Abstract:
:Brain metastasis represents a substantial source of morbidity and mortality in various cancers, and is characterized by high resistance to chemotherapy. Here we define the role of the most abundant cell type in the brain, the astrocyte, in promoting brain metastasis. We show that human and mouse breast and lung cancer cells express protocadherin 7 (PCDH7), which promotes the assembly of carcinoma-astrocyte gap junctions composed of connexin 43 (Cx43). Once engaged with the astrocyte gap-junctional network, brain metastatic cancer cells use these channels to transfer the second messenger cGAMP to astrocytes, activating the STING pathway and production of inflammatory cytokines such as interferon-α (IFNα) and tumour necrosis factor (TNF). As paracrine signals, these factors activate the STAT1 and NF-κB pathways in brain metastatic cells, thereby supporting tumour growth and chemoresistance. The orally bioavailable modulators of gap junctions meclofenamate and tonabersat break this paracrine loop, and we provide proof-of-principle that these drugs could be used to treat established brain metastasis.
journal_name
Naturejournal_title
Natureauthors
Chen Q,Boire A,Jin X,Valiente M,Er EE,Lopez-Soto A,Jacob L,Patwa R,Shah H,Xu K,Cross JR,Massagué Jdoi
10.1038/nature18268subject
Has Abstractpub_date
2016-05-26 00:00:00pages
493-498issue
7604eissn
0028-0836issn
1476-4687journal_volume
533pub_type
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