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Published on: June 9, 2023
Systemic Mobilization of Breast Cancer Resistance Protein in Response to Oncogenic Stress
Małgorzata Szczygieł1, Marcin Markiewicz1, Milena Julia Szafraniec1,2
1Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Gronostajowa 7, 30-387 Kraków, Poland.
Abstract:
The breast cancer resistance protein (BCRP or ABCG2) involved in cancer multidrug resistance (MDR), transports many hydrophobic compounds, including a number of anti-cancer drugs. Our comprehensive study using a mouse model reveals that a subcutaneously growing tumor strongly affects the expression of BCRP in the host's normal organs on both the transcriptional and translational level. Additionally, the efflux of BCRP substrates is markedly enhanced. The levels of BCRP and its transcript in normal tissues distant from the tumor site correlate with tumor growth and the levels of cytokines in the peripheral blood. Thus, oncogenic stress causes transient systemic upregulation of BCRP in the host's normal tissues and organs, which is possibly mediated via cytokines. Because BCRP upregulation takes place in many organs as early as the initial stages of tumor development, it reveals a most basic mechanism that may be responsible for the induction of primary MDR. We hypothesize that such effects are not tumor-specific responses, but rather constitute a more universal defense strategy. The xenobiotic transporters are systemically mobilized due to various stresses, seemingly in a pre-emptive manner so that the body can be quickly and efficiently detoxified. Our findings shed new light on the biology of cancer and on the complexity of cancer-host interactions and are highly relevant to cancer therapies as well as to the design of new generations of therapeutics and personalized medicine.
Insights
A growing tumor upregulates breast cancer resistance protein (BCRP) in normal organs, enhancing drug efflux. This systemic response, possibly cytokine-mediated, may explain early multidrug resistance (MDR) in cancer.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Breast cancer resistance protein (BCRP, or ABCG2) is crucial in cancer multidrug resistance (MDR).
- BCRP facilitates the transport of hydrophobic compounds, including anti-cancer drugs.
- Tumor growth can influence host physiology and drug response.
Purpose of the Study:
- To investigate the systemic effects of tumor growth on BCRP expression in host organs.
- To understand the relationship between tumor burden, BCRP levels, and cytokine profiles.
- To elucidate the role of systemic BCRP upregulation in the development of primary MDR.
Main Methods:
- Utilized a mouse model with subcutaneously growing tumors.
- Analyzed BCRP expression at both transcriptional and translational levels in normal host organs.
- Measured BCRP substrate efflux and peripheral blood cytokine levels.
Main Results:
- Subcutaneous tumor growth significantly altered BCRP expression in distant normal organs.
- BCRP transcript and protein levels correlated with tumor size and peripheral cytokine concentrations.
- Enhanced efflux of BCRP substrates was observed in host tissues.
- Systemic BCRP upregulation occurred early in tumor development.
Conclusions:
- Oncogenic stress induces transient, systemic BCRP upregulation in host tissues, potentially mediated by cytokines.
- This mechanism may contribute to the induction of primary multidrug resistance.
- BCRP mobilization represents a potential universal defense strategy against various stresses.
- Findings offer insights into cancer-host interactions, impacting cancer therapy and drug design.
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