Department of Radiation Oncology, New York University School of Medicine, New York, New York.
Life Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California.
Cancer Res. 2014 Dec 1;74(23):7149-58. doi: 10.1158/0008-5472.CAN-14-1440. Epub 2014 Oct 3.
Age and physiologic status, such as menopause, are risk factors for breast cancer. Less clear is what factors influence the diversity of breast cancer. In this study, we investigated the effect of host age on the distribution of tumor subtypes in mouse mammary chimera consisting of wild-type hosts and Trp53 nullizygous epithelium, which undergoes a high rate of neoplastic transformation. Wild-type mammary glands cleared of endogenous epithelium at 3 weeks of age were subsequently transplanted during puberty (5 weeks) or at maturation (10 weeks) with syngeneic Trp53-null mammary tissue fragments and monitored for one year. Tumors arose sooner from adult hosts (AH) compared with juvenile hosts (JH). However, compared with AH tumors, JH tumors grew several times faster, were more perfused, exhibited a two-fold higher mitotic index, and were more highly positive for insulin-like growth factor receptor phosphorylation. Most tumors in each setting were estrogen receptor (ER)-positive (80% JH vs. 70% AH), but JH tumors were significantly more ER-immunoreactive (P = 0.0001) than AH tumors. A differential expression signature (JvA) of juvenile versus adult tumors revealed a luminal transcriptional program. Centroids of the human homologs of JvA genes showed that JH tumors were more like luminal A tumors and AH tumors were more like luminal B tumors. Hierarchical clustering with the JvA human ortholog gene list segregated luminal A and luminal B breast cancers across datasets. These data support the notion that age-associated host physiology greatly influences the intrinsic subtype of breast cancer.
年龄和生理状态,如绝经,是乳腺癌的危险因素。不太清楚的是,哪些因素影响乳腺癌的多样性。在这项研究中,我们研究了宿主年龄对由野生型宿主和 Trp53 缺失型上皮组成的鼠乳腺嵌合体中肿瘤亚型分布的影响,该嵌合体经历了很高的肿瘤转化率。在 3 周龄时清除内源性上皮的野生型乳腺随后在青春期(5 周)或成熟时(10 周)与同基因 Trp53 缺失型乳腺组织片段一起移植,并监测了一年。与幼年宿主(JH)相比,成年宿主(AH)的肿瘤更早出现。然而,与 AH 肿瘤相比,JH 肿瘤的生长速度快了数倍,血流灌注更多,有丝分裂指数高两倍,胰岛素样生长因子受体磷酸化水平更高。每个环境中的大多数肿瘤都是雌激素受体(ER)阳性(80%的 JH 与 70%的 AH),但 JH 肿瘤的 ER 免疫反应性明显更强(P = 0.0001)。与成年肿瘤相比,幼年肿瘤的差异表达谱(JvA)显示出一个腔面转录程序。JvA 基因的人类同源物的质心表明,JH 肿瘤更类似于腔面 A 肿瘤,而 AH 肿瘤更类似于腔面 B 肿瘤。用 JvA 人类同源基因列表进行的层次聚类将腔面 A 和腔面 B 乳腺癌在数据集之间进行了分类。这些数据支持了这样一种观点,即年龄相关的宿主生理学极大地影响了乳腺癌的固有亚型。