis to the lymph nodes (LN) in nude mice, using an antibody-based protein array to characterize their expression profile. We also analyzed their growth kinetics, migration, invasiveness and cytoskeleton structure in vitro and in vivo.
In vitro IIB-BR-G-MTS6 cells grew slower but showed higher anchorage independent growth. In vivo IIB-BR-G-MTS6 tumors grew significantly faster and showed a 100% incidence of LN metastasis after s.c. inoculation, although no metastasis was observed for IIB-BR-G. CCL3, IL1β, CXCL1, CSF2, CSF3, IGFBP1, IL1α, IL6, IL8, CCL20, PLAUR, PlGF and VEGF were strongly upregulated in IIB-BR-G-MTS6 while CCL4, ICAM3, CXCL12, TNFRSF18, FIGF were the most downregulated proteins in the metastatic cell line. IIB-BR-G-MTS6 protein expression profile could reflect a higher NFκB activation in these cells. In vitro, IIB-BR-G displayed higher migration but IIB-BR-G-MTS6 had more elevated matrigel invasion ability. In agreement with that observation, IIB-BR-G-MTS6 had an upregulated expression of MMP1, MMP9, MMP13, PLAUR and HGF. IIB-BR-G-MTS6 tumors presented also higher local lymphatic invasion than IIB-BR-G but similar lymphatic vessel densities. VEGFC and VEGFA/B expression were higher both in vitro and in vivo for IIB-BR-G-MTS6. IIB-BR-G-MTS6 expressed more vimentin than IB-BR-G cells, which was mainly localized in the cellular extremities and both cell lines are E-cadherin negative.
Our results suggest that IIB-BR-G-MTS6 cells have acquired a pronounced epithelial-to-mesenchymal transition phenotype. Protein expression changes observed between primary tumor-derived IIB-BR-G and metastatic IIB-BR-G-MTS6 TNBC cells suggest potential targets involved in the control of metastasis.
Received: March 1, 2012; Accepted: June 20, 2012; Published Online: July 24, 2012
Breast cancer (BC) is the most frequent tumor in women worldwide and although its mortality has significantly decreased in the past decades some tumors are still difficult to treat. Breast tumors can be categorized as luminal subtype A, luminal subtype B, HER-2+, basal subtype, normal breast-like, and the recently introduced Claudin-low subtype, based on their molecular characteristics.
Metastasis is a hallmark of most tumor types and the cause of the majority of cancer deaths. BC first disseminates via lymphatic vessels to their regional lymph nodes (LN); the axillary LN status is one of the most important prognostic variables in BC and a crucial component of the staging system. Several clinico-histopathological parameters are considered to be strong predictors of metastasis; however, they fail to accurately classify breast tumors according to their clinical behavior and to predict which patients will have disease recurrence. Although the connection between LN metastases, poor prognosis and shorter survival is clearly established, the active involvement of the lymphatic system in cancer metastasis remains still largely unknown. TNBC has a propensity for visceral metastasis to brain, and lung, rather than to LN, bone or liver.
Protein expression, including predictive markers like hormone receptors and HER-2 can change during disease progression from primary to metastatic BC.
Metastatic tissue can be difficult to obtain in the clinical setting because of the location of metastatic site to be compared with the paired primary tumor. To study protein expression changes taken place throughout the metastatic progression we thought to use human TNBC cell lines. The human cell line IIB-BR-G was originated from a primary breast tumor that did not express ER, PR or HER-2 and was tumorigenic in nude mice after subcutaneous (s.c.) inoculation.
In the present work we performed a proteomic characterization of the LN-metastasis-derived IIB-BR-G-MTS6 TNBC cell line, selected after six rounds of metastatic enrichment in nude mice. We compared this cell line to the parental non-metastatic IIB-BR-G cell line, using an antibody-based protein array that allows primarily the screening of chemokines, cytokines, growth factors and their receptors, in order to identify protein expression changes that could be associated to their metastatic phenotype.
After various s.c. inoculation in nude mice, IIB-BR-G cells developed spontaneous metastases in the axillary LNs which were excised, cultured in vitro for a few passages and re-inoculated in nude mice s.c. After repeating this procedure for six times in order to enrich the population in metastatic cells, we generated IIB-BR-G-MTS6 cell line (
Figure 1. IIB-BR-G and IIB-BR-G-MTS6 TNBC cell lines. (A) IIB-BR-G-MTS6 cell line was obtained after six rounds of enrichment in metastatic cells to the LN, after initial s.c. injection of IIB-BR-G cells into nude mice. (B) In vitro tumor cell growth. IIB-BR-G and IIB-BR-G-MTS6 cell growth was assessed by the MTT method in quadruplicate. Results are shown as mean ± SD (C) Anchorage independent cell growth. Clonogenic assays for IIB-BR-G and IIB-BR-G-MTS6 were performed in triplicate. Data show the number of counted colonies as mean ± SD. ***, statistically highly significant, p < 0.0001 (t-test). (D) In vivo growth curves. IIB-BR-G and IIB-BR-G-MTS6 were injected s.c. in nude mice (n = 5) and tumor volumes were measured during 9 and 6 weeks, respectively. Result is shown as mean ± SD. Histological analysis of xenografted tumors. IIB-BR-G (E) and IIB-BR-G-MTS6 (F) HE staining. (G) Vimentin immunohistochemistry in IIB-BR-G-MTS6 LN metastasis. (H) IIB-BR-G-MTS6 LN metastasis HE staining where an afferent lymph vessel containing a tumor emboli is shown. Scale bar = 20 µm.
In vivo, IIB-BR-G-MTS6 s.c. tumors grew earlier and faster with a calculated doubling time of 6.8 d compared with IIB-BR-G tumors (doubling time 8.7 d) (p < 0.0001) (
IIB-BR-G and IIB-BR-G-MTS6 cells inoculated s.c. in the back or in the mammary fat pad developed tumors in all recipients (n = 5) and IIB-BR-G-MTS6 additionally developed metastases in axillary LN in 100% of mice by 5–6 weeks, while IIB-BR-G cells did not, even 19 weeks after inoculation (not shown). Metastases were evident macroscopically even in contralateral LN to the inoculated tumor. Metastasis to the LN was confirmed histologically after examination of hematoxylin-eosin stained sections (
An antibody array using 174 antibodies distributed in three glass slides allowed us to test the relative expression of 168 different proteins secreted into CM and present in cell extracts of IIB-BR-G and IIB-BR-G-MTS6 cell lines. This antibody array was selected to test the expression changes of cytokines, growth factors and chemokines that could be related to the metastatic ability of IIB-BR-G-MTS6 cells relative to that of IIB-BR-G. All significantly deregulated proteins in IIB-BR-G-MTS6 compared with IIB-BR-G cells are shown in
| Name in Antibody Array | Gene Symbol | Description | Log2 Fold Change |
| Chemokines, Cytokines and their receptors | |||
| IL-1 β | IL1b | Interleukin 1, β | 8.17 |
| GRO-α | CXCL1 | Chemokine (CXC motif) ligand 1 | 6.87 |
| MIP-3 α | CCL20 | Chemokine (c-c motif) ligand 20 | 6.71 |
| IL-2 R α | IL2RA | Interleukin 2 receptor, α | 5.55 |
| IL-1 α | IL1a | Interleukin 1, α | 5.44 |
| IL-6 | IL6 | Interleukin 6 | 4.65 |
| IL-4 | IL4 | Interleukin 4 | 4.26 |
| MCP-2 | CCL8 | Chemokine (c-c motif) ligand 8 | 3.19 |
| IL-8 | IL8 | Interleukin 8 | 2.63 |
| CXCL-16 | CXCL16 | Chemokine (CXC-motif) ligand 16 | 2.59 |
| GCP-2 | CXCL5 | Chemokine (CXC-motif) ligand 5 | 2.42 |
| RANTES | CCL5 | Chemokine (C-C-motif) ligand 5 | 1.66 |
| NAP-2/CXCL7 | CXCL7 | Chemokine (CXC-motif) ligand 7 | 1.64 |
| PARC | CCL18 | Chemokine (CC-motif) ligand 18 | 1.36 |
| IL-18 BP α | IL18 | Interleukin 18 | 1.33 |
| sgp130 | IL6st | Interleukin 6 signal transducer (gp130, oncostatin receptor) | 1.18 |
| TARC | CCL17 | Chemokine (CC-motif) ligand 17 | 1.15 |
| IL-18Rbeta | IL18RB | Interleukin 18 receptor β | -1.02 |
| I-TAC | CXCL11 | Chemokine (CXC-motif) ligand 11 | -1.18 |
| HCC-4 | CCL16 | Chemokine (CC motif) ligand 16 | -1.31 |
| IL-11 | IL11 | Interleukin 11 | -1.43 |
| IL-1RI | IL1R1 | Interleukin 1 receptor, type I | -1.49 |
| MIG | CXCL9 | Chemokine CXC-motif | -1.73 |
| IL-12 p70 | IL12 | Interleukin 12 | -1.87 |
| IFN gamma | IFNG | Interferon, gamma | -2.1 |
| MIP-3 β | CCL19 | Chemokine (CC-motif) ligand 19 | -2.43 |
| MIP-1 β | CCL4 | Chemokine (CC-motif) ligand 4 | -4.49 |
| SDF-1 β | CXCL12 | Chemokine (CXC-motif) ligand 12 | -4.82 |
| Growth and differentiation factors, receptors and regulators | |||
| IGFBP-1 | IGFBP1 | Insulin growth factor binding protein 1 | 8.17 |
| GM-CSF | CSF2 | Granulocyte-macrophage colony stimulating factor | 6.01 |
| G-CSF | CSF3 | Granulocyte colony stimulating factor | 5.92 |
| sTNF-RI | TNFRSF1A | Tumor necrosis factor receptor superfamily, member 1 A |
3.65 |
| PDGFAA | PDGFA | Platelet derived growth factor A | 3.23 |
| IGFBP-6 | IGFBP6 | Insulin growth factor binding protein 6 | 3.18 |
| EGF-R | EGFR | Epidermal growth factor receptor | 3.11 |
| LAP | TGFB1 | Tumor growth factor β 1 | 2.84 |
| IGFBP-4 | IGFBP4 | Insulin growth factor binding protein 4 | 2.30 |
| NT-4 | NTF5 | Neurotrophic growth factor 4 | 1.50 |
| IGFBP-3 | IGFBP3 | Insulin growth factor binding protein 3 | 1.41 |
| Osteoprotegerin | TNFRSF11B | Tumor necrosis factor receptor superfamily, member 11B | 1.11 |
| TRAIL R3 | TNFRSF10C | Tumor necrosis factor receptor superfamily, member 10C | -1.14 |
| Oncostatin M | OSM | Oncostatin M | -1.19 |
| HGF | HGF | Hepatocyte growth factor | -1.20 |
| BTC | BTC | Betacellulin | -1.75 |
| FGF-9 | FGF9 | Fibroblast growth factor 9 (glia-activating factor) | -3.86 |
| GITR-ligand | TNFRSF18 | Tumor necrosis factor receptor superfamily, member 18 |
-4.23 |
| Cell adhesion, angiogenesis and invasion related | |||
| VEGF | VEGF | Vascular endothelial growth factor | 4.62 |
| Angiogenin | Ang | Angiogenin, ribonuclease, RNase A family, 5 | 4.56 |
| ICAM-1 | ICAM1 | Intercellular adhesion molecule 1 | 4.3 |
| BMP-7 | BMP7 | Bone morphogenetic protein 7 | 4.21 |
| uPAR | PLAUR | Urokinase-type Plasminogen activator receptor | 4.17 |
| bFGF | FGF2 | Basic fibroblast growth factor | 1.81 |
| TIMP1 | TIMP1 | metallopeptidase inhibitor 1 | 1.65 |
| Activin A | INHBA | Inhibin A | 1.38 |
| Tie-2 | TEK | TEK tyrosine kinase endotelial | -1.35 |
| MMP-13 | MMP13 | matrix metalloproteinase 13 (collagenase 3) | -3,06 |
| ICAM-3 | ICAM-3 | Intercellular adhesion molecule 3 | -4.54 |
| VEGF-D | FIGF | Vascular endotelial factor D | -5.83 |
| Others | |||
| Siglec-5 | Siglec5 | Sialic acid binding Ig-like lectin 5 | -1.19 |
| CD14 | CD14 | Monocyte differentiation antigen CD14 | -1.36 |
| Prolactin | Prl | prolactin | -2.22 |
| Agrp | AGRP | Agouti related protein homolog | -3.4 |
Log2 fold change: Log2 of Positive Control Normalization without Background sample IIB-BR-G-MTS6/Positive Control Normalization without Background sample IIB-BR-G.
| Name in Antibody Array | Gene Symbol | Description | Log2 Fold Change |
| Chemokines, Cytokines and their receptors | |||
| MIP-1 α | CCL3 | chemokine (c-c motif) ligand 3 | 8.9 |
| IL-2 Ralpha | IL2Ra | Interleukin2receptor, α | 6.5 |
| GRO-α | CXCL1 | chemokine (c-x-c motif) ligand 1 | 6.1 |
| Acrp30 | Adipoq (APM1) | Adiponectin | 3.5 |
| IL-8 | IL8 | interleukin 8 | 2.4 |
| ActivinA | INHBA | Inhibin, β A (activin A, activin AB α polypeptide) | 2.4 |
| sgp130I | IL6st | Interleukin 6 signal transducer (gp130, oncostatin M receptor) | 1.8 |
| IL6-R | IL6R | Interleukin 6 receptor | 1.7 |
| MPIF-1 | CCL23 | Chemokine (C-C motif) ligand 23 | 1.7 |
| IL-12p70 | IL12 | Interleukin 12 | 1.2 |
| ENA-78 | CXCL5 | Chemokine(C-X-C motif) ligand 5 | 1.1 |
| IL-2 Rbeta | IL2RB | Interleukin 2 receptor, β | -2.1 |
| Growth and differentiation factors, receptors and regulators | |||
| GCSF | CSF3 | Colony stimulating factor 3 (granulocyte) | 8.7 |
| PlGF | PlGF | Placental growth factor | 4.6 |
| TRAIL R4 | TNFRSF10D | Tumor necrosis factor receptor superfamily, member 10d, decoy with truncated death domain | 2.4 |
| FGF-9 | FGF9 | Fibroblast growth factor 9 (glia-activating factor) | 2 |
| PDGF-AB | PDGF | Platelet derived growth factor polypeptide | 1.6 |
| HGF | HGF | Hepatocyte growth factor (hepatopoietin A, scatter factor) | 1.2 |
| Tie-1 | TIE | Tyrosine kinase with immunoglobulin and epidermal growth factor homology domain | -1.2 |
| DR6 | TNFRSF21 | Tumor necrosis factor receptor superfamily, member 21 | -3.4 |
| uPAR | PLAUR | Platelet/endothelial adhesion molecule 1 | 2.8 |
| Tie-2 | TEK | TEK tyrosine kinase endotelial | 2.1 |
| ICAM-3 | ICAM3 | Intercelular adhesion molecule 3 | 2 |
| MMP-1 | MMP1 | matrix metalloproteinase 1 (interstitial collagenase) | 2 |
| MMP-13 | MMP13 | matrix metalloproteinase 13 (collagenase 3) | 1.8 |
| MMP-9 | MMP9 | Matrix metalloproteinase 9 (galatinase B, 92kDa gelatinase, 92kDa type IV collagenase) | 1.2 |
| ICAM-1 | ICAM1 | Intercelular adhesion molecule 1 | 1.2 |
| PECAM-1 | PECAM1 | platelet/endothelial cell adhesion molecule 1 | 1.2 |
| VEGFR2 | KDR | kinase insert domain protein receptor | -1.9 |
| Others | |||
| SIGLEC-5 | SIGLEC5 | Sialic acid binding Ig-like lectin 5 | -3.2 |
Log2 fold change: Log2 of Positive Control Normalization without Background sample IIB-BR-G-MTS6. Positive Control Normalization without Background sample IIB-BR-G.
The analysis of CM showed that IIB-BR-G-MTS6 secretion was higher for 37 proteins and lower for 27 while the other proteins remained unchanged. The most upregulated IIB-BR-G-MTS6 secreted proteins (CM) were IL1β, IGFBP1, GROα/CXCL1, MIP-3α/CCL20, GM-CSF/CSF3, GCSF/CSF2, IL2R α, IL1α, IL6 and VEGFA. Among the less secreted proteins we found VEGFD, SDF1-β/ CXCL12, ICAM3, MMP13, AgRP, IL12 p40, FGF9, GITR-Ligand and MIP-1β/CCL4.
For some proteins signal in the antibody array was negative for both cells lines (less than two times negative controls signal), such as L-selectin (expressed in neutrophils), NGF (nerve growth factor), IL-2Rγ, IP-10/CXCL10, secreted by monocytes and lymphocytes, TECK/CCL25, (expressed in small intestine and thymus) and CK β 8–1. Also, in CM of both cell lines some receptors like EGFR, IL2RA, were detected presumably shed into the CM or derived from dead cells.
With respect to cell extracts, IIB-BR-G-MTS6 showed upregulation of 24 proteins and downregulation of 6 compared with parental IIB-BR-G. The most upregulated proteins were MIP-1 α/CCL3, GCSF/CSF3, IL2Ra, CXCL1, PlGF and Adiponectin (APM1). Downregulation in IIB-BR-G-MTS6 was found for Siglec5, TNFRSF21, IL2Rb and VEGFR2 (KDR). No expression of NGF, IL1 R4/ST2, IL1R1, IL1R2, IL11, L-Selectin, IP-10 or IL2 Rγ, was observed for both cell lines.
We used EASE annotation tool to disclose the potential biological relevance of the differentially expressed proteins that could be related to the metastatic phenotype we used. Using Gene Ontology Annotation we identified some functional categories that were over-represented among the IIB-BR-G-MTS6 deregulated proteins recognized in the antibody array.
| Annotation Tool | Functional Category | EASE* Score | Protein |
| GO Biological Process | response to wounding | 9.07e-003 | ↑IL1α; IL1β; IL4; IL8, CCL17; CCL18; CCL20; CCL23; CXCL5; CCL3; CCL5; CCL8; CSF2; CSF3; CXCL1; ↓ CCL16; CXCL11; CXCL12 CCL19; CXCL9; CCL4; |
| GO Biological Process | cell growth and/or maintenance | 7.82e-003 | ↑CCL23; CCL3; CCL5; PDGFA; LAP-TGFβ1 TIMP1; CCL8;CSF3;CXCL1;CXCL5; EGFR; FGF2; FGF9; HGF; IGFBP1; IGFBP3; IGFBP4; IGFBP6; IL1α; IL1β; IL4; IL6; IL6R; IL8; ↓OSM; BTC; CCL19 CCL4; CXCL12 FIGF; IFNγ |
| GO Biological Process | chemotaxis | 2.37e-003 | ↑ CCL17; CCL18;CCL20; CCL23; CCL3; CCL5; CCL8; CXCL1; CXCL12; CXCL5; CXCL9; FGF2; IL1α; IL4; IL8 ↓ CCL16; CCL4;CCL19; CXCL11 |
| Organismal role | Cell migration/motility | 2.36e-003 | ↑CCL17; CCL18; CCL20; CCL23; CCL3; CCL5; CCL8; CXCL1; CXCL12; CXCL5; CXCL9; FGF2; HGF; IFNγ; IGFBP3; IL4; IL8; PECAM1 ↓CCL16; CCL19; CCL4 CXCL11 |
| GO Biological Process | response to stress | 4.11e-002 | ↑CCL17;CCL20; CCL23; CCL3; CCL5; CCL8; CSF2; CSF3; CXCL1; CXCL11; CXCL12; CXCL5; CXCL9; IL1α; IL1β; IL4; IL6; IL8 ↓CCL16; CCL18, CCL19, CCL4 |
| GO Molecular Function | glycosaminoglycan binding/heparin binding | 2.92e-002 | ↑CCL23; CCL3; FGF9 |
| GO Molecular Function | hydrolase activity/macromolecule catabolism | 1.77e-002 | ↑ANG; HGF; MMP1; MMP13; MMP9; TIMP1 |
| GO Biological Process | regulation of cell proliferation | 1.56e-002 | ↑CCL23; CCL3; CSF3; CXCL1; CXCL5; FGF2; TGFβ1-LAP; TIMP1; IGFBP6; IL1α; IL1β; IL6; IL8; ↓ OSM; BTC;FIGF |
| GO Biological Process | inflammatory response/ innate immune response |
1.47e-002 | ↑IL1α; IL1β; IL8; CCL17; CCL18; CCL20; CCL23; CCL3; CCL5; CCL8; CXCL1; CXCL11; CXCL5; ↓CXCL12; CCL4CXCL9; CCL16; CCL19; |
| GO Biological Process | cell-cell signaling | 1.29e-002 | ↑CCL17;CCL20; CCL23; CCL3; CCL5; CCL8; CSF3; CXCL5; FGF2; IL1α; LAP-TGFβ1;IL1β; IL6; IL8; PDGFA ↓CCL16; CCL4; FGF9; IFNγ; CXCL11; CXCL9; CCL18; CXCL12; TEK |
Functional categories were obtained using EASE software as described under Methods. Results correspond to total deregulated IIB-BR-G-MTS6 proteins (up- and downregulated) combining cell extracts plus CM results. EASE scores < 0.05 were considered significant. ↑ = protein upregulated in IIB-BR-G-MTS6 vs IIB-BR-G; ↓ = protein downregulated in IIB-BR-G-MTS6 vs IIB-BR-G.
To further investigate the biological relevance of genes that were up or downregulated in metastatic IIB-BR-G-MTS6 relative to primary tumor-derived IIB-BR-G we queried PubMed manually. Based on the potential function of BC cancer cells and their relationship with metastasis, we collected those deregulated proteins in IIB-BR-G-MTS6 cells that could be potentially associated to the metastatic ability and explored the previously published evidences. Grouped by their known role some of these proteins are briefly presented below along with results of additional experiments.
The oncogenic pathway EGFR-RAS signaling could have contributed to the autonomous cell proliferation in both cell lines as we have previously shown.
One critical event for tumor growth and metastasis is the generation of a new network of blood vessels that can be promoted by several cytokines produced by tumor or stroma cells. Several pro-angiogenic factors are upregulated in IIB-BR-G-MTS6 cells and /or secreted into their CM compared with non-metastatic IIB-BR-G cell line: CXCL1, IL8, IL1β, IL1α, VEGFA, angiogenin/ANG, HGF, PlGF, LAP-TGFβ1 (latent TGFβ1), FGF2/bFGF and TEK (tie2, angiopoietin receptor) (
Since VEGFA is strongly upregulated in IIB-BR-G-MTS6 cells in vitro, and its expression has been associated to higher LVD,
Figure 2. Angiogenesis related analyses. (A) VEGFA/B and CD31 stains were performed in IIB-BR-G and IIB-BR-G-MTS6 nude mice xenografts. An example of each immunostaining is shown for IIB-BR-G and IIB-BR-G-MTS6 xenografts. Also, an irrelevant mouse IgG was used as a negative control. Scale bar = 10µm. (B) VEGF A/B and CD31 positive stained areas were calculated for two different xenografts from each cell line as detailed under Methods. Results are indicated as mean ± SD positive area. * Statistically significant p < 0.05 (t-test).
It has been demonstrated that activation of lymphatic endothelium by VEGFC is crucial for tumor cell entry and migration via lymphatic vessels. Anti-VEGFC mAb was not included in the selected antibody-array that we used, thus we measured its expression by qRT-PCR in IIB-BR-G and IIB-BR-G-MTS6 cell lines as well as in nude mice xenografts. As observed in
Figure 3. Lymphangiogenesis related analyses. (A) Relative VEGFC transcript abundances were measured by qPCR in tumor cell lines and xenografts as described under Materials and Methods. The expression fold changes were compared with the parental IIB-BR-G cell line or tumor, respectively. Results are mean ± SD of four biological replicates. * Statistically significant p < 0.05 (t-test). (B) LVD was calculated in Podoplanin stained sections of IIB-BR-G and IIB-BR-G-MTS6 xenografts as detailed under Methods. Dots represent each field count (Podoplanin-positive area /200x field), lines indicate the mean values. *Statistically significant p < 0.05 (t-test). C- Examples of Podoplanin stainings in xenografted tumors and the corresponding negative controls (Hamster IgG). Scale bar = 20 µm.
Next, we evaluated the lymphatic vessel density (LVD) in IIB-BR-G-MTS6 and IIB-BR-G s.c. xenografts by immunostaining with anti-podoplanin, a specific marker of lymphatic endothelium. As observed in
IIB-BR-G-MTS6 cells exhibit higher expression of latency-associated peptide (LAP-TGFβ1) than IIB-BR-G, while other members of the TGFβ superfamily tested in the array, such as TGFβ1, TGFβ2, TGFβ3 and endoglin remained unchanged (
Figure 4. Invasiveness related in vitro analyses. (A) MMP9 zymography was performed in serum-free CM from both cell lines using gelatin as a substrate and Coomasie Blue staining; the same samples were revealed in the presence of 20 mM EDTA to inhibit metalloprotease activity. A representative experiment is shown out of three independent determinations. (B) Number of cells that migrated through 8 µm membrane and invaded matrigel were counted using culture medium plus 10% FBS as chemoattractant. (C) Relative invasiveness for each cell line was calculated. Results are shown as mean ± SD.
In an in vitro assay we tested both cellular migrations through 8µm pore filters and invasiveness using matrigel-coated filters. Although IIB-BR-G cells migrated more toward FBS (chemoatractant), IIB-BR-G-MTS6 cells showed higher matrigel invasion (p < 0.05) (
Several of the IIB-BR-G-MTS6 upregulated proteins correspond to gene products that are possible inducers of NFκB like GM-CSF, HGF, IL1 and also gene products regulated by NFκB like VEGF, IL6, IL8, MMP9 and MMP13. As a whole, this expression profile suggests a higher NFκB level of activation in IIB-BR-G-MTS6 than in IIB-BR-G, which could be related to their metastatic ability. NF-κB is a crucial factor that is implicated in oncogenic pathways and also regulates immunoinflam-matory responses. High level of activation of NFκB has been reported in specific subtypes of BC, particularly those tumors that express erbB2 and are ER negative
In IIB-BR-G-MTS6 metastatic cells combining cell-associated and secretion to CM results, the more upregulated cytokines/chemokines were IL1β, CXCL1, CCL3, CCL20, IL1α, IL6, CXCL8/IL8, IL4, CCL8, CXCL16, and the less expressed were CXCL12, CCL4, CCL19 compared with the parental IIB-BR-G cell line (
Of note, the basal like BC subtype-associated marker CX3CL1/fracktalkine is among the unchanged molecules expressed by both TNBC IIB-BR-G and IIB-BR-G-MTS6 cells. Also, we have previously shown that high vimentin expression is found in both cell lines by immunocytochemistry.
Figure 5. EMT in IIB-BR-G and IIB-BR-G-MTS6 cells. (A) Presence of mesenchymal marker vimentin. Western Blot analysis was performed with cell extracts. A representative experiment is shown out of three independent determinations. Band intensities for vimentin were normalized to Histone H3; AU = arbitrary units. (B) Confocal microscopy of IIB-BR-G and IIB-BR-G-MTS6 staining with anti-vimentin mAb (red) and actin microfilaments (green); scale bar = 10 µm. The relative intensities per area unit are shown below; *,statistically significant p < 0.05 (t-test). (C) Spindle-shape morphology with cytoskeleton rearrangement determined by confocal microscopy as in B (top right), in IIB-BR-G and IIB-BR-G-MTS6. The left panels are showing a computer-generated 3D-Surface plot profile image at the level of the segments delimited by the white line. And the bottom right plot profiles show distribution of actin and vimentin at a single plane of these segments. Scale bar = 5 µm.
Although a great number of molecules have been associated to BC metastasis the mechanisms used by tumor cells to achieve the metastatic cascade are still poorly understood. Over the last years a bulk of evidence suggests the existence of a complex interaction between tumor cells and the blood and lymphatic endothelium in which an important role of chemokines and cytokines is emerging,
The use of spontaneously metastatic human BC cell lines provides a promising model to investigate the metastatic process. Because of the complexity and heterogeneity of BC no single model would be expected to mimic all aspects of the disease. Thus, it is necessary to develop models to evaluate treatments for metastatic disease and to enhance our understanding of the mechanisms that underlie metastatic progression.
Figure 6. Proposed model for IIB-BR-G-MTS6 cells metastatic behavior suggested by their expression profile. Metastatic IIB-BR-G-MTS6 increased their proliferation rate in vivo probably by upregulation of growth factors and/or their receptors (i.e., EGFR, PDGF, IL1β), increased several pro-angiogenic factors (i.e., IL8, VEGF, HGF, FGF2 and IL1β), and enhanced their EMT phenotype by autocrinous production of EMT inducers (i.e., IL6, PlGF, HGF, PLAUR and LAP-TGFβ). Cells could have acquired invasive capacity through MMPs secretion, and induced lymphangiogenesis by VEGFC secretion. Other upregulated proteins could presumably have a role in alteration of the tumor stroma, driven by hypoxia due to accelerated tumor growth, and immune cells recruitment to the tumor microenvironment. Altogether, these features might have facilitated metastatic dissemination of IIB-BR-G-MTS6 cells mainly to the LNs.
We did not observe a discordant phenotype between IIB-BR-G and IIB-BR-G-MTS6 cells regarding hormonal status, HER-2 overexpression since both are TNBC as we have previously shown.
IIB-BR-G-MTS6 upregulated IGFBPs 1, 3, 4 and 6. Deregulation of the IGF system is well recognized as a key contributor to the progression of multiple cancers including BC. Binding of IGFBP1 prolongs the half-life of the IGFs and alters their interaction with cell surface receptors. Interestingly, in pancreatic cancer, hypoxia has been shown to induce IGFBPs transcription contributing to reduce IGF signaling and to the survival of tumor cells.
FGF2/bFGF, upregulated in IIB-BR-G-MTS6 cells, has been very recently shown to promote the growth of TNBC in vitro and in vivo via an autocrine pathway that involves FGFR and thus points to a potential novel therapeutic approach using FGFR inhibitors for these tumors.
IIB-BR-G-MTS6 s.c. tumors grow rapidly in nude mice and a central necrotic area is always observed by 5 weeks probably due to hypoxia (not shown). A hypoxic microenvironment often results in a milieu of pro-inflammatory and pro-angiogenic cytokines produced either by infiltrating cells and /or tumor cells. Since IIB-BR-G-MTS6 cells were selected in vivo, some of the proteins deregulated could reflect the interaction between fast growing tumor cells and an altered tumor stroma, as compared with IIB-BR-G slow growing tumors. Based on IIB-BR-G-MTS6 expression profile and recent publications,
Throughout the metastatic selection process IIB-BR-G cells have acquired the expression of several pro-angiogenic and lymphangiogenic factors that probably contributed to tumor vascularization, accelerated tumor growth and conferred tumor cells the ability to colonize the lymphatic system to settle as a LN metastasis. In this sense, upregulation of VEGFA, IL8, IL1, CXCL1, HGF, ANG and FGF2 altogether could have endowed IIB-BR-G-MTS6 cells with some of these pro-angiogenic properties. IIB-BR-G-MTS6 pro-angiogenic profile and VEGFA/B expression in s.c. nude mice xenografts suggest the existence of tumor cell vasculogenesis (vasculogenic mimicry), encircling solid tumor cells/nests, besides the existence of peripheral angiogenesis. Placenta growth factor (PlGF), a member of the VEGF family, is also upregulated in IIB-BR-G-MTS6 cells compared with IIB-BR-G. PlGF promotes metastasis, the mobilization and recruitment of hematopoietic precursors from bone marrow and enhances blood vessel maturation by acting on VEGFR1-expressing smooth muscle cells/pericytes.
Lymphangiogenesis is an important step in tumor progression. Although the earliest feature of disseminated disease in BC is regional LN involvement, little is known about the mechanisms displayed by cancer cells to interact with lymphatic endothelial cells and enter the lymphatic system. VEGFC has been characterized as a lymphangiogenic growth factor signaling via VEGFR2 and VEGFR3. VEGFC has been detected on endothelial and tumor cells
The metastatic potential of chemokines is in part attributed to their ability to induce the expression of MMPs. It is believed that MMPs play a central role in the metastatic cascade and their increased expression reportedly is associated to the invasion and metastasis of various malignant tumors.
Stromal contribution to tumor growth is considered as an important source of cytokines, growth and pro-angiogenic factors that help tumors to progress and metastasize. Some of the proteins overexpressed in IIB-BR-G-MTS6 have been described as expressed by stromal cells rather than by tumor cells, such as FGF2 production from CAF (cancer-associated fibroblasts), and extracellular MMPs.
Metastatic IIB-BR-G-MTS6 most upregulated cytokine is IL1β as compared with IIB-BR-G. Secreted IL1β is strongly pro-inflammatory, potentiates tumor angiogenesis and the production of a network of invasiveness-promoting molecules as well as tumor-mediated suppression. In fact, it was shown that IL1 is frequently expressed in metastasis from patients with several types of cancer. IL1β is found expressed in most ER negative invasive BC and high serum levels correlated with patient’s recurrence.
In our TNBC metastatic model, CXCL12 production may prevent LN metastasis since it was found downregulated in IIB-BR-G-MTS6 as compared with parental IIB-BR-G cells. CXCL12 is a highly pleiotropic chemokine that has been implicated in the progression and site-specific metastasis of various cancers, including BC. Indeed, CXCL12 silencing has been shown to induce metastasis of breast and colon cancer cells and administration of CXCL12 has been proposed as a potential therapy to inhibit metastatic dissemination.
CCL20/MIP-3α, a chemokine involved in the attraction of immature dendritic cells (DC) and their precursors, is among the five most upregulated proteins secreted into IIB-BR-G-MTS6 CM as compared with IIB-BR-G. Only few reports have suggested a possible relationship between CCL20/ MIP-3α and BC metastasis. It has been reported that adipocyte culture medium stimulates invasiveness of MDA-MB-231 cell via CCL20 production.
Most tumors secrete immunosuppressive cytokines such as TGFβ, IL10 and VEGF.
IL8 recruits immune system cells to the tumor stroma that could contribute to an increase in angiogenesis in vivo, and tumor growth. There is a co-regulation of IL8, CXCL1, CXCL3, CXCL5 and CXCL6 since their coding genes are located in chromosome 4q21, in a cluster that has a coordinated expression pattern,
Epithelial cells can acquire mesenchymal characteristics including flattened morphology and expression of vimentin filaments, a process named epithelial-to-mesenchymal-transition. EMT also leads to the acquisition of an invasive phenotype enabling cell migration into a new microenvironment and their differentiation into distinct cell types, allowing tumor progression and metastasis.
After global gene expression studies five molecular subtypes of BC have been identified (Luminal A, Luminal B, Her-2-enriched, Basal-like and Claudin-low), each of them presenting unique biologic features and different prognosis.
Based on their proteomic profile, IIB-BR-G and the metastatic derived IIB-BR-G-MTS6 cells could represent a model of aggressive TNBC which have undergone significant EMT, since they show: (1) a lack of expression of hormone receptors, (2) a high expression of vimentin, Fracktalkine/CX3CL1 and EGFR, (3) an expression of IL6, LAP-TGFβ and MMPs, (4) a high motility and invasive capacity, (5) lack of E-Cadherin expression, (6) in case of IIB-BR-G-MTS6 cells, fast tumor growth, a high in vitro invasiveness and metastatic ability in nude mice. Also, we have previously shown that these cells do not express cytokeratins 5/6, a feature that is found in most basal-like BC type tumors.
In this study we report the development of a reproducible model to study the biology of human TNBC metastasis to LN in comparison with the parental non-metastatic cells. We succeeded in isolating a variant line with enhanced metastatic properties as demonstrated by a battery of assays.
We showed that IIB-BR-G-MTS6 metastatic cells exhibited significant protein expression changes as compared with the parental non-metastatic cell line and have different phenotypic characteristics associated to their metastatic behavior, probably reflecting changes that occurred during progression from primary tumor growth and metastatic dissemination.
The up- and downregulation of proteins in IIB-BR-G-MTS6 cells suggest interesting candidates for further investigation in TNBC metastasis. These cell lines offer an in vivo model which should facilitate in-depth studies to understand the features of TNBC progression, the interaction of metastatic TNBC cells with host microenvironment and to test potential targets for biologically-based new therapies for TNBC.
We generated IIB-BR-G-MTS6 cell line after s.c. inoculation of 1 × 106 cells of IIB-BR-G-MT2 cell line,
IIB-BR-G and IIB-BR-G-MTS6 cell lines were grown as previously described.
IIB-BR-G and IIB-BR-G-MTS6 cells (1 × 106/0.1 ml phosphate buffered saline (PBS)) were injected s.c either in the mammary fat pad or the back of 8-week-old female nude mice. The tumors major and minor axes were measured with a caliper once a week. The tumor volumes were calculated using the formula: A2xB/2 where A = minor axis and B = major axis. Mice were euthanized with carbon monoxide; tumors were excised and samples were either formalin fixed or stored fresh at -80°C with RNAlater (Ambion) for RNA and protein extraction.
The expression of 168 proteins was tested simultaneously with a glass chips based Human Cytokine Antibody Array System G (RayBio Series G-2000 Series, slides VI, VII and VIII, AAH-CYT-G2000–8, RayBiotech) following the manufacturer’s protocol. Protein extracts and serum-free conditioned medium (CM) from either IIB-BR-G or IIB-BR-G-MTS6 cell lines, were prepared following the manufacturer’s protocol. Cell pellets were extracted with lysis buffer for 30 min and protein concentration was estimated by Bradford’s method.
Data were normalized to positive controls of each slide with the RayBiotech Analysis Tool (RayBiotech) and relativization was performed after local background correction and substraction for each of the three slides. Each protein was tested in duplicate and median signal values 2-fold above negative controls were considered positive. Fold-change in expression was calculated as log2 of signal IIB-BR-G-MTS6/signal IIB-BR-G. The threshold of significant difference in fold-change for each protein was considered as log2 signal IIB-BR-G-MTS6/signal IIB-BR-G > 1 or < -1, meaning that the protein is more than two times up or downregulated in IIB-BR-G-MTS6 as compared with IIB-BR-G cells, respectively. Values between 1 and -1 were considered unchanged protein expression.
EASE software (DAVID, The Database for Annotation, Visualization and Integrated Discovery) was used to identify main gene categories differentially expressed by IIB-BR-G-MTS6 cells in comparison with IIB-BR-G. Ease scores < 0.05 were considered significant. We also searched PubMed manually to investigate the biological relevance of genes that were up- and down- regulated.
Formalin-fixed, paraffin-embedded sections were prepared with IIB-BR-G and IIB-BR-G-MTS6 cell pellets and/or tumor sections (4µm) and stained using the following primary mAbs: mouse anti-human VEGF (A and B) (a kind gift of Dr Alberto Baldi, IByME, Buenos Aires, Argentina), mouse anti-human E-cadherin (clone NCH-38, Dako), mouse anti-human CD31 (clone JC70, Cell Marque) (both evaluated with an irrelevant mouse IgG (Sigma) as a negative control) and hamster anti-mouse Podoplanin/gp36 (Abcam) (Hamster IgG as negative control). Immunostaining pretreatments consisted of sample dehydration in graded alcohols, enzyme digestion, or other heat mediated retrieval methods. Sections were stained using either Envision labeled polymer-HRP K4003 (Dako) or ABC system (Vectastain Universal Elite ABC kit, PK-6200, Vector Laboratories) and counterstained with hematoxylin.
Cells grown on poly-lysine-coated coverslips were fixed with 4% paraformaldehyde and permeabilized with 0.1% triton X-100 in PBS. Fluorescence microscopy was performed in a LSM10 Meta confocal microscope (Carl Zeiss). Image analysis for immune localizations was performed using the 3D-surface plot plug-in of the Image-J program (v.1.42) from the NIH. Signal quantification and cytoplasmic redistribution were analyzed as previously described.
Samples were lysed with 50 mM TRIS-HCl (pH 7.5), 5 mM EDTA, 150 mM NaCl, 1% NP-40, 0.1% SDS, in presence of Protease Inhibitor Cocktail (Sigma) for 30 min on ice. Protein extracts were obtained after centrifugation at 8,000x g for 10 min at 4°C and total protein concentration was measured by the Bradford assay. Thirty micrograms protein extracts were loaded onto 10% SDS-PAGE gels. Proteins were transferred onto nitrocellulose membranes (Sigma), blocked with 3% dried skim milk in PBS and then incubated with anti-vimentin mAbs (Clone VI-01, Abcam) and an anti-Histone H3 mAb (clone A3S, Upstate) (Sigma) overnight at 4°C. Binding of the mAbs was revealed using Alkaline Phosphatase (AP)-conjugated goat F(ab)’2 anti-mouse IgG(H+L) (Jackson Immunoresearch). Color development substrate was 5-bromo-4-chloro-3-indolyl-phosphate/nitro blue tetrazolium (NBT/BCIP) (Promega).
RT-PCR was performed with the isolated total RNA (1 μg). RT-PCR was performed with using 5 ng random primers and the cDNA was synthesized using 200 units of MMLV-Reverse Transcriptase (Promega) at 37°C for 60 min. Real time PCR analysis was performed using specific primers designed to target unique regions of the cDNA. PCR runs were performed using SYBR Universal Master Mix (Applied Biosystems), and relative expression levels were determined by the ΔΔCt method using β-actin gene expression to normalize all samples. Both melting curve analysis and gel electrophoresis assessment were used to confirm the specificity of PCR reactions. The following cycling parameters were used: denaturation 95°C (1 min), annealing 56°C (1 min), extension and detection 72°C (30 sec). The cycler software was used for quantification of VEGFC mRNA levels relative to β-actin mRNA expression. Primers for VEGFC: forward 5′CCTCAGCAAGACGTTATTTGAAATT3′ and reverse 5′TGGCAAAACTGATTGTTACTGGTT3′; for β-actin: forward 5′CCAGAGGCGTACAGGGATAG3′ and reverse 5′CCAACCGCGAGAAGATGA-3′.
In vitro migration and invasion assays were performed using 8 μm pore polycarbonate membrane transwells (BD Biosciences). For migration assay uncoated membranes were used while for invasion assay membranes were coated with 5μg/ml Matrigel (BD Biosciences). Cells were seeded in the upper chamber (5 × 104 cells/well) in serum-free culture medium and incubated at 37°C for 4h. Culture medium plus 10% fetal bovine serum (FBS, Natocor) was used as chemoattractant. Following incubation, the medium was discarded from the upper chamber and the entire insert plate was removed for staining procedures. Membranes were fixed with cold methanol, stained with Giemsa and mounted onto glass slides with Canadax. Cells were counted under the microscope. Five 200 × fields/condition and three wells/condition were analyzed. Results are expressed as in Equation 1:
Condition media were obtained incubating 5 × 105 cells of each cell line in 1.5 ml DMEM for 24hs. The media were then collected and stored at -80°C until assayed. To analyze the expression of metalloproteinases gelatin zymography was performed as previously described.
Sections were examined by optical microscopy (Olympus BX40) and pictures were captured with 400× magnification (Olympus Digital Camera DP72). To quantify VEGFA/B, CD31 and Podoplanin stainings at least 5 representative pictures from IIB-BR-G or IIB-BR-G-MTS6 xenografts (n = 5) were analyzed using Fiji software. After setting the positive staining threshold, total positive areas were calculated for each picture.
To avoid duplications, the observation was made in a greek embroidery fashion. To separate immunostaining (brown stain) from hematoxylin staining (blue stain) the Color Threshold plug-in was applied. Images were then transformed into an 8-bit gray scale TIFF format. The number of stained structures was then counted. Data values obtained from at least 10 images of each slide were exported to a spreadsheet in order to perform the statistical analysis.
Comparisons between IIB-BR-G and IIB-BR-G-MTS6 were analyzed using Student’s t-test to determine the p-values. p < 0.05 was considered significant.
No potential conflicts of interest were disclosed.
This work has been supported by grants from the Agencia Nacional de Promoción Científica y Tecnológica (ANPCyT), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Fundación Sales, Fundación Cáncer (FUCA), Fundación Pedro F. Mosoteguy and Fundación María Calderón de la Barca, Argentina. MB, EL, JM and MMB are members of CONICET, and MPR, JMA and HRQ are fellows of the same Institution. The authors are grateful to Dr. Alberto Baldi for generous provision of anti-VEGFA/B antibody, Dr. Jean-Luc Teillaud from Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France, for critically reading the manuscript, and to Vet. Adriana Fontanals from the Animal Care Facility, Fundación Instituto Leloir, IIBBA-CONICET, for her dedicated assistance. We thank the Pathology Department of Instituto Alexander Fleming and María Luisa Poljak for their support.

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