Patients with HPV-negative oropharynx cancer have higher risk of early death
Dhanasekaran and her colleagues genetically engineered mice to express both MYC and TWIST1 and found that these two major cancer-promoting genes led to metastases. They also saw that the cancer cells produced inflammation-promoting molecules Ccl2 and Il13, which attract immune cells called macrophages and make them more tumor-cell friendly. This makes it easier for the cancer cells to migrate to new areas of the body.
The team next showed that exposing mice with liver cancer caused by MYC alone to Ccl2 and Il13 causes metastasis. But blocking this specific combination of cytokines appeared to hinder the process.
To see if the two genes also contributed to metastases in humans, the scientists analyzed 10,000 samples of tumors collected from humans with 33 different types of cancer. They found that patients with MYC and TWIST1 were less likely to survive, produced more Ccl2 and Il13, and had more macrophages in their tumors.
"Interestingly, MYC and TWIST1 have previously been shown to cooperate in a positive way to modulate inflammation during embryonic development," says senior author Dean Felsher, PhD, Professor in the Division of Oncology at Stanford University. "These microenvironment changes are needed to enable mesodermal cells to migrate to their destination. But in multiple human cancers, both MYC and TWIST1 are over-expressed, and we suggest that they in turn cause tumor invasion by 'hijacking' this embryonic cell migration program."
Finally, the team monitored Ccl2 and Il13 levels in 25 patients with liver cancer and 10 control patients with cirrhosis. They found that only the patients with liver cancer had elevated levels of the two molecules and, of this group, those with higher levels of Il13 were more likely to have aggressive tumors.
"These results suggest that patients with more aggressive cancers will likely have higher levels of Ccl2 and Il13 cytokines in their blood," Felsher concludes. "Testing for these molecules in future could help identify those who may benefit from combination therapies that target them." Source:
eLife Journal reference:
Dhanasekaran,, R., et al. (2020) MYC and Twist1 cooperate to drive metastasis by eliciting crosstalk between cancer and innate immunity. eLife . doi.org/10.7554/eLife.50731 .
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