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Published on: May 26, 2021
Ischemic Injury Drives Nascent Tumor Growth Via Accelerated Hematopoietic Aging
Alexandra A C Newman1, José Gabriel Barcia Durán2, Richard Von Itter2
1Cardiovascular Research Center, Department of Medicine, New York University Langone Health, New York, New York, USA; Leon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, New York, USA. Electronic address: https://twitter.com/aacnewman13.
Peripheral ischemia accelerates breast cancer growth by altering hematopoietic stem cells (HSPCs), promoting myeloid cell production and suppressing antitumoral immunity. These changes are long-lasting and can be transmitted, impacting cancer progression.
Area of Science:
- Cardiovascular Biology
- Cancer Biology
- Immunology
- Stem Cell Biology
Background:
- Peripheral artery disease (PAD) increases cancer risk, with aging-related changes in hematopoietic stem and progenitor cells (HSPCs) implicated in both cardiovascular disease and cancer.
- The specific role of altered hematopoiesis in cardiovascular disease-driven tumor progression remains unclear.
Purpose of the Study:
- To investigate tumor growth following peripheral ischemia and associated changes in the HSPC bone marrow compartment.
- To uncover mechanisms by which altered hematopoiesis promotes cancer development and progression.
Main Methods:
- Monitoring mammary cancer growth in mice after hind limb ischemia (HLI) or sham surgery.
- Assessing tumor immune microenvironment, circulatory immune cells, and HSPC compartment using flow cytometry.
- Performing single-cell RNA and ATAC sequencing on bone marrow progenitors to analyze transcriptomic and epigenetic changes.
- Utilizing bone marrow transplantation to examine the functional impact of ischemia-induced HSPC reprogramming on tumor progression.
Main Results:
- Peripheral ischemia increased monocyte and neutrophil production while decreasing lymphocytes, driven by a shift towards myeloid-biased HSPCs.
- Accelerated cancer growth was observed, with tumors enriched in myeloid cells and regulatory T cells.
- Transcriptional and epigenetic analyses revealed inflammatory and aging-associated signatures in monocyte/dendritic progenitors following HLI and tumor presence.
- HLI-induced tumor growth acceleration and myeloid-skewing were transmissible via bone marrow transplantation, indicating sustained reprogramming of innate immunity.
Conclusions:
- Peripheral ischemia exacerbates inflammaging in hematopoietic stem cells.
- Long-lasting alterations in antitumoral immunity contribute to accelerated breast tumor growth.
- Ischemia-induced reprogramming of hematopoiesis represents a significant mechanism promoting cancer progression.
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