The stromal microenvironment, which is composed of a variety of diverse cell types, secreted factors, and a complex interconnected network of extracellular matrix (ECM) molecules, can exert profound effects on tumors.
1- Ghoneum A.
- Afify H.
- Salih Z.
- Kelly M.
- Said N.
Role of tumor microenvironment in the pathobiology of ovarian cancer: insights and therapeutic opportunities.
, 2- Baghban R.
- Roshangar L.
- Jahanban-Esfahlan R.
- Seidi K.
- Ebrahimi-Kalan A.
- Jaymand M.
- Kolahian S.
- Javaheri T.
- Zare P.
Tumor microenvironment complexity and therapeutic implications at a glance.
, 3Revisiting the complexity of the ovarian cancer microenvironment-clinical implications for treatment strategies.
Cellular interactions with specific ECM components, such as collagen, play central roles in controlling many protumorigenic signaling programs that govern cellular proliferation, survival, migration, and invasion. Dysregulation of these processes underlies many of the altered phenotypic characteristics observed in malignant tumors.
4Every step of the way: integrins in cancer progression and metastasis.
, 5Extracellular matrix alterations in metastatic processes.
, 6- Janiszewska M.
- Primi M.C.
- Izard T.
Cell adhesion in cancer: beyond the migration of single cells.
Our laboratory has been focused on developing a more detailed cellular and molecular understanding of how both stromal and tumor cells utilize signaling cascades that are uniquely stimulated by cellular interactions with cryptic or hidden regions within ECM proteins.
Our prior studies have identified several matrix-immobilized cryptic integrin binding sites within ECM molecules that actively regulate angiogenesis, tumor growth, and metastasis.
7- Xu J.
- Rodriguez D.
- Petitclerc E.
- Kim J.J.
- Hangai M.
- Moon Y.S.
- Davis G.E.
- Brooks P.C.
Proteolytic exposure of a cryptic site within collagen type IV is required for angiogenesis and tumor growth in vivo.
, 8- Akalu A.
- Roth J.M.
- Caunt M.
- Policarpio D.
- Liebes L.
- Brooks P.C.
Inhibition of angiogenesis and tumor metastasis by targeting a matrix immobilized cryptic extracellular matrix epitope in laminin.
, 9- Caron J.M.
- Ames J.J.
- Contois L.
- Liebes L.
- Friesel R.
- Muggia F.
- Vary C.P.
- Oxburgh L.
- Brooks P.C.
Inhibition of ovarian tumor growth by targeting the HU177 cryptic collagen epitope.
A variety of studies suggest that, in addition to structurally altered ECM proteins that remain immobilized within the insoluble matrix, bioactive fragments of ECM proteins can also be released in a soluble form.
10- Ricard-Blum S.
- Vallet S.D.
Fragments generated upon extracellular matrix remodeling: biological regulators and potential drugs.
, 11- Ames J.J.
- Contois L.
- Caron J.M.
- Tweedie E.
- Yang X.
- Friesel R.
- Vary C.
- Brooks P.C.
Identification of an endogenously generated cryptic collagen epitope (XL313) that may selectively regulate angiogenesis by an integrin yes-associated protein (YAP) mechano-transduction pathway.
, 12- Kehlet S.N.
- Sanz-Pamplona R.
- Brix S.
- Leeming D.J.
- Karsdal M.A.
- Moreno V.
Excessive collagen turnover products are released during colorectal cancer progression and elevated in serum from metastatic colorectal cancer patients.
Elevated levels of some of these peptides have been shown to correlate with a more aggressive tumor phenotype in human subjects.
12- Kehlet S.N.
- Sanz-Pamplona R.
- Brix S.
- Leeming D.J.
- Karsdal M.A.
- Moreno V.
Excessive collagen turnover products are released during colorectal cancer progression and elevated in serum from metastatic colorectal cancer patients.
In fact, subsequent studies have now shown that elevated levels of a defined subset of soluble collagen fragments detected in a cohort of cancer patients correlate with resistance to anti–cytotoxic T-lymphocyte associated protein-4 immune checkpoint therapy.
13- Jensen C.
- Madsen D.H.
- Hansen M.
- Schmidt H.
- Svane I.M.
- Karsdal M.A.
- Willumsen N.
Non-invasive biomarkers derived from the extracellular matrix associate with response to immune checkpoint blockade (anti-CTLA-4) in metastatic melanoma patients.
These and several other studies are consistent with the possibility that a subset of soluble ECM fragments may not only represent clinically useful biomarkers for studying disease progression and resistance to therapy, but may also play fundamental roles in controlling angiogenesis, inflammation, and tumor growth. In this regard, we previously identified an endogenously expressed soluble collagen fragment generated by a subset of M2-like macrophages.
11- Ames J.J.
- Contois L.
- Caron J.M.
- Tweedie E.
- Yang X.
- Friesel R.
- Vary C.
- Brooks P.C.
Identification of an endogenously generated cryptic collagen epitope (XL313) that may selectively regulate angiogenesis by an integrin yes-associated protein (YAP) mechano-transduction pathway.
This soluble RGDKGE-containing collagen fragment stimulated angiogenesis and inflammation
in vivo.
11- Ames J.J.
- Contois L.
- Caron J.M.
- Tweedie E.
- Yang X.
- Friesel R.
- Vary C.
- Brooks P.C.
Identification of an endogenously generated cryptic collagen epitope (XL313) that may selectively regulate angiogenesis by an integrin yes-associated protein (YAP) mechano-transduction pathway.
These observations were surprising given that many studies have shown that argine-glycine-aspartic acid–containing peptides often exhibit the opposite effect, and inhibit angiogenesis and tumor growth.
14- Brooks P.C.
- Montgomery A.M.
- Rosenfeld M.
- Reisfeld R.A.
- Hu T.
- Klier G.
- Cheresh D.A.
Integrin alpha v beta 3 antagonists promote tumor regression by inducing apoptosis of angiogenic blood vessels.
,15- Brooks P.C.
- Clark R.A.
- Cheresh D.A.
Requirement of vascular integrin alpha v beta 3 for angiogenesis.
This unexpected pro-angiogenic activity appeared to depend in part on the unique flanking sequences surrounding the core RGD motif, as other RGD-containing collagen peptides lacking this motif failed to significantly promote angiogenesis or inflammation in this model.
11- Ames J.J.
- Contois L.
- Caron J.M.
- Tweedie E.
- Yang X.
- Friesel R.
- Vary C.
- Brooks P.C.
Identification of an endogenously generated cryptic collagen epitope (XL313) that may selectively regulate angiogenesis by an integrin yes-associated protein (YAP) mechano-transduction pathway.
Although this RGDKGE-containing collagen fragment selectively bound to vascular endothelial cells and stimulated angiogenesis dependent in part on the transcriptional coactivator yes-associated protein (YAP), it is not known whether this collagen fragment is generated in malignant tumors or whether it plays a functional role in tumor growth
in vivo. Although some studies have implicated YAP in promoting the growth of different tumor types, including ovarian carcinomas,
16- Zanconato F.
- Cordenonsi M.
- Piccolo S.
YAP and TAZ: a signaling hub of the tumour microenvironment.
,17- Lin X.
- Spindler T.J.
- de Souza Fonseca M.A.
- Corona R.I.
- Seo J.H.
- Dezem F.S.
- Li L.
- Lee J.M.
- Long H.W.
- Sellers T.A.
- Karlan B.Y.
- Noushmehr H.
- Freedman M.L.
- Gayther S.A.
- Lawrenson K.
Super-enhancer-associated LncRNA UCA1 interacts directly with AMOT to activate YAP target genes in epithelial ovarian cancer.
other studies have suggested that YAP signaling might exhibit tumor suppressive activity, depending on the specific cell type and tissue microenvironment.
18- Yuan M.
- Tomlinson V.
- Lara R.
- Holliday D.
- Chelala C.
- Harada T.
- Gangeswaran R.
- Manson-Bishop C.
- Smith P.
- Danovi S.A.
- Pardo O.
- Crook T.
- Mein C.A.
- Lemoine N.R.
- Jones L.J.
- Basu S.
Yes-associated protein (YAP) functions as a tumor suppressor in breast.
,19- Moya I.M.
- Castaldo S.A.
- Van den Mooter L.
- Soheily S.
- Sansores-Garcia L.
- Jacobs J.
- Mannaerts I.
- Xie J.
- Verboven E.
- Hillen H.
- Alguero-Nadal A.
- Karaman R.
- Van Haele M.
- Kowalczyk W.
- De Waegeneer M.
- Verhulst S.
- Karras P.
- van Huffel L.
- Zender L.
- Marine J.C.
- Roskams T.
- Johnson R.
- Aerts S.
- van Grunsven L.A.
- Halder G.
Peritumoral activation of the hippo pathway effectors YAP and TAZ suppresses liver cancer in mice.
In fact, recent studies suggest that YAP activity in peritumoral hepatocytes may suppress the growth of liver tumors.
19- Moya I.M.
- Castaldo S.A.
- Van den Mooter L.
- Soheily S.
- Sansores-Garcia L.
- Jacobs J.
- Mannaerts I.
- Xie J.
- Verboven E.
- Hillen H.
- Alguero-Nadal A.
- Karaman R.
- Van Haele M.
- Kowalczyk W.
- De Waegeneer M.
- Verhulst S.
- Karras P.
- van Huffel L.
- Zender L.
- Marine J.C.
- Roskams T.
- Johnson R.
- Aerts S.
- van Grunsven L.A.
- Halder G.
Peritumoral activation of the hippo pathway effectors YAP and TAZ suppresses liver cancer in mice.
Thus, a more in-depth molecular understanding of how YAP activity is controlled in context-dependent pathologic processes may allow for the development of innovative new approaches to selectively regulate YAP within distinct tissue microenvironments. A wide array of molecular regulators and mechanisms have been identified that govern the activation and nuclear accumulation of YAP. Among the mechanisms by which nuclear YAP accumulation is thought to be controlled include the canonical hippo signaling cascade.
20The hippo signaling network and its biological functions.
,21The role of extracellular biophysical cues in modulating the Hippo-YAP pathway.
Although the ability of the core kinases within the hippo signaling cascade to control YAP activity is well documented, little is known concerning the possibility that soluble collagen-derived fragments may regulate the hippo pathway or whether targeting these extracellular regulators may be exploited to selectively control YAP activity during tumor growth
in vivo. Herein, we provide evidence that blocking a soluble RGDKGE-containing collagen fragment can regulate the large tumor suppressor kinase-1 (LATS1), a core effector molecule within the hippo pathway. We show that ovarian cancer cell interactions with an RGDKGE collagen peptide activate β3 integrin and reduce the level of inhibitory phosphorylation of YAP and enhance its nuclear accumulation. Moreover, selectively blocking cellular interactions with the RGDKGE collagen peptide enhanced the phosphorylation of LATS1 and YAP, reduced nuclear accumulation of YAP, and reduced the levels of the YAP target gene c-Myc. More important, selectively blocking cellular interactions with the RGDKGE-containing collagen fragment inhibited the development of ascites fluid and ovarian tumors growing
in vivo. These findings indicate that a soluble RGDKGE-containing collagen fragment may represent a previously unknown regulator of the hippo effector kinase LATS1 that plays a role in controlling ovarian tumor growth. These data not only provide new mechanistic insight into how an endogenously generated bioactive collagen fragment may regulate ovarian cancer, but also provide an alternative strategy for the development of new therapeutic approaches to control ovarian tumor progression.
Materials and Methods
Cells and Cell Culture
Murine ID8–vascular endothelial growth factor (VEGF) ovarian carcinoma cells
22- Anderson K.G.
- Voillet V.
- Bates B.M.
- Chiu E.Y.
- Burnett M.G.
- Garcia N.M.
- Oda S.K.
- Morse C.B.
- Stromnes I.M.
- Drescher C.W.
- Gottardo R.
- Greenberg P.D.
Engineered adoptive T-cell therapy prolongs survival in a preclinical model of advanced-stage ovarian cancer.
were obtained from Dr. Philip Greenberg (University of Washington School of Medicine, Seattle, WA). ID8-VEGF cells were cultured in Dulbecco’s modified Eagle’s medium in the presence of 4% fetal bovine serum, 1.0% penicillin-streptomycin, 1.0% sodium pyruvate, and 1% of insulin–transferrin–sodium selenite media supplements. SKOV-3 ovarian carcinoma cells were obtained from ATCC (Manassas, VA) and cultured in RPMI 1640 medium in the presence of 5% fetal bovine serum, 1% penicillin-streptomycin, and 1% sodium pyruvate. RAW 264.7 cells were obtained from ATCC and cultured in Dulbecco’s modified Eagle’s medium in the presence of 10% fetal bovine serum, 1% penicillin-streptomycin, and 1% sodium pyruvate.
Cell Culture in 3D Type I Collagen Gels
Briefly, ID8-VEGF cells were mixed with 1 mL of three-dimensional (3D) collagen gel-forming solution (Pure Col EZ 3D Type I Collagen Gel Solution; Advanced Biomatrix, San Diego, CA) and incubated for 1 hour at 37°C until gel formation. After adding 1 mL of serum-free Dulbecco’s modified Eagle’s medium on the top of 3D collagen gel, cells were incubated for 72 hours and the conditioned medium was collected for Western blot analysis.
Animals
C57BL/6J female mice (6 to 8 weeks old) were obtained from the Jackson Laboratory (Bar Harbor, ME). NCRNU-F female mice (6 to 8 weeks old) were obtained from Taconic Biosciences (Germantown, NY). Mice were housed in Maine Medical Center Research Institute (Scarborough, ME) pathogen-free air barrier facility, and all animal handling and procedures were approved by the Maine Medical Center Institutional Animal Care and Use Committee.
Reagents, Chemicals, and Antibodies
Bovine serum albumin, insulin–transferrin–sodium selenite media supplements, and crystal violet were obtained from Sigma (St. Louis, MO). Anti-YAP1, anti–phosphorylated YAP (Ser127), anti-LATS1, anti–phosphorylated LATS (Thr1079), anti–rous sarcoma tyrosine protein kinase, anti–phosphorylated SRC (Y416), anti–phosphorylated mammalian STE20-like protein kinase-1 (MST1)-Thr-183, anti–integrin β3, and anti–TATA-binding protein antibodies were all obtained from Cell Signaling (Danvers, MA). Anti–phosphorylated integrin β3 (Ser747) and anti–β-actin were obtained from Santa Cruz Biotechnology (Dallas, TX). Anti-MST1 antibody was obtained from Novus Biologicals (Centenial, CO). Anti–CD-31 antibody was obtained from Abcam (Cambridge, MA). Monoclonal antibody (Mab) XL313 and non-specific control antibody were obtained from Bio X Cell (Lebanon, NH). P2 peptide (CQGPRGDKGEC) and control peptide (CP; CQGPGGAAGGC) were from QED Bioscience (San Diego, CA). Alexa 594–labeled secondary antibody was from Invitrogen (Carlsbad, CA). The SRC inhibitor dasatinib was from Selleckchem (San Diego, CA). Pure Col EZ 3D Type I Collagen Gel Solution was obtained from Advanced Biomatrix. Cell proliferation assay kit was obtained from EMD Millipore (Temecula, CA). Poly-l-lysine was obtained from ScienCell Research Laboratories (Carlsbad, CA). Formaldehyde was obtained from Polysciences Inc. (Warrington, PA).
Western Blot Analysis
ID8-VEGF or SKOV-3 cells from subconfluent culture were serum starved in suspension for 1 hour at 37°C, and seeded on CP or RGDKGE-containing peptide (P2) coated plates in the presence or absence of Mab XL313 or control antibody (100 μg/mL) for 5 or 15 minutes under the defined experimental conditions and then lysed in radioimmunoprecipitation assay lysis buffer with 1× protease inhibitor cocktail, 2 mmol/L of phenylmethylsulfonyl fluoride, and 1 mmol/L of sodium orthovanadate (Santa Cruz Biotechnology, Dallas, TX). Equal amounts of cell lysate were separated by SDS-PAGE. Membranes were probed with the indicated antibodies. Western blot analyses were performed at least three to four times and visualized by chemiluminescence detection. Quantification of the mean relative changes in proteins was performed using downloaded ImageJ software version 5.0 (NIH, Bethesda, MD;
http://imagej.nih.gov/ij).
9- Caron J.M.
- Ames J.J.
- Contois L.
- Liebes L.
- Friesel R.
- Muggia F.
- Vary C.P.
- Oxburgh L.
- Brooks P.C.
Inhibition of ovarian tumor growth by targeting the HU177 cryptic collagen epitope.
Nuclear Protein Extraction
Subconfluent ID8-VEGF cells were washed and serum starved for 1 hour at 37°C, then seeded on 6-well plates coated with CP (100 μg/mL), RGDKGE-containing peptide (P2; 100 μg/mL), or poly-l-lysine (100 μg/mL). In other experiments, subconfluent ID8-VEGF cells were stimulated with CP (50 ng/mL) or RGDKGE-containing peptide P2 (50 ng/mL) in suspension for 1 hour at 37°C. In a final set of experiments, ID8-VEGF cells were washed and serum starved for 1 hour at 37°C, and cells were then seeded on 6-well plates coated (100 μg/mL) with CP or RGDKGE-containing peptide (P2). To examine the effects of blocking cellular interactions with the RGDKGE-containing collagen peptide P2 on nuclear accumulation of YAP, cells were seeded on P2 peptide (100 μg/mL)–coated 6-well plates that were preblocked with 100 μg/mL of Mab XL313, anti–integrin β3 antibody, or non-specific control antibody for 30 minutes. To examine the effects of Src on YAP, ID8-VEGF cells from subconfluent culture were washed and serum starved for 30 minutes at 37°C, and pretreated with Src inhibitor dasatinib (1 μmol/L) or dimethyl sulfoxide for 30 minutes. Next, cells were seeded on P2 peptide-coated 6-well plates in presence or absence or Mab XL313 antibody or control antibody. After incubating for 1 hour, adherent and nonadherent cells were harvested. The nuclear and cytoplasmic proteins were extracted using NE-PER nuclear and cytoplasmic extraction reagents from Thermo Scientific (Waltham, MA), according to the manufacturer’s instructions. The nuclear extractions were examined by Western blot analysis with anti-YAP or anti–TATA-binding protein antibody, and the cytoplasmic extraction was examined by Western blot analysis with total and phosphorylated YAP (Ser-127), total and phosphorylated LATS1 (Thr-1079), or total and phosphorylated MST1 (Thr-183) antibodies.
RNA Isolation, cDNA Synthesis, and Quantitative PCR
Subconfluent ID8-VEGF cells were washed and serum starved for 1 hour at 37°C, and cells were seeded on 6-well plates coated with CP or RGDKGE-containing peptide P2 (100 μg/mL). To examine the effect of blocking cellular interactions with the RGDKGE-containing peptide P2 on c-Myc, cells were washed and serum starved for 30 minutes at 37°C and preblocked with 100 μg/mL of control or Mab XL313 antibodies. Next, cells were seeded on P2 peptide (100 μg/mL)–coated 6-well plates. After 1-hour incubation, cells were lysed using RNA isolation lysis buffer, and RNAs were isolated by using RNase plus mini kit (Qiagen, Carol Stream, IL) following the manufacturer’s protocol. Total RNA (1.0 μg) was synthesized with iScript cDNA synthesis kit from Bio-Rad (Hercules, CA). Equivalent amount of cDNA was used for quantitative RT-PCR (RT-qPCR), and the murine RT-qPCR primers used for mouse c-Myc were 5′-CAGAGGAGGAACGAGCTG-3′ (forward) and 5′-TTATGCACCAGAGTTTCGAAGCTGTTCGT-3′ (reverse); and the primers used for the housekeeping gene mouse b2m were 5′-CTGACCGGCCTGTATGCTAT-3′ (forward) and 5′-CCGTTCTTCCAGCATTTGGAT-3′ (reverse). RT-qPCR assays were repeated five times.
Quantification of Tumor Angiogenesis and Levels of Nuclear YAP
Frozen sections from individual tumors (n = 5 per condition) were fixed in 50% methanol and 50% acetone, and blocked with 2.0% bovine serum albumin for 1 hour at room temperature. For quantification of angiogenesis, frozen sections of tumors from SKOV-3 or ID8-VEGF ovarian tumors were stained with anti-CD31 (1:300) overnight, followed by incubation with Alexa 594–labeled secondary antibody. Tumor vessel counts were performed on five to eight ×200 microscopic fields from each of four to five independent tumors from each condition. For quantification of the effect of anti-RGDKGE collagen fragment antibody (Mab XL313) or non-specific control antibody on nuclear Yap within the ovarian tumors, frozen sections from SKOV-3 or ID8-VEGF ovarian tumors were fixed with 4% formaldehyde at room temperature for 15 minutes. Tumor sections were washed three times in 1× phosphate-buffered saline for 5 minutes each and then blocked with 5% normal goat serum in 3% bovine serum albumin/phosphate-buffered saline for 1 hour. Tissue sections were next stained with anti-YAP (1:100) overnight, followed by incubation with Alexa 594–labeled secondary antibody. Nuclear and cytosolic Yap-positive cell counts were performed from four to nine ×400 microscopic fields from each of four to five independent tumors from each condition.
Preparation of Tissue Lysates
SKOV-3 and ID8-VEGF ovarian tumors (n = 4 per tumor type) were harvested from nude mice or C57BL/6 mice at day 14 or day 7, respectively. Individual tumors were snap frozen on dry ice and ground in a cold mortar. Ground up tissues from individual tumors were next mixed with radioimmunoprecipitation assay lysis buffer, and whole tissue lysates were generated. In further experiments, 6- to 8-week–old C57BL/6J female mice (n = 4) were scarified for skin and peritoneum tissue harvest. Individual skin or peritoneum tissue was snap frozen on dry ice and ground in a cold mortar with radioimmunoprecipitation assay lysis buffer, and whole tissue lysates were generated.
Cell-Binding Assays
Forty-eight–well nontissue culture plates were coated with 100 μg/mL of CP or RGDKGE-containing peptide (P2). Tumor cells were suspended in binding buffer (RPMI 1640 medium containing 1 mmol/L MgCl
2, 0.2 mmol/L MnCl
2, and 0.5% bovine serum albumin), and 1 × 10
5 cells were added to the wells in the presence or absence of 100 μg/mL of Mab XL313, anti–integrin β3 antibody, and anti–integrin β1 or non-specific normal mouse IgG control antibody and allowed to bind for 30 to 45 minutes at 37°C. Nonattached cells were removed, and attached cells were stained with crystal violet.
7- Xu J.
- Rodriguez D.
- Petitclerc E.
- Kim J.J.
- Hangai M.
- Moon Y.S.
- Davis G.E.
- Brooks P.C.
Proteolytic exposure of a cryptic site within collagen type IV is required for angiogenesis and tumor growth in vivo.
Cell binding was quantified by measuring the OD of eluted dye.
7- Xu J.
- Rodriguez D.
- Petitclerc E.
- Kim J.J.
- Hangai M.
- Moon Y.S.
- Davis G.E.
- Brooks P.C.
Proteolytic exposure of a cryptic site within collagen type IV is required for angiogenesis and tumor growth in vivo.
Cell-binding assays were performed at least three times with triplicate wells per condition.
Cell Growth Assays
Briefly, ID8-VEGF cells from subconfluent culture were serum starved in suspension for 1 hour at 37°C, and seeded 2000 cells per well in 96-well microplate in the presence or absence of Mab XL313 (100 μg/mL) or control antibody (100 μg/mL). After incubating the cells for 72 hours, 10 μL per well tetrazolium salt 1/ECS solution was added to each well and incubated for 1 hour, and the absorbance was measured by using a microplate reader at 450 nm.
Viral Vectors and Transduction
Lentiviral vectors (pLKO.1 based) encoding shRNAs specific to YAP or a control nontargeting construct developed by the RNAi Consortium were obtained from GE Healthcare Life Science (Lafayette, CO). The effective targeting sequence of YAP gene was 5′-TTCTTTATCTAGCTTGGTGGC-3′. Lentivirus was packaged in the recombinant viral vector core facility at Maine Medical Center Research Institute. Cells transduced with the shRNA viruses were selected in growth medium containing 2.5 μg/mL puromycin (Invitrogen) to establish cell pools stably expressing shRNA.
Tumor Growth Assays
Tumor growth assays were performed as previously described.
9- Caron J.M.
- Ames J.J.
- Contois L.
- Liebes L.
- Friesel R.
- Muggia F.
- Vary C.P.
- Oxburgh L.
- Brooks P.C.
Inhibition of ovarian tumor growth by targeting the HU177 cryptic collagen epitope.
Briefly, mice were injected subcutaneously with either 10 × 10
6 ID8-VEGF cells (
n = 8 to 10 C57BL/6 mice per condition) or 3 × 10
6 SKOV-3 cells, nontarget SKOV-3 cells, or YAP knockdown SKOV-3 cells (
n = 8 to 10 NCRNU-F mice per condition). Tumors were allowed to form palpable tumors for 3 days, then the mice were injected (intraperitoneally) with Mab XL313 (25 to 250 μg per mouse) or non-specific control antibody (250 μg per mouse) three times per week for either 42 days for ID8-VEGF tumor model or 35 days for the SKOV-3 tumor model. Tumor size was measured with caliper, and the tumor volume was calculated using the following formula: Volume = Length
2 × Width/2. For ascites tumor assays, 10 × 10
6 ID8-VEGF cells were injected (intraperitoneally) in C57BL/6J female mice (
n = 8). Four weeks later, mice were intraperitoneally injected with Mab XL313 or control antibody (100 μg per mouse) twice a week. At the end of the 13-week treatment period, ascites fluid was harvested and the volume was quantified. To estimate tumor burden within the diaphragm, mouse diaphragms were harvested and wet tissue weights were determined (
n = 5 per group).
Statistical Analysis
Statistical analysis was performed using the Prism/Graph Pad software version 6.0h (Graphpad Software, Inc., San Diego, CA) for Macintosh computers. Data were analyzed for statistical significance using t-test. P < 0.05 was considered significant.
Discussion
Although the ability of the local stromal microenvironment to control tumor growth has been appreciated for years, effectively translating this cellular and molecular insight into new therapeutic strategies has been slow to emerge, due in part to the complexity of the various functional elements that constitute the tumor microenvironment. Stromal cells known to influence tumor growth include endothelial cells and a variety of differentially polarized fibroblasts and immune cells.
1- Ghoneum A.
- Afify H.
- Salih Z.
- Kelly M.
- Said N.
Role of tumor microenvironment in the pathobiology of ovarian cancer: insights and therapeutic opportunities.
, 2- Baghban R.
- Roshangar L.
- Jahanban-Esfahlan R.
- Seidi K.
- Ebrahimi-Kalan A.
- Jaymand M.
- Kolahian S.
- Javaheri T.
- Zare P.
Tumor microenvironment complexity and therapeutic implications at a glance.
, 3Revisiting the complexity of the ovarian cancer microenvironment-clinical implications for treatment strategies.
These diverse groups of cells not only modulate the behavior of solid tumors by secreting bioactive molecules that can alter the structural integrity of the ECM, but also secrete many soluble factors that directly bind to nearby tumor cells and modulate diverse signaling pathways.
1- Ghoneum A.
- Afify H.
- Salih Z.
- Kelly M.
- Said N.
Role of tumor microenvironment in the pathobiology of ovarian cancer: insights and therapeutic opportunities.
, 2- Baghban R.
- Roshangar L.
- Jahanban-Esfahlan R.
- Seidi K.
- Ebrahimi-Kalan A.
- Jaymand M.
- Kolahian S.
- Javaheri T.
- Zare P.
Tumor microenvironment complexity and therapeutic implications at a glance.
, 3Revisiting the complexity of the ovarian cancer microenvironment-clinical implications for treatment strategies.
, 4Every step of the way: integrins in cancer progression and metastasis.
, 5Extracellular matrix alterations in metastatic processes.
, 6- Janiszewska M.
- Primi M.C.
- Izard T.
Cell adhesion in cancer: beyond the migration of single cells.
,37Ovarian cancer development and metastasis.
,38- De Nola R.
- Menga A.
- Castegna A.
- Loizzi V.
- Ranieri G.
- Cicinelli E.
- Cormio G.
The crowded crosstalk between cancer cells and stromal microenvironment in gynecological malignancies: biological pathways and therapeutic implication.
In a reciprocal manner, stromal cells can also respond to soluble factors released from tumor cells, and these soluble cell-cell communication pathways help support tumor progression.
1- Ghoneum A.
- Afify H.
- Salih Z.
- Kelly M.
- Said N.
Role of tumor microenvironment in the pathobiology of ovarian cancer: insights and therapeutic opportunities.
, 2- Baghban R.
- Roshangar L.
- Jahanban-Esfahlan R.
- Seidi K.
- Ebrahimi-Kalan A.
- Jaymand M.
- Kolahian S.
- Javaheri T.
- Zare P.
Tumor microenvironment complexity and therapeutic implications at a glance.
, 3Revisiting the complexity of the ovarian cancer microenvironment-clinical implications for treatment strategies.
, 4Every step of the way: integrins in cancer progression and metastasis.
, 5Extracellular matrix alterations in metastatic processes.
, 6- Janiszewska M.
- Primi M.C.
- Izard T.
Cell adhesion in cancer: beyond the migration of single cells.
,37Ovarian cancer development and metastasis.
,38- De Nola R.
- Menga A.
- Castegna A.
- Loizzi V.
- Ranieri G.
- Cicinelli E.
- Cormio G.
The crowded crosstalk between cancer cells and stromal microenvironment in gynecological malignancies: biological pathways and therapeutic implication.
This complex cross talk between different cell types and between cells and a variety of ECM components plays critical roles in regulating tumor growth and metastasis, as well as influencing how tumors respond to different cancer therapies.
1- Ghoneum A.
- Afify H.
- Salih Z.
- Kelly M.
- Said N.
Role of tumor microenvironment in the pathobiology of ovarian cancer: insights and therapeutic opportunities.
, 2- Baghban R.
- Roshangar L.
- Jahanban-Esfahlan R.
- Seidi K.
- Ebrahimi-Kalan A.
- Jaymand M.
- Kolahian S.
- Javaheri T.
- Zare P.
Tumor microenvironment complexity and therapeutic implications at a glance.
, 3Revisiting the complexity of the ovarian cancer microenvironment-clinical implications for treatment strategies.
, 4Every step of the way: integrins in cancer progression and metastasis.
, 5Extracellular matrix alterations in metastatic processes.
, 6- Janiszewska M.
- Primi M.C.
- Izard T.
Cell adhesion in cancer: beyond the migration of single cells.
,37Ovarian cancer development and metastasis.
,38- De Nola R.
- Menga A.
- Castegna A.
- Loizzi V.
- Ranieri G.
- Cicinelli E.
- Cormio G.
The crowded crosstalk between cancer cells and stromal microenvironment in gynecological malignancies: biological pathways and therapeutic implication.
Identifying soluble bioactive molecules that have the capacity to alter the behavior of both stromal and tumor cells will likely provide important new insight into how cross-talk signaling mechanisms are coordinated, and may help with the design of more effective therapeutic strategies to manage malignant tumor progression.
We previously identified a 16-kDa RGDKGE-containing collagen fragment that was actively secreted by M2-like macrophages and stimulated nuclear accumulation of YAP in endothelial cells.
11- Ames J.J.
- Contois L.
- Caron J.M.
- Tweedie E.
- Yang X.
- Friesel R.
- Vary C.
- Brooks P.C.
Identification of an endogenously generated cryptic collagen epitope (XL313) that may selectively regulate angiogenesis by an integrin yes-associated protein (YAP) mechano-transduction pathway.
Although it is well documented that YAP can differentially regulate several distinct gene expression programs in different cell types, the role of YAP in controlling biological processes such as organ size, stem cell functions, differentiation, and tumor growth, likely depends on how YAP activity is controlled in distinct cell populations within a given tissue microenvironment.
39- Reggiani F.
- Gobbi G.
- Ciarrocchi A.
- Ambrosetti D.C.
- Sancisi V.
Multiple roles and context-specific mechanisms underlying YAP and TAZ-mediated resistance to anti-cancer therapy.
, 40- Low B.C.
- Pan C.Q.
- Shivashankar G.V.
- Bershadsky A.
- Sudol M.
- Sheetz M.
YAP/TAZ as mechanosensors and mechanotransducers in regulating organ size and tumor growth.
, 41Control of cellular responses to mechanical cues through YAP/TAZ regulation.
In fact, the precise biological impact of YAP, as it relates to both normal physiological processes as well as diseases such as cancer, has been shown to be context-dependent.
39- Reggiani F.
- Gobbi G.
- Ciarrocchi A.
- Ambrosetti D.C.
- Sancisi V.
Multiple roles and context-specific mechanisms underlying YAP and TAZ-mediated resistance to anti-cancer therapy.
, 40- Low B.C.
- Pan C.Q.
- Shivashankar G.V.
- Bershadsky A.
- Sudol M.
- Sheetz M.
YAP/TAZ as mechanosensors and mechanotransducers in regulating organ size and tumor growth.
, 41Control of cellular responses to mechanical cues through YAP/TAZ regulation.
For example, YAP has been shown to control the size of organs such as the heart and liver,
42- Heallen T.
- Zhang M.
- Wang J.
- Bonilla-Claudio M.
- Klysik E.
- Johnson R.L.
- Martin J.F.
Hippo pathway inhibits Wnt signaling to restrain cardiomyocyte proliferation and heart size.
, 43- Zhou D.
- Conrad C.
- Xia F.
- Park J.S.
- Payer B.
- Yin Y.
- Lauwers G.Y.
- Thasler W.
- Lee J.T.
- Avruch J.
- Bardeesy N.
Mst1 and Mst2 maintain hepatocyte quiescence and suppress hepatocellular carcinoma development through inactivation of the Yap1 oncogene.
, 44- Patel S.H.
- Camargo F.D.
- Yimlamai D.
Hippo signaling in the liver regulates organ size, cell fate, and carcinogenesis.
whereas loss of YAP either had a minimal effect or reduced the size of other histologically distinct organs such as the intestine and pancreas.
45- Zhou D.
- Zhang Y.
- Wu H.
- Barry E.
- Yin Y.
- Lawrence E.
- Dawson D.
- Willis J.E.
- Markowitz S.D.
- Camargo F.D.
- Avruch J.
Mst1 and Mst2 protein kinases restrain intestinal stem cell proliferation and colonic tumorigenesis by inhibition of Yes-associated protein (Yap) overabundance.
, 46- Yu F.X.
- Meng Z.
- Plouffe S.W.
- Guan K.L.
Hippo pathway regulation of gastrointestinal tissues.
, 47- George N.M.
- Day C.E.
- Boerner B.P.
- Johnson R.L.
- Sarvetnick N.E.
Hippo signaling regulates pancreas development through inactivation of Yap.
Moreover, although reducing YAP activity inhibits the growth of tumors such as melanoma and lung carcinomas,
48- Feng X.
- Degese M.S.
- Iglesias-Bartolome R.
- Vaque J.P.
- Molinolo A.A.
- Rodrigues M.
- Zaidi M.R.
- Ksander B.R.
- Merlino G.
- Sodhi A.
- Chen Q.
- Gutkind J.S.
Hippo-independent activation of YAP by the GNAQ uveal melanoma oncogene through a trio-regulated rho GTPase signaling circuitry.
,49- Shao D.D.
- Xue W.
- Krall E.B.
- Bhutkar A.
- Piccioni F.
- Wang X.
- Schinzel A.C.
- Sood S.
- Rosenbluh J.
- Kim J.W.
- Zwang Y.
- Roberts T.M.
- Root D.E.
- Jacks T.
- Hahn W.C.
KRAS and YAP1 converge to regulate EMT and tumor survival.
other studies suggest that under specific circumstances, YAP may have tumor suppressive functions in breast and liver carcinomas.
18- Yuan M.
- Tomlinson V.
- Lara R.
- Holliday D.
- Chelala C.
- Harada T.
- Gangeswaran R.
- Manson-Bishop C.
- Smith P.
- Danovi S.A.
- Pardo O.
- Crook T.
- Mein C.A.
- Lemoine N.R.
- Jones L.J.
- Basu S.
Yes-associated protein (YAP) functions as a tumor suppressor in breast.
,19- Moya I.M.
- Castaldo S.A.
- Van den Mooter L.
- Soheily S.
- Sansores-Garcia L.
- Jacobs J.
- Mannaerts I.
- Xie J.
- Verboven E.
- Hillen H.
- Alguero-Nadal A.
- Karaman R.
- Van Haele M.
- Kowalczyk W.
- De Waegeneer M.
- Verhulst S.
- Karras P.
- van Huffel L.
- Zender L.
- Marine J.C.
- Roskams T.
- Johnson R.
- Aerts S.
- van Grunsven L.A.
- Halder G.
Peritumoral activation of the hippo pathway effectors YAP and TAZ suppresses liver cancer in mice.
These and other studies indicate the need for a more in-depth understanding of the different mechanisms by which YAP is regulated within distinct cell types.
Uncovering novel mechanisms by which YAP may be regulated under pathologic conditions may allow for more optimized strategies to control YAP activity in the context of tumor growth. YAP activity can be regulated by diverse mechanisms, including cell adhesion, mechanical forces, stress signaling, and soluble factors,
16- Zanconato F.
- Cordenonsi M.
- Piccolo S.
YAP and TAZ: a signaling hub of the tumour microenvironment.
,20The hippo signaling network and its biological functions.
,21The role of extracellular biophysical cues in modulating the Hippo-YAP pathway.
some of which can be altered by the canonical hippo signaling cascade.
16- Zanconato F.
- Cordenonsi M.
- Piccolo S.
YAP and TAZ: a signaling hub of the tumour microenvironment.
,20The hippo signaling network and its biological functions.
,21The role of extracellular biophysical cues in modulating the Hippo-YAP pathway.
In addition, YAP can also be regulated by hippo pathway–independent mechanisms, such as those involved in altered actin polymerization.
16- Zanconato F.
- Cordenonsi M.
- Piccolo S.
YAP and TAZ: a signaling hub of the tumour microenvironment.
,20The hippo signaling network and its biological functions.
,21The role of extracellular biophysical cues in modulating the Hippo-YAP pathway.
These, coupled with the known functions of YAP in controlling gene expression programs,
27- Zhou Y.
- Huang T.
- Cheng A.S.
- Yu J.
- Kang W.
- To K.F.
The TEAD family and its oncogenic role in promoting tumorigenesis.
,28- Zanconato F.
- Forcato M.
- Battilana G.
- Azzolin L.
- Quaranta E.
- Bodega B.
- Rosato A.
- Bicciato S.
- Cordenonsi M.
- Piccolo S.
Genome-wide association between YAP/TAZ/TEAD and AP-1 at enhancers drives oncogenic growth.
defining strategies to selectively control YAP activity under pathologic conditions will likely contribute to optimizing the therapeutic efficacy of targeting YAP.
Although intact collagen within the insoluble ECM is thought to regulate ovarian carcinoma progression,
36- Natarajan S.
- Foreman K.M.
- Soriano M.I.
- Rossen N.S.
- Shehade H.
- Fregoso D.R.
- Eggold J.T.
- Krishnan V.
- Dorigo O.
- Krieg A.J.
- Heilshorn S.C.
- Sinha S.
- Fuh K.C.
- Rankin E.B.
Collagen remodeling in the hypoxic tumor-mesothelial niche promotes ovarian cancer metastasis.
,50- Barbolina M.V.
- Adley B.P.
- Ariztia E.V.
- Liu Y.
- Stack M.S.
Microenvironmental regulation of membrane type 1 matrix metalloproteinase activity in ovarian carcinoma cells via collagen-induced EGR1 expression.
little is known as to whether soluble bioactive collagen fragments regulate ovarian tumor growth
in vivo. Herein, we provide evidence, for the first time, that a unique RGDKGE-containing collagen fragment can be detected in ovarian tumors growing in mice and can also be generated by some ovarian tumor cell lines. Interestingly, although variable levels of the RGDKGE-containing collagen fragment were detected in some normal skin samples from mice, little, if any, of this collagen fragment was detected in normal peritoneal tissues, where ovarian tumors often grow. Given our previous studies
11- Ames J.J.
- Contois L.
- Caron J.M.
- Tweedie E.
- Yang X.
- Friesel R.
- Vary C.
- Brooks P.C.
Identification of an endogenously generated cryptic collagen epitope (XL313) that may selectively regulate angiogenesis by an integrin yes-associated protein (YAP) mechano-transduction pathway.
and our current data, we sought to determine whether the RGDKGE collagen fragment might also directly bind to ovarian carcinoma cells and regulate tumor growth. Our data indicate that SKOV-3 and ID8-VEGF ovarian tumor cells can bind to the soluble RGDKGE collagen fragment using β3 integrin as a function-blocking antibody directed to this integrin inhibited binding, whereas a function-blocking antibody directed to β1-containing integrins failed to demonstrate any effect. Ovarian tumor cell binding to the RGDKGE collagen peptide led to enhanced phosphorylation and activation of β3 integrin, and enhanced nuclear accumulation of YAP, which could be specifically inhibited by directly targeting the RGDKGE collagen peptide with Mab XL313. More important, the exact molecular mechanism by which Src controls the ability of the RGDKGE collagen fragment to regulate LATS1 and YAP is not completely understood, and work is currently underway to define this signaling pathway.
The precise role of β3 integrin in controlling tumor growth is complex, as studies have provided evidence for both protumorigenic as well as tumor suppressive functions. For example, some studies have shown correlations between high expression of β3 integrin and poor prognosis in patients with melanoma and breast carcinoma.
51- Kageshita T.
- Hamby C.V.
- Hirai S.
- Kimura T.
- Ono T.
- Ferrone S.
Alpha(v)beta3 expression on blood vessels and melanoma cells in primary lesions: differential association with tumor progression and clinical prognosis.
,52- Gasparini G.
- Brooks P.C.
- Biganzoli E.
- Vermeulen P.B.
- Bonoldi E.
- Dirix L.Y.
- Ranieri G.
- Miceli R.
- Cheresh D.A.
Vascular integrin alpha(v)beta3: a new prognostic indicator in breast cancer.
Other studies using animal models have shown that directly blocking β3 integrin inhibits angiogenesis and tumor growth.
14- Brooks P.C.
- Montgomery A.M.
- Rosenfeld M.
- Reisfeld R.A.
- Hu T.
- Klier G.
- Cheresh D.A.
Integrin alpha v beta 3 antagonists promote tumor regression by inducing apoptosis of angiogenic blood vessels.
,15- Brooks P.C.
- Clark R.A.
- Cheresh D.A.
Requirement of vascular integrin alpha v beta 3 for angiogenesis.
,53- Petitclerc E.
- Stromblad S.
- von Schalscha T.L.
- Mitjans F.
- Piulats J.
- Montgomery A.M.
- Cheresh D.A.
- Brooks P.C.
Integrin alpha(v)beta3 promotes M21 melanoma growth in human skin by regulating tumor cell survival.
,54- Brooks P.C.
- Stromblad S.
- Klemke R.
- Visscher D.
- Sarkar F.H.
- Cheresh D.A.
Antiintegrin alpha v beta 3 blocks human breast cancer growth and angiogenesis in human skin.
In contrast, work examining ovarian carcinomas has shown that high levels of β3 integrin correlated with improved clinical outcome and that reducing β3 integrin expression enhanced ovarian tumor growth.
55- Kaur S.
- Kenny H.A.
- Jagadeeswaran S.
- Zillhardt M.R.
- Montag A.G.
- Kistner E.
- Yamada S.D.
- Mitra A.K.
- Lengyel E.
{beta}3-Integrin expression on tumor cells inhibits tumor progression, reduces metastasis, and is associated with a favorable prognosis in patients with ovarian cancer.
These seemingly opposing functions for β3 integrin might be explained by the fact that the final outcome of β3 integrin signaling within a particular cell or tumor type depends, in part, on the nature of the different ligands binding to this integrin, and the types of adaptor molecules that are assembled into signaling complexes that facilitate transmission of extracellular cues. For example, it is well established that certain β3 integrin binding ligands, such as vitronectin, osteopontin, and periostin, can induce protumorigenic signaling events.
56- Burgos-Panadero R.
- Noguera I.
- Canete A.
- Navarro S.
- Noguera R.
Vitronectin as a molecular player of the tumor microenvironment in neuroblastoma.
, 57- Sharon Y.
- Raz Y.
- Cohen N.
- Ben-Shmuel A.
- Schwartz H.
- Geiger T.
- Erez N.
Tumor-derived osteopontin reprograms normal mammary fibroblasts to promote inflammation and tumor growth in breast cancer.
, 58- Chen G.
- Nakamura I.
- Dhanasekaran R.
- Iguchi E.
- Tolosa E.J.
- Romecin P.A.
- Vera R.E.
- Almada L.L.
- Miamen A.G.
- Chaiteerakij R.
- Zhou M.
- Asiedu M.K.
- Moser C.D.
- Han S.
- Hu C.
- Banini B.A.
- Oseini A.M.
- Chen Y.
- Fang Y.
- Yang D.
- Shaleh H.M.
- Wang S.
- Wu D.
- Song T.
- Lee J.S.
- Thorgeirsson S.S.
- Chevet E.
- Shah V.H.
- Fernandez-Zapico M.E.
- Roberts L.R.
Transcriptional induction of periostin by a sulfatase 2-TGFbeta1-SMAD signaling axis mediates tumor angiogenesis in hepatocellular carcinoma.
In contrast, other bioactive factors that bind to β3 integrin, such as tumstatin, canstatin, and endostatin, have been shown to inhibit tumor growth.
59- Hamano Y.
- Zeisberg M.
- Sugimoto H.
- Lively J.C.
- Maeshima Y.
- Yang C.
- Hynes R.O.
- Werb Z.
- Sudhakar A.
- Kalluri R.
Physiological levels of tumstatin, a fragment of collagen IV alpha3 chain, are generated by MMP-9 proteolysis and suppress angiogenesis via alphaV beta3 integrin.
, 60- Kamphaus G.D.
- Colorado P.C.
- Panka D.J.
- Hopfer H.
- Ramchandran R.
- Torre A.
- Maeshima Y.
- Mier J.W.
- Sukhatme V.P.
- Kalluri R.
Canstatin, a novel matrix-derived inhibitor of angiogenesis and tumor growth.
, 61- Rehn M.
- Veikkola T.
- Kukk-Valdre E.
- Nakamura H.
- Ilmonen M.
- Lombardo C.
- Pihlajaniemi T.
- Alitalo K.
- Vuori K.
Interaction of endostatin with integrins implicated in angiogenesis.
Interestingly, overexpression of β3 integrin in some ovarian tumor cell lines resulted in reduced proliferation that was associated with a G
2/M block in the cell cycle and altered phosphorylation of CD2.
55- Kaur S.
- Kenny H.A.
- Jagadeeswaran S.
- Zillhardt M.R.
- Montag A.G.
- Kistner E.
- Yamada S.D.
- Mitra A.K.
- Lengyel E.
{beta}3-Integrin expression on tumor cells inhibits tumor progression, reduces metastasis, and is associated with a favorable prognosis in patients with ovarian cancer.
In other studies, evidence suggests that unoccupied integrin αvβ3 may result in signaling, leading to a process termed integrin-mediated cell death.
62- Stupack D.G.
- Puente X.S.
- Boutsaboualoy S.
- Storgard C.M.
- Cheresh D.A.
Apoptosis of adherent cells by recruitment of caspase-8 to unligated integrins.
The ability of αvβ3 to control distinct functions in different cell types, such as immune cells, may also impact the overall contribution of αvβ3 to tumor growth. For example, αvβ3 expressed in macrophages and dendritic cells has been shown to play roles in phagocytosis of tumor cells as well as promoting antigen presentation.
63- Su X.
- Esser A.K.
- Amend S.R.
- Xiang J.
- Xu Y.
- Ross M.H.
- Fox G.C.
- Kobayashi T.
- Steri V.
- Roomp K.
- Fontana F.
- Hurchla M.A.
- Knolhoff B.L.
- Meyer M.A.
- Morgan E.A.
- Tomasson J.C.
- Novack J.S.
- Zou W.
- Faccio R.
- Novack D.V.
- Robinson S.D.
- Teitelbaum S.L.
- DeNardo D.G.
- Schneider J.G.
- Weilbaecher K.N.
Antagonizing integrin beta3 increases immunosuppression in cancer.
,64- Jinushi M.
- Chiba S.
- Baghdadi M.
- Kinoshita I.
- Dosaka-Akita H.
- Ito K.
- Yoshiyama H.
- Yagita H.
- Uede T.
- Takaoka A.
ATM-mediated DNA damage signals mediate immune escape through integrin-alphavbeta3-dependent mechanisms.
In addition, αvβ3 has also been shown to play a role in regulating T-cell receptor signaling and motility,
65- Doucey M.A.
- Legler D.F.
- Faroudi M.
- Boucheron N.
- Baumgaertner P.
- Naeher D.
- Cebecauer M.
- Hudrisier D.
- Ruegg C.
- Palmer E.
- Valitutti S.
- Bron C.
- Luescher I.F.
The beta1 and beta3 integrins promote T cell receptor-mediated cytotoxic T lymphocyte activation.
,66- Neto E.H.
- Coelho A.L.
- Sampaio A.L.
- Henriques M.
- Marcinkiewicz C.
- De Freitas M.S.
- Barja-Fidalgo C.
Activation of human T lymphocytes via integrin signaling induced by RGD-disintegrins.
all of which may depend on the molecular features of the different ligands that bind to this integrin. In fact, studies have shown that direct targeting of β3 or reducing β3 integrin in a subpopulation of immune cells results in the induction of immune suppression,
63- Su X.
- Esser A.K.
- Amend S.R.
- Xiang J.
- Xu Y.
- Ross M.H.
- Fox G.C.
- Kobayashi T.
- Steri V.
- Roomp K.
- Fontana F.
- Hurchla M.A.
- Knolhoff B.L.
- Meyer M.A.
- Morgan E.A.
- Tomasson J.C.
- Novack J.S.
- Zou W.
- Faccio R.
- Novack D.V.
- Robinson S.D.
- Teitelbaum S.L.
- DeNardo D.G.
- Schneider J.G.
- Weilbaecher K.N.
Antagonizing integrin beta3 increases immunosuppression in cancer.
,64- Jinushi M.
- Chiba S.
- Baghdadi M.
- Kinoshita I.
- Dosaka-Akita H.
- Ito K.
- Yoshiyama H.
- Yagita H.
- Uede T.
- Takaoka A.
ATM-mediated DNA damage signals mediate immune escape through integrin-alphavbeta3-dependent mechanisms.
thereby compromising the efficacy of this therapeutic strategy as it relates to tumor growth. Therefore, designing and evaluating alternative strategies to disrupt αvβ3-dependent signaling without directly targeting αvβ3 itself may help in the development of more effective treatments.
Our findings and those from many other studies are consistent with the notion that the overall contribution of αvβ3 to tumor growth depends on a complex and interconnected network of parameters that include the cell type that the integrin is functioning in, the molecular characteristics of the local αvβ3 binding ligands, and the bioavailability and composition of the downstream signaling molecules required for the formation of intracellular signaling complexes that facilitate activation of distinct signaling cascades. Given this complexity, a therapeutic strategy of directly targeting all αvβ3 in different cell types may not represent an optimal approach. As an alternative strategy, we have been studying whether selective targeting of discrete protumorigenic ligands of integrin αvβ3, instead of directly targeting the integrin itself, may provide a clinically effective new approach to control protumorigenic signaling events. This alternative strategy might allow for selective inhibition of protumorigenic stimuli mediated through integrin αvβ3 and, at the same time, allow for the engagement of locally available tumor suppressing ligands to simulate inhibitory signals through αvβ3 within distinct stromal and tumor cell populations, ultimately promoting a more robust therapeutic outcome when used either alone or in combination with other cancer treatments. Taken together, a therapeutic strategy that focuses on selectively targeting a novel protumorigenic bioactive ligand of αvβ3 integrin, rather than directly targeting the αvβ3 receptor itself, may help selectively disrupt protumorigenic signaling pathways operating within both tumor and stroma cells to allow for an effective treatment paradigm for managing ovarian cancer.
Article Info
Publication History
Published online: December 08, 2020
Accepted:
November 17,
2020
Footnotes
Supported in part by NIH grant CA196739 (P.C.B.); the Office of the Assistant Secretary of Defense for Health Affairs, through the Ovarian Cancer Research Program award W81XWH-17-1-0099 (P.C.B.); the Northern New England Clinical and Translational Research Center grant U54GM115516 ; the Mesenchymal and Neural Regulation of Metabolic Networks grant P20GM121301 ; and the Maine Medical Center .
Disclosures: P.C.B. and C.V. hold equity positions in CryptoMedix, Inc.
Copyright
© 2021 American Society for Investigative Pathology. Published by Elsevier Inc.