Myocardial infarction accelerates breast cancer via innate immune reprogramming.

Myocardial infarction accelerates breast cancer via innate immune reprogramming.
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DOI:
10.1038/s41591-020-0964-7
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发表时间:
2020-09
期刊:
影响因子:
82.9
通讯作者:
Moore KJ
Moore KJ
中科院分区:
医学1区
文献类型:
--
作者:
Koelwyn GJ;Newman AAC;Afonso MS;van Solingen C;Corr EM;Brown EJ;Albers KB;Yamaguchi N;Narke D;Schlegel M;Sharma M;Shanley LC;Barrett TJ;Rahman K;Mezzano V;Fisher EA;Park DS;Newman JD;Quail DF;Nelson ER;Caan BJ;Jones LW;Moore KJ

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Disruption of systemic homeostasis by either chronic or acute stressors, such as obesity or surgery, alters cancer pathogenesis. Cancer patients, particularly those with breast cancer, can be at increased risk for cardiovascular disease due to treatment toxicity and changes in lifestyle behaviors. While elevated risk and incidence of cardiovascular events in breast cancer is well-established, whether such events impact cancer pathogenesis is not known. Here, we show that myocardial infarction (MI) accelerates breast cancer outgrowth and cancer-specific mortality in mice and humans. In mouse models of breast cancer, MI epigenetically reprogrammed Ly6Chigh monocytes in the bone marrow reservoir to an immunosuppressive phenotype that was maintained at the transcriptional level in monocytes in both the circulation and tumor. In parallel, MI increased circulating Ly6Chigh monocyte levels and recruitment to tumors, and depletion of these cells abrogated MI-induced tumor growth. Furthermore, early-stage breast cancer patients who experienced cardiovascular events after cancer diagnosis had increased risk of recurrence and cancer-specific death. These preclinical and clinical results demonstrate that MI induces alterations to systemic homeostasis, triggering cross-disease communication that accelerates breast cancer.
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