Mechanosensitive brain tumor cells construct blood-tumor barrier to mask chemosensitivity

Xin Chen1, Ali Momin2, Siyi Wanggou3

  • 1Program in Developmental and Stem Cell Biology, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada; Arthur and Sonia Labatt Brain Tumour Research Centre, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada.

Neuron
|November 2, 2022
PubMed

Insights

Mechanosensitive tumor cells form the blood-tumor barrier (BTB) using Piezo2, hindering brain cancer treatment. Targeting Piezo2 disrupts the BTB and reduces tumor cell dormancy, improving chemotherapy effectiveness.

Area of Science:

  • Neuroscience
  • Cancer Biology
  • Biophysics

Background:

  • Brain cancer treatment faces challenges from the blood-tumor barrier (BTB) and quiescent tumor cells.
  • Sox2-positive (Sox2+) tumor cells in medulloblastoma (MB) ensheathe capillaries via cellular processes.

Purpose of the Study:

  • To investigate the role of mechanosensitive ion channels, specifically Piezo2, in BTB formation and brain tumor treatment resistance.
  • To elucidate the mechanisms by which Sox2+ tumor cells interact with their microenvironment to promote tumor growth and therapeutic resistance.

Main Methods:

  • Utilized mouse medulloblastoma models to study Sox2+ tumor cell behavior and BTB formation.
  • Investigated the function of the mechanosensitive ion channel Piezo2 in cellular process extension, intracellular signaling (calcium, actomyosin tension), and cell adhesion.
  • Analyzed the impact of Piezo2 knockout on BTB integrity, WNT/β-catenin signaling, tumor cell quiescence, and response to chemotherapy.

Main Results:

  • Sox2+ tumor cells form cellular processes dependent on Piezo2, ensheathing capillaries and responding to tissue stiffness gradients.
  • Perception of substrate stiffness by Sox2+ cells drives process growth, calcium signaling, actomyosin tension, and β-catenin sequestration.
  • Piezo2 knockout disrupts BTB integrity, alters signaling between tumor and endothelial cells, reduces Sox2+ cell quiescence, and significantly improves chemotherapy response.

Conclusions:

  • Mechanosensitive tumor cells actively construct the BTB to shield themselves from therapeutic agents and maintain quiescence.
  • Targeting Piezo2 offers a novel therapeutic strategy to overcome BTB limitations and tumor dormancy in brain cancers.
  • Understanding the mechanobiology of tumor cells is crucial for developing effective brain cancer treatments.

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