Intravital imaging reveals systemic ezrin inhibition impedes cancer cell migration and lymph node metastasis in breast cancer.

Background: Limited understanding of the cancer biology of metastatic sites is a major factor contributing to poor outcomes in cancer patients. The regional lymph nodes are the most common site of metastasis in most solid cancers and their involvement is a strong predictor of relapse in breast cance...

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Publicado en:Breast Cancer Research Vol. 21; no. 1
Autores principales: Ghaffari, Abdi, Hoskin, Victoria, Turashvili, Gulisa, Varma, Sonal, Mewburn, Jeff, Mullins, Graeme, Greer, Peter A., Kiefer, Friedemann, Day, Andrew G., Madarnas, Yolanda, SenGupta, Sandip, Elliott, Bruce E.
Formato: research Journal Article
Publicado: BioMed Central 1/24/2019
Acceso en línea:Ver este registro en EBSCOhost
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        14655411
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      jtl: Breast Cancer Research
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      dt: 1/24/2019
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      pub: BioMed Central
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        10.1186/s13058-018-1079-7
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        atl: Intravital imaging reveals systemic ezrin inhibition impedes cancer cell migration and lymph node metastasis in breast cancer.
      aug:
        au:
          Ghaffari, Abdi
          Hoskin, Victoria
          Turashvili, Gulisa
          Varma, Sonal
          Mewburn, Jeff
          Mullins, Graeme
          Greer, Peter A.
          Kiefer, Friedemann
          Day, Andrew G.
          Madarnas, Yolanda
          SenGupta, Sandip
          Elliott, Bruce E.
        affil: Department of Pathology and Molecular Medicine, Queen's University, Kingston, Canada
      sug:
        subj:
          Cytoskeletal Proteins Metabolism
          Lung Neoplasms Pathology
          Breast Neoplasms Pathology
          Neoplasm Recurrence, Local Pathology
          Antiinfective Agents, Quinolone Pharmacodynamics
          Animal Studies
          Breast Pathology
          Lung
          Middle Age
          Cytoskeletal Proteins Antagonists and Inhibitors
          Phenols Pharmacodynamics
          Models, Biological
          Genes
          Tissue Array Analysis
          Antineoplastic Agents Therapeutic Use
          Lung Pathology
          Lymph Nodes Drug Effects
          Cell Movement Drug Effects
          Mice
          Neoplasm Metastasis Prevention and Control
          Lymph Nodes Pathology
          Neoplasm Metastasis
          Prospective Studies
          Antineoplastic Agents Pharmacodynamics
          Neoplasm Metastasis Pathology
          Human
          Lung Neoplasms
          Breast Neoplasms
          Cell Line, Tumor Transplantation
          Antiinfective Agents, Quinolone Therapeutic Use
          Phenols Therapeutic Use
          Female
          Lymph Nodes
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Middle Aged: 45-64 years
          Female
      ab: Background: Limited understanding of the cancer biology of metastatic sites is a major factor contributing to poor outcomes in cancer patients. The regional lymph nodes are the most common site of metastasis in most solid cancers and their involvement is a strong predictor of relapse in breast cancer (BC). We have previously shown that ezrin, a cytoskeletal-membrane linker protein, is associated with lymphovascular invasion and promotes metastatic progression in BC. However, the efficacy of pharmacological inhibition of ezrin in blocking cancer cell migration and metastasis remains unexplored in BC.Methods: We quantified ezrin expression in a BC tissue microarray (n = 347) to assess its correlation with risk of relapse. Next, we developed a quantitative intravital microscopy (qIVM) approach, using a syngeneic lymphatic reporter mouse tumor model, to investigate the effect of systemic ezrin inhibition on cancer cell migration and metastasis.Results: We show that ezrin is expressed at significantly higher levels in lymph node metastases compared to matched primary tumors, and that a high tumor ezrin level is associated with increased risk of relapse in BC patients with regional disease. Using qIVM, we observe a subset of cancer cells that retain their invasive and migratory phenotype at the tumor-draining lymph node. We further show that systemic inhibition of ezrin, using a small molecule compound (NSC668394), impedes the migration of cancer cells in vivo. Furthermore, systemic ezrin inhibition leads to reductions in metastatic burden at the distal axillary lymph node and lungs.Conclusions: Our findings demonstrate that the tumor ezrin level act as an independent biomarker in predicting relapse and provide a rationale for therapeutic targeting of ezrin to reduce the metastatic capacity of cancer cells in high-risk BC patients with elevated ezrin expression.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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