颜林林
(2022-08-13 23:36):
#paper doi:10.1038/s41586-022-04774-2 Nature, 2022, Stromal changes in the aged lung induce an emergence from melanoma dormancy. 众所周知,年龄是肿瘤发病的最重要因素。这篇文章将培养的黑色素瘤细胞(其中部分细胞系使用质粒体系过表达WNT通路相关基因),注入年轻与年老小鼠,观察其成瘤过程及表型变化,其中还穿插腹腔注射等干预实验,之后取样后对肺组织进行免疫组化、蛋白组(质谱)等检测,用以揭示衰老与肿瘤发生之间的关系。该研究发现,在老化的肺微环境中,黑色素瘤并未快速生长,反而是受到了抑制,处于一种休眠状态,但同时该微环境又会促进其转移扩散,使黑色素瘤细胞能够在转移性生态位中有效传播和播种。本文同时还详细研究了WNT通路在此过程中的作用,以及酪氨酸激酶受体 AXL 和 MER 对肿瘤休眠的促进再激活。这些结果为后续研究肿瘤休眠及肺组织微环境之间的关系提供了重要信息,同时也提示在肿瘤治疗过程中有必要关注年龄因素的影响。
Stromal changes in the aged lung induce an emergence from melanoma dormancy
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Abstract:
Disseminated cancer cells from primary tumours can seed in distal tissues, but may take several years to form overt metastases, a phenomenon that is termed tumour dormancy. Despite its importance in metastasis and residual disease, few studies have been able to successfully characterize dormancy within melanoma. Here we show that the aged lung microenvironment facilitates a permissive niche for efficient outgrowth of dormant disseminated cancer cells-in contrast to the aged skin, in which age-related changes suppress melanoma growth but drive dissemination. These microenvironmental complexities can be explained by the phenotype switching model, which argues that melanoma cells switch between a proliferative cell state and a slower-cycling, invasive state. It was previously shown that dermal fibroblasts promote phenotype switching in melanoma during ageing. We now identify WNT5A as an activator of dormancy in melanoma disseminated cancer cells within the lung, which initially enables the efficient dissemination and seeding of melanoma cells in metastatic niches. Age-induced reprogramming of lung fibroblasts increases their secretion of the soluble WNT antagonist sFRP1, which inhibits WNT5A in melanoma cells and thereby enables efficient metastatic outgrowth. We also identify the tyrosine kinase receptors AXL and MER as promoting a dormancy-to-reactivation axis within melanoma cells. Overall, we find that age-induced changes in distal metastatic microenvironments promote the efficient reactivation of dormant melanoma cells in the lung.
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