Interleukin-6 trans-signaling is a candidate mechanism to drive progression of human DCCs during clinical latency

Nat Commun. 2020 Oct 5;11(1):4977. doi: 10.1038/s41467-020-18701-4.

Abstract

Although thousands of breast cancer cells disseminate and home to bone marrow until primary surgery, usually less than a handful will succeed in establishing manifest metastases months to years later. To identify signals that support survival or outgrowth in patients, we profile rare bone marrow-derived disseminated cancer cells (DCCs) long before manifestation of metastasis and identify IL6/PI3K-signaling as candidate pathway for DCC activation. Surprisingly, and similar to mammary epithelial cells, DCCs lack membranous IL6 receptor expression and mechanistic dissection reveals IL6 trans-signaling to regulate a stem-like state of mammary epithelial cells via gp130. Responsiveness to IL6 trans-signals is found to be niche-dependent as bone marrow stromal and endosteal cells down-regulate gp130 in premalignant mammary epithelial cells as opposed to vascular niche cells. PIK3CA activation renders cells independent from IL6 trans-signaling. Consistent with a bottleneck function of microenvironmental DCC control, we find PIK3CA mutations highly associated with late-stage metastatic cells while being extremely rare in early DCCs. Our data suggest that the initial steps of metastasis formation are often not cancer cell-autonomous, but also depend on microenvironmental signals.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone Marrow / pathology
  • Breast / cytology
  • Breast Neoplasms / pathology
  • Class I Phosphatidylinositol 3-Kinases / genetics
  • Class I Phosphatidylinositol 3-Kinases / metabolism
  • Cytokine Receptor gp130 / metabolism
  • Epithelial Cells / metabolism
  • Epithelial Cells / pathology
  • Female
  • Humans
  • Interleukin-6 / genetics
  • Interleukin-6 / metabolism*
  • Mutation
  • Neoplasm Metastasis / genetics
  • Neoplastic Stem Cells / metabolism*
  • Neoplastic Stem Cells / pathology*
  • Receptors, Interleukin-6 / deficiency
  • Receptors, Interleukin-6 / metabolism
  • Signal Transduction*
  • Stromal Cells / metabolism
  • Tumor Microenvironment

Substances

  • IL6 protein, human
  • IL6R protein, human
  • IL6ST protein, human
  • Interleukin-6
  • Receptors, Interleukin-6
  • Cytokine Receptor gp130
  • Class I Phosphatidylinositol 3-Kinases
  • PIK3CA protein, human