Circulating tumor cell clusters are oligoclonal precursors of breast cancer metastasis.

Circulating tumor cell clusters are oligoclonal precursors of breast cancer metastasis.
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DOI:
10.1016/j.cell.2014.07.013
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发表时间:
2014-08-28
期刊:
影响因子:
64.5
通讯作者:
Maheswaran S
Maheswaran S
中科院分区:
生物学1区
文献类型:
--
作者:
Aceto N;Bardia A;Miyamoto DT;Donaldson MC;Wittner BS;Spencer JA;Yu M;Pely A;Engstrom A;Zhu H;Brannigan BW;Kapur R;Stott SL;Shioda T;Ramaswamy S;Ting DT;Lin CP;Toner M;Haber DA;Maheswaran S

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循环肿瘤细胞簇(ctc -簇)存在于癌症患者的血液中,但它们对转移的贡献尚未明确。使用带有标记乳腺肿瘤的小鼠模型,我们证明ctc簇起源于寡克隆肿瘤细胞群,而不是来自血管内聚集事件。尽管与单个ctc相比,ctc簇在循环中很少见,但其转移潜力增加了23-50倍。在乳腺癌患者中,ctc簇和单个ctc的单细胞分辨率RNA测序,在个体血液样本中匹配,确定细胞连接成分血小板红蛋白高度差异表达。在小鼠模型中,敲低血小板红蛋白可消除ctc簇的形成并抑制肺转移。在乳腺癌患者中,ctc簇的丰度和肿瘤血小板红蛋白的高水平都表明不良后果。因此,ctc簇源于原发肿瘤细胞的多细胞分组,通过血小板蛋白依赖的细胞间粘附结合在一起,虽然罕见,但它们极大地促进了癌症的转移扩散。
Clusters of circulating tumor cells (CTC-clusters) are present in the blood of patients with cancer but their contribution to metastasis is not well defined. Using mouse models with tagged mammary tumors, we demonstrate that CTC-clusters arise from oligoclonal tumor cell groupings and not from intravascular aggregation events. Although rare in the circulation compared with single CTCs, CTC-clusters have 23-50-fold increased metastatic potential. In patients with breast cancer, single-cell resolution RNA sequencing of CTC-clusters and single CTCs, matched within individual blood samples, identifies the cell junction component plakoglobin as highly differentially expressed. In mouse models, knockdown of plakoglobin abrogates CTC-cluster formation and suppresses lung metastases. In breast cancer patients, both abundance of CTC-clusters and high tumor plakoglobin levels denote adverse outcomes. Thus, CTC-clusters are derived from multicellular groupings of primary tumor cells held together through plakoglobin-dependent intercellular adhesion, and while rare, they greatly contribute to the metastatic spread of cancer.
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