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Placenta-breast cancer cell interactions promote cancer cell epithelial mesenchymal transition via TGFβ/JNK pathway

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Abstract

Women diagnosed with pregnancy associated breast cancer often have advanced cancer with metastases and reduced expression of ERα compared to non-pregnant women. Nevertheless, metastases to the placenta are uncommon. Previously, we demonstrated that breast cancer cells (MCF-7/T47D) migrated from ex vivo human placental explant implantation sites. We aimed to analyze the effect of factors produced during placental implantation or as a result of the interaction between the implanted placentae to cancer cells on cancer cells migration and aggressiveness. We collected supernatants from implanted placentae and placental-breast cancer cells cocultures and analyzed their effects on cancer cells phenotype and pathways. Supernatants collected from breast cancer cells served as controls. We found that supernatants collected from implanted placentae induced modest cancer cells migration that was not accompanied by epithelial to mesenchymal transition (EMT), supported breast cancer cells survival and elevated MCF-7 cell number. The coculture supernatant induced excessive motility and EMT of the MCF-7 cells. This EMT was mediated by Smad3 and JNK/ERK activation. Both placenta and coculture supernatants reduced ERα expression in the cancer cells. Finally, we showed that MCF-7 cocultured with the human placental explants underwent continuous activation of JNK and Smad3 pathways and the EMT process, which led to their migration away from the placental implantation sites. These findings may explain the reduced ERα and elevated metastases found in breast cancer during pregnancy and highlights pathways involved in it.

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References

  1. Stensheim H, Moller B, Van Dijk T, Fossa SD (2009) Cause-specific survival for women diagnosed with cancer during pregnancy or lactation: a registry-based cohort study. J Clin Oncol 27(1):45–51

    Article  PubMed  Google Scholar 

  2. Van Calsteren K, Heyns L, De Smet F, Van Eycken L, Gziri MM, Van Gemert W, Halaska M, Vergote I, Ottevanger N, Amant F (2010) Cancer during pregnancy: an analysis of 215 patients emphasizing the obstetrical and the neonatal outcomes. J Clin Oncol 28(4):683–689

    Article  PubMed  Google Scholar 

  3. Pavlidis NA (2002) Coexistence of pregnancy and malignancy. Oncologist 7(4):279–287

    PubMed  Google Scholar 

  4. Zemlickis D, Lishner M, Degendorfer P, Panzarella T, Burke B, Sutcliffe SB, Koren G (1992) Maternal and fetal outcome after breast cancer in pregnancy. Am J Obstet Gynecol 166(3):781–787

    Article  CAS  PubMed  Google Scholar 

  5. Gasim T, Al Dakhiel SA, Al Ghamdi AA, Al Ali M, Al Jama F, Rahman J, Al Suleiman SA, Rahman MS (2010) Ovarian tumors associated with pregnancy: a 20-year experience in a teaching hospital. Arch Gynecol Obstet 282(5):529–533

    Article  PubMed  Google Scholar 

  6. Ulery M, Carter L, Mcfarlin BL, Giurgescu C (2009) Pregnancy-associated breast cancer: significance of early detection. J Midwife Womens Health 54(5):357–363

    Article  Google Scholar 

  7. Amant F, Von Minckwitz G, Han SN, Bontenbal M, Ring AE, Giermek J, Wildiers H, Fehm T, Linn SC, Schlehe B, Neven P, Westenend PJ, Muller V, Van Calsteren K, Rack B, Nekljudova V, Harbeck N, Untch M, Witteveen PO, Schwedler K, Thomssen C, Van Calster B, Loibl S (2013) Prognosis of women with primary breast cancer diagnosed during pregnancy: results from an international collaborative study. J Clin Oncol 31(20):2532–2539

    Article  PubMed  Google Scholar 

  8. Cardonick E, Dougherty R, Grana G, Gilmandyar D, Ghaffar S, Usmani A (2010) Breast cancer during pregnancy: maternal and fetal outcomes. Cancer J 16(1):76–82

    Article  PubMed  Google Scholar 

  9. Genin AS, Lesieur B, Gligorov J, Antoine M, Selleret L, Rouzier R (2012) Pregnancy-associated breast cancers: do they differ from other breast cancers in young women? Breast 21(4):550–555

    Article  PubMed  Google Scholar 

  10. Baulies S, Cusido M, Tresserra F, Rodriguez I, Ubeda B, Ara C, Fabregas R (2014) Pregnancy-Associated Breast Cancer: an analytical observational study. Med Clin (Barc) 142(5):200–204

    Article  Google Scholar 

  11. Madaras L, Kovacs KA, Szasz AM, Kenessey I, Tokes AM, Szekely B, Baranyak Z, Kiss O, Dank M, Kulka J (2013) Clinicopathological features and prognosis of pregnancy associated breast cancer—a matched case control study. Pathol Oncol Res 20:581–590

    Article  PubMed  Google Scholar 

  12. Johansson AL, Andersson TM, Hsieh CC, Cnattingius S, Lambe M (2011) Increased mortality in women with breast cancer detected during pregnancy and different periods postpartum. Cancer Epidemiol Biomarkers Prev 20(9):1865–1872

    Article  PubMed  Google Scholar 

  13. Ali SA, Gupta S, Sehgal R, Vogel V (2012) Survival outcomes in pregnancy associated breast cancer: a retrospective case control study. Breast J 18(2):139–144

    Article  PubMed  Google Scholar 

  14. Dimitrakakis C, Zagouri F, Tsigginou A, Marinopoulos S, Sergentanis TN, Keramopoulos A, Zografos GC, Ampela K, Mpaltas D, Papadimitriou C, Dimopoulos MA, Antsaklis A (2013) Does pregnancy-associated breast cancer imply a worse prognosis? A matched case-case study. Breast Care (Basel) 8(3):203–207

    Article  Google Scholar 

  15. Shousha S (2000) Breast carcinoma presenting during or shortly after pregnancy and lactation. Arch Pathol Lab Med 124(7):1053–1060

    CAS  PubMed  Google Scholar 

  16. Pilewskie M, Gorodinsky P, Fought A, Hansen N, Bethke K, Jeruss J, Scholtens D, Khan SA (2012) Association between recency of last pregnancy and biologic subtype of breast cancer. Ann Surg Oncol 19(4):1167–1173

    Article  PubMed  Google Scholar 

  17. Platet N, Cathiard AM, Gleizes M, Garcia M (2004) Estrogens and their receptors in breast cancer progression: a dual role in cancer proliferation and invasion. Crit Rev Oncol Hematol 51(1):55–67

    Article  PubMed  Google Scholar 

  18. Zeng Q, Li W, Lu D, Wu Z, Duan H, Luo Y, Feng J, Yang D, Fu L, Yan X (2012) CD146, an epithelial-mesenchymal transition inducer, is associated with triple-negative breast cancer. Proc Natl Acad Sci U S A 109(4):1127–1132

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  19. Zaretsky JZ, Barnea I, Aylon Y, Gorivodsky M, Wreschner DH, Keydar I (2006) MUC1 gene overexpressed in breast cancer: structure and transcriptional activity of the MUC1 promoter and role of estrogen receptor alpha (ERalpha) in regulation of the MUC1 gene expression. Mol Cancer 5:57

    Article  PubMed Central  PubMed  Google Scholar 

  20. Woo JC, Yu T, Hurd TC (2003) Breast cancer in pregnancy: a literature review. Arch Surg 138(1):91–98 (discussion 99)

    Article  PubMed  Google Scholar 

  21. Lukanova A, Surcel HM, Lundin E, Kaasila M, Lakso HA, Schock H, Husing A, Kaaks R, Koskela P, Grankvist K, Pukkala E, Zeleniuch-Jacquotte A, Lehtinen M, Toniolo P (2012) Circulating estrogens and progesterone during primiparous pregnancies and risk of maternal breast cancer. Int J Cancer 130(4):910–920

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  22. Haughian JM, Pinto MP, Harrell JC, Bliesner BS, Joensuu KM, Dye WW, Sartorius CA, Tan AC, Heikkila P, Perou CM, Horwitz KB (2012) Maintenance of hormone responsiveness in luminal breast cancers by suppression of Notch. Proc Natl Acad Sci USA 109(8):2742–2747

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  23. Tartakover-Matalon S, Mizrahi A, Epstein G, Shneifi A, Drucker L, Pomeranz M, Fishman A, Radnay J, Lishner M (2010) Breast cancer characteristics are modified by first trimester human placenta: in vitro co-culture study. Hum Reprod 25(10):2441–2454

    Article  CAS  PubMed  Google Scholar 

  24. Holtan SG, Creedon DJ, Haluska P, Markovic SN (2009) Cancer and pregnancy: parallels in growth, invasion, and immune modulation and implications for cancer therapeutic agents. Mayo Clin Proc 84(11):985–1000

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  25. Genbacev Olga, Schubach Stephanie A, Miller Richard K (1992) Villous culture of first trimester human placenta-model to study extravillous trophoblast (EVT) differentiation. Placenta 13(5):439–461

    Article  CAS  PubMed  Google Scholar 

  26. Genbacev O, Jensen KD, Powlin SS, Miller RK (1993) In vitro differentiation and ultrastructure of human extravillous trophoblast (EVT) cells. Placenta 14(4):463–475

    Article  CAS  PubMed  Google Scholar 

  27. Shochet Epstein (2012) G., S. Tartakover Matalon, L. Drucker, M. Pomeranz, A. Fishman, G. Rashid, V. Oron-Karni, M. Pasmanik-Chor, and M. Lishner, Hormone-dependent placental manipulation of breast cancer cell migration. Hum Reprod 27(1):73–88

    Article  Google Scholar 

  28. Chu Y-W, Wang R, Schmid I, Sakamoto M (1999) Analysis with flow cytometry of green fluorescent protein expression in leukemic cells. Cytometry 36(4):333–339

    Article  CAS  PubMed  Google Scholar 

  29. Keller A, Backes C, Al-Awadhi M, Gerasch A, Kuntzer J, Kohlbacher O, Kaufmann M, Lenhof HP (2008) GeneTrailExpress: a web-based pipeline for the statistical evaluation of microarray experiments. BMC Bioinformatics 9:552

    Article  PubMed Central  PubMed  Google Scholar 

  30. Eden E, Navon R, Steinfeld I, Lipson D, Yakhini Z (2009) GOrilla: a tool for discovery and visualization of enriched GO terms in ranked gene lists. BMC Bioinformatics 10:48

    Article  PubMed Central  PubMed  Google Scholar 

  31. Na YR, Seok SH, Kim DJ, Han JH, Kim TH, Jung H, Lee BH, Park JH (2009) Bone morphogenetic protein 7 induces mesenchymal-to-epithelial transition in melanoma cells, leading to inhibition of metastasis. Cancer Sci 100(11):2218–2225

    Article  CAS  PubMed  Google Scholar 

  32. Drabsch Y, Ten Dijke P (2011) TGF-beta signaling in breast cancer cell invasion and bone metastasis. J Mammary Gland Biol Neoplas 16(2):97–108

    Article  Google Scholar 

  33. Al Saleh S, Al Mulla F, Luqmani YA (2011) Estrogen receptor silencing induces epithelial to mesenchymal transition in human breast cancer cells. PLoS ONE 6(6):e20610

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  34. Band AM, Laiho M (2011) Crosstalk of TGF-beta and estrogen receptor signaling in breast cancer. J Mammary Gland Biol Neopl 16(2):109–115

    Article  Google Scholar 

  35. Pereg D, Koren G, Lishner M (2008) Cancer in pregnancy: gaps, challenges and solutions. Cancer Treat Rev 34(4):302–312

    Article  PubMed  Google Scholar 

  36. Jackisch C, Louwen F, Schwenkhagen A, Karbowski B, Schmid KW, Schneider HP, Holzgreve W (2003) Lung cancer during pregnancy involving the products of conception and a review of the literature. Arch Gynecol Obstet 268(2):69–77

    PubMed  Google Scholar 

  37. Mitchell MJ, King MR (2013) Computational and experimental models of cancer cell response to fluid shear stress. Front Oncol 3:44

    Article  PubMed Central  PubMed  Google Scholar 

  38. Liu Q, Zhang Y, Mao H, Chen W, Luo N, Zhou Q, Yu X (2012) A crosstalk between the Smad and JNK signaling in the TGF-beta-induced epithelial-mesenchymal transition in rat peritoneal mesothelial cells. PLoS ONE 7(2):e32009

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  39. Velden JL, Alcorn JF, Guala AS, Badura EC, Janssen-Heininger YM (2011) c-Jun N-terminal kinase 1 promotes transforming growth factor-beta1-induced epithelial-to-mesenchymal transition via control of linker phosphorylation and transcriptional activity of Smad3. Am J Respir Cell Mol Biol 44(4):571–581

    Article  PubMed Central  PubMed  Google Scholar 

  40. Mott JD, Werb Z (2004) Regulation of matrix biology by matrix metalloproteinases. Curr Opin Cell Biol 16(5):558–564

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  41. Kalkhoven E, Roelen BA, De Winter JP, Mummery CL, Van Den Eijnden-Van Raaij AJ, Van Der Saag PT, Van Der Burg B (1995) Resistance to transforming growth factor beta and activin due to reduced receptor expression in human breast tumor cell lines. Cell Growth Differ 6(9):1151–1161

    CAS  PubMed  Google Scholar 

  42. Chen L, Mayer JA, Krisko TI, Speers CW, Wang T, Hilsenbeck SG, Brown PH (2009) Inhibition of the p38 kinase suppresses the proliferation of human ER-negative breast cancer cells. Cancer Res 69(23):8853–8861

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  43. Coradini D, Fornili M, Ambrogi F, Boracchi P, Biganzoli E (2012) TP53 mutation, epithelial–mesenchymal transition, and stemlike features in breast cancer subtypes. J Biomed Biotechnol 2012:254085

    Article  PubMed Central  PubMed  Google Scholar 

  44. Lim LY, Vidnovic N, Ellisen LW, Leong CO (2009) Mutant p53 mediates survival of breast cancer cells. Br J Cancer 101(9):1606–1612

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  45. Manaster I, Goldman-Wohl D, Greenfield C, Nachmani D, Tsukerman P, Hamani Y, Yagel S, Mandelboim O (2012) MiRNA-mediated control of HLA-G expression and function. PLoS ONE 7(3):e33395

    Article  CAS  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

This work constitutes a section of the PhD thesis of Epstein Shochet Gali, Sackler Faculty of Medicine, Tel-Aviv University, Israel. This work was supported by the ‘Dr Leo Mintz Foundation’ of the Sackler Faculty of Medicine, Tel Aviv University, Israel.

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The authors declare no conflict of interest.

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Correspondence to Shelly Tartakover-Matalon.

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Gali Epstein Shochet and Shelly Tartakover Matalon equal contribution.

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Epstein Shochet, G., Tartakover-Matalon, S., Drucker, L. et al. Placenta-breast cancer cell interactions promote cancer cell epithelial mesenchymal transition via TGFβ/JNK pathway. Clin Exp Metastasis 31, 961–975 (2014). https://doi.org/10.1007/s10585-014-9683-0

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