Abstract
Background
Breast cancer is the most common malignancy among women worldwide. As survival rates increase, breast reconstruction and quality of life gain importance. Of all women undergoing breast reconstruction, approximately, 70% opt for silicone implants and 50% of those develop capsular contracture, the most prevalent long-term complication. The collagenase of the bacterium Clostridium histolyticum (CCH) showed promising results in the therapy of capsule contracture; however, its influence on residual cancer cells is unknown. The aim of this study was to investigate whether CCH-treatment negatively impacts breast cancer cells in vitro and in vivo.
Methods
MDA-MB-231 and MCF-7 cells were used in this study. In vitro, we tested the influence of CCH on proliferation, wound healing, migration and cell cycle by MTT-assay, scratch-assay, transwell-migration-assay, and flow cytometry.
In vivo, solid tumors were induced in immune-deficient mice. CCH was injected into the tumors and tumor growth and metastasis formation was monitored by caliper measurement, in vivo bioluminescence imaging and histology. Gene expression analysis was performed by microarray including 27,190 genes.
Results
CCH-incubation led to a dose-dependent reduction in proliferation for both cell lines, while wound healing was reduced only in MDA-MB-231 cells. No morphological alterations were monitored in cell cycle or apoptosis. In vivo, bioluminescence imaging and histology did not show any evidence of metastasis. Although CCH led to changes in gene expression of breast cancer cells, no relevant alterations in metastasis-related genes were monitored.
Conclusion
CCH has no impact on tumor growth or metastasis formation in vitro and in vivo. This paves the way for first clinical trials.
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All the authors contributed to the study conception and design. Methodology: YFD, KM, AMS, JT, MZ, MMG, and SF. Formal analysis and investigation: YFD, MRB, UK, and SF. Writing—original draft preparation: YFD, DKF, and SF. Writing—review and editing: all the authors. Supervision: MRB, UK, and SF.
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The authors received funding support through an Educational Research Grant from Endo Pharmaceuticals (Malvern, USA). This grant was used to purchase general lab supply, both breast cancer cell lines, assays and immune-deficient mice. None of the authors received a salary for this study or has any financial interest.
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Diehm, Y.F., Marstaller, K., Seckler, AM. et al. The collagenase of the bacterium Clostridium histolyticum does not favor metastasis of breast cancer. Breast Cancer 29, 599–609 (2022). https://doi.org/10.1007/s12282-022-01337-1
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DOI: https://doi.org/10.1007/s12282-022-01337-1