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1 Enterprise Interest Nothing to declare
2 T lymphocytes induce the expression of GBP1 and facilitate brain metastasis of breast cancer Rute Pedrosa, Department of Pathology Erasmus MC - Rotterdam No disclosures
3 Aim of the study To identify specific pathways involved in the formation of cerebral metastasis of breast cancer.
4 Which specific pathways are involved in cerebral metastasis of breast cancer? Group A Group B + Women with brain metastasis + metastases to other organs n=13 Women with metastases to other organs n=9 Selection for: - No adjuvant therapy - ER negative - # metastasis limited to 3 organs
5 Methods Samples of primary breast tumors RNA isolation and quality control RNA expression profiles using Illumina WG-DASL microarrays Validation - RT-PCR - IHC - Functionality: BBB transgression model Identification of differentially expressed gene/s Statistical analysis & Bioinformatics
6 Data analysis Samples Probes Cancer type Breast cancer Breast cancer Breast cancer Platform Illumina WG- DASL Illumina WG- DASL Illumina WG- DASL # of samples which metastasized to brain # of samples which metastasized to other organs but brain Total number of samples P-value # of overexpressed probes in tumours with metastases to brain # of overexpressed probes in tumours with metastases to other organs Total number of differentially expressed probes Pathway analysis
7 Ingenuity pathway analysis (IPA) results Pathway Communication between innate and adaptive of the immune system Antigen presenting pathway Type I Diabetes mellitus signaling T-helper cell differentiation P-value 1.65E E E E-06
8 IPA results (cont.) Up-regulated in primary breast that metastasized to brain. Up-regulated in primary breast that metastasized to other organs.
9 CD3 IHC of T lymphocytes markers Primary breast cancer: Brain metastasis Primary breast cancer: Metastases to other organs (no brain metastasis)
10 Tumor tissue: IHC results Samples Metastatic site CD3 CD4 CD8 1 brain brain brain brain brain brain other organs other organs other organs other organs 0 1 0
11 Functional studies: BBB transgression model In vitro Blood Brain Barrier (BBB) model insert HUVEC cells Human Astrocytes 3 μm pores membrane
12 T lymphocytes: What role do they play? Green tracker 5-day co-culture Breast cancer cell line Overnight T lymphocytes
13 BBB transgression model: results MDA-MB-231 only (control) MDA-MB-231 co-cultured with T lymphocytes MDA-MB-231 cultured with conditioned media of T lymphocytes Green tracker Green tracker Green tracker Overnight Overnight Overnight 20x 20x 20x Breast cancer cell line; T lymphocytes
14 BBB transgression model: quantitative results # of cells that succeeded transgression of BBB 700,00 p = 0,01 600,00 500,00 400,00 MDA-MB ,00 200,00 100,00 0,00 Control T lymphocytes co-culture Culture with conditioned medium of T lymfocytes
15 How do T lymphocytes change the ability of breast cancer cells in crossing the BBB? MDA-MB-231 only (control) MDA-MB-231 co-cultured with T lymphocytes protein extraction protein extraction 7 up-regulated proteins 11 up-regulated proteins Proteomics measurement (LC-MS)
16 How do T lymphocytes change the ability of breast cancer cells in crossing the BBB? Samples Probes Cancer type Platform # of samples which metastasized to brain # of samples which metastasized to other organs but brain Total number of samples P-value # of over-expressed probes in tumours with metastases to brain # of over-expressed probes in tumours with metastases to other organs Total number of differentially expressed probes Breast cancer Breast cancer Breast cancer Illumina WG-DASL Illumina WG-DASL Illumina WG-DASL MDA-MB-231 co-cultured with T lymphocytes protein extraction 11 up-regulated proteins GBP1 (Guanylate Binding Protein 1) Proteomics measurement (LC-MS)
17 GBP1 IHC of GBP1 Primary breast cancer: Brain metastasis Primary breast cancer: Metastases to other organs (no brain metastasis)
18
19 Conclusions T cell response facilitate brain metastasis of ER- breast cancers T lymphocytes induce the expression of GBP1 GBP1 is one of the responsible proteins for changing the ability of breast cancer cells in crossing the BBB
20 Thank you! Internal Oncology: Vania de Weerd Anieta Sieuwerts Marcel Smid John Martens Tumor Immunology: Cor Berrevoets Mandy van Brakel Reno Debets Proteomics: Lona Moradi-Zeneyedpour Lennard Dekker Theo Luider Pathology: Marcel van der Weiden Dana Mustafa Johan M. Kros Patients
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