Clinical & Experimental Metastasis

, Volume 29, Issue 3, pp 273–292

Dormant but migratory tumour cells in desmoplastic stroma of invasive ductal carcinomas

  • Vanisri Raviraj
  • Hui Zhang
  • Hsin-ya Chien
  • Louise Cole
  • Erik W. Thompson
  • Lilian Soon
Research Paper

DOI: 10.1007/s10585-011-9450-4

Cite this article as:
Raviraj, V., Zhang, H., Chien, H. et al. Clin Exp Metastasis (2012) 29: 273. doi:10.1007/s10585-011-9450-4

Abstract

Mortality in breast cancer is linked to metastasis and recurrence yet there is no acceptable biological model for cancer relapse. We hypothesise that there might exist primary tumour cells capable of escaping surgery by migration and resisting radiotherapy and chemotherapy to cause cancer recurrence. We investigated this possibility in invasive ductal carcinoma (IDC) tissue and observed the presence of solitary primary tumour cells (SPCs) in the dense collagen stroma that encapsulates intratumoural cells (ICs). In IDC tissue sections, collagen was detected with either Masson’s Trichrome or by second harmonics imaging. Cytokeratin-19 (CK-19) and vimentin (VIM) antibodies were, respectively, used to identify epithelial-derived tumour cells and to indicate epithelial to mesenchymal transition (EMT). Confocal/multiphoton microscopy showed that ICs from acini were mainly CK-19+ve and were encapsulated by dense stromal collagen. Within the stroma, SPCs were detected by their staining for both CK-19 and VIM (confirming EMT). ICs and SPCs were subsequently isolated by laser capture microdissection followed by multiplex tandem-PCR studies. SPCs were found to be enriched for pro-migratory and anti-proliferative genes relative to ICs. In vitro experiments using collagen matrices at 20 mg/cm3, similar in density to tumour matrices, demonstrated that SPC-like cells were highly migratory but dormant, phenotypes that recapitulated the genotypes of SPCs in clinical tissue. These data suggest that SPCs located at the breast cancer perimeter are invasive and dormant such that they may exceed surgical margins and resist local and adjuvant therapies. This study has important connotations for a role of SPCs in local recurrence.

Keywords

Breast cancerSingle cell dormancyCell migrationDense stromaTumour microenvironmentLaser capture microdissection

Abbreviations

BrCa

Breast cancer

CK

Cytokeratin

CTCs

Circulating tumour cells

DCIS

Ductal carcinoma in situ

DTCs

Disseminated tumour cells

EMT

Epithelial mesenchymal transition

FFPE

Formalin-fixed-paraffin-embedded

ICs

Intratumoural cells

IDC

Invasive ductal carcinoma

LCM

Laser capture microdissection

MT-PCR

Multiplexed tandem-PCR

SPCs

Solitary primary tumour cells

VIM

Vimentin

Supplementary material

10585_2011_9450_MOESM1_ESM.doc (2 mb)
Supplementary material 1 (DOC 2055 kb)

Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Vanisri Raviraj
    • 1
  • Hui Zhang
    • 1
  • Hsin-ya Chien
    • 1
  • Louise Cole
    • 2
  • Erik W. Thompson
    • 3
  • Lilian Soon
    • 1
  1. 1.Australian Centre for Microscopy and Microanalysis (ACMM), AMMRF, The University of SydneySydneyAustralia
  2. 2.Advanced Microscopy Facility, Bosch Institute, The University of SydneySydneyAustralia
  3. 3.Department of SurgeryInvasion and Metastasis Unit, St. Vincent’s Institute of Medical Research and University of Melbourne, St Vincent’s HospitalMelbourneAustralia