Inhibition of the Growth of Breast Cancer-Associated Brain Tumors by the Osteocyte-Derived Conditioned Medium

Tomohiko Sano1,2, Xun Sun1,3, Yan Feng1,3

  • 1Department of Biomedical Engineering, Indiana University Purdue University Indianapolis, Indianapolis, IN 46202, USA.

Cancers
|April 3, 2021
PubMed

Insights

Engineered conditioned medium (CM) shows therapeutic potential against breast cancer brain metastases. Overexpressing specific genes in osteocytes and CM enhances anti-tumor effects, inhibiting tumor growth and osteolysis via novel mechanisms.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biomedical Engineering

Background:

  • Brain metastasis from advanced breast cancer is a significant clinical challenge with limited effective treatments.
  • Osteocytes possess innate anti-tumor properties that can be potentially enhanced for therapeutic applications.
  • Wnt signaling pathway components, including Lrp5 and β-catenin, play crucial roles in cellular processes relevant to cancer.

Purpose of the Study:

  • To investigate the therapeutic efficacy of engineered conditioned medium (CM) derived from osteocytes against breast cancer brain metastases.
  • To elucidate the roles of Lrp5, β-catenin in Wnt signaling, and IL1ra in osteocyte-mediated anti-tumor activity.
  • To explore the potential of extracellular histone H4 as a novel anti-tumor agent.

Main Methods:

  • Generation and characterization of conditioned medium (CM) from osteocytes with genetic modifications (overexpression of Lrp5, β-catenin, IL1ra).
  • In vivo studies using a mouse model to assess the efficacy of CM in inhibiting mammary tumors, osteolysis, and brain metastases.
  • Analysis of CM's molecular mechanisms, including gene expression profiling in cancer cells and whole-genome proteomics.

Main Results:

  • CM from engineered osteocytes significantly inhibited mammary tumors and tumor-driven osteolysis in a mouse model.
  • Local administration of CM, particularly with β-catenin overexpression, markedly inhibited brain tumors.
  • Tumor-suppressing factors in CM were found to penetrate the skull, and CM downregulated oncogenic genes while upregulating tumor suppressors in cancer cells. Extracellular histone H4 was identified as a key tumor suppressor in CM.

Conclusions:

  • Engineered conditioned medium represents a promising therapeutic strategy for managing breast cancer brain metastases.
  • Overexpression of Lrp5, β-catenin, and IL1ra in osteocytes enhances their anti-tumor capabilities, transferable via CM.
  • Extracellular histone H4 contributes to the anti-tumor effects of CM, offering a novel therapeutic target for minimally invasive treatment.

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