Targeting the perivascular niche sensitizes disseminated tumour cells to chemotherapy.

Abstract:

:The presence of disseminated tumour cells (DTCs) in bone marrow is predictive of poor metastasis-free survival of patients with breast cancer with localized disease. DTCs persist in distant tissues despite systemic administration of adjuvant chemotherapy. Many assume that this is because the majority of DTCs are quiescent. Here, we challenge this notion and provide evidence that the microenvironment of DTCs protects them from chemotherapy, independent of cell cycle status. We show that chemoresistant DTCs occupy the perivascular niche (PVN) of distant tissues, where they are protected from therapy by vascular endothelium. Inhibiting integrin-mediated interactions between DTCs and the PVN, driven partly by endothelial-derived von Willebrand factor and vascular cell adhesion molecule 1, sensitizes DTCs to chemotherapy. Importantly, chemosensitization is achieved without inducing DTC proliferation or exacerbating chemotherapy-associated toxicities, and ultimately results in prevention of bone metastasis. This suggests that prefacing adjuvant therapy with integrin inhibitors is a viable clinical strategy to eradicate DTCs and prevent metastasis.

journal_name

Nat Cell Biol

journal_title

Nature cell biology

authors

Carlson P,Dasgupta A,Grzelak CA,Kim J,Barrett A,Coleman IM,Shor RE,Goddard ET,Dai J,Schweitzer EM,Lim AR,Crist SB,Cheresh DA,Nelson PS,Hansen KC,Ghajar CM

doi

10.1038/s41556-018-0267-0

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

238-250

issue

2

eissn

1465-7392

issn

1476-4679

pii

10.1038/s41556-018-0267-0

journal_volume

21

pub_type

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