Inflammatory macrophage derived TNFα downregulates estrogen receptor α via FOXO3a inactivation in human breast cancer

Frida Björk Gunnarsdóttir1, Catharina Hagerling2, Caroline Bergenfelz1

  • 1Cancer Immunology, Department of Translational Medicine, 214 28, Malmö, Lund University, Sweden.

Insights

Tumor-associated macrophages secrete tumor necrosis factor alpha (TNFα), which reduces estrogen receptor alpha (ERα) in breast cancer cells, potentially causing endocrine resistance. TNFα inhibitors may help treat ERα-positive breast cancer.

Area of Science:

  • Oncology
  • Immunology
  • Endocrinology

Background:

  • Estrogen receptor alpha-positive (ERα+) breast cancer often develops resistance to endocrine therapy.
  • This resistance is linked to decreased ERα expression in residual cancer cells.

Purpose of the Study:

  • To investigate the mechanism by which macrophages influence ERα expression and endocrine resistance in breast cancer.
  • To explore the role of tumor necrosis factor alpha (TNFα) in ERα downregulation.

Main Methods:

  • Utilized long-term NSG xenograft models of human breast cancer.
  • Employed in vitro primary cell cultures of human monocytes and breast cancer cells.
  • Analyzed primary tumors from breast cancer patients.

Main Results:

  • Macrophage-derived TNFα was found to downregulate ERα in breast cancer cells by inactivating the transcription factor FOXO3a.
  • Tumor-associated macrophages in patient tumors correlated with ERα negativity.
  • Presence of tumor-associated macrophages indicated a worse prognosis in ERα+ breast cancer patients.

Conclusions:

  • Pro-inflammatory macrophages can promote breast cancer progression and endocrine resistance.
  • Targeting TNFα with antagonists may be a viable strategy for treating ERα+ breast cancer.
  • Further evaluation of TNFα antagonists in clinical settings is warranted.

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