Cell
Volume 150, Issue 1, 6 July 2012, Pages 165-178
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Article
A CXCL1 Paracrine Network Links Cancer Chemoresistance and Metastasis

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Summary

Metastasis and chemoresistance in cancer are linked phenomena, but the molecular basis for this link is unknown. We uncovered a network of paracrine signals between carcinoma, myeloid, and endothelial cells that drives both processes in breast cancer. Cancer cells that overexpress CXCL1 and 2 by transcriptional hyperactivation or 4q21 amplification are primed for survival in metastatic sites. CXCL1/2 attract CD11b+Gr1+ myeloid cells into the tumor, which produce chemokines including S100A8/9 that enhance cancer cell survival. Although chemotherapeutic agents kill cancer cells, these treatments trigger a parallel stromal reaction leading to TNF-α production by endothelial and other stromal cells. TNF-α via NF-kB heightens the CXCL1/2 expression in cancer cells, thus amplifying the CXCL1/2-S100A8/9 loop and causing chemoresistance. CXCR2 blockers break this cycle, augmenting the efficacy of chemotherapy against breast tumors and particularly against metastasis. This network of endothelial-carcinoma-myeloid signaling interactions provides a mechanism linking chemoresistance and metastasis, with opportunities for intervention.

Highlights

► CXCL1/2 mediate breast cancer metastasis through myeloid cell recruitment ► CXCL1/2 promote breast cancer cell survival through myeloid-cell-derived S100A8/9 ► Chemotherapeutic agents induce TNF-α to hyperactivate the CXCL1/2–S100A8/9 axis ► Blocking CXCL1 signaling improves chemotherapy efficacy and diminishes metastasis

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Present Address: Heidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany