Neutrophil extracellular traps produced during inflammation awaken dormant cancer cells in mice
Open accessAbstract
Cancer cells from a primary tumor can disseminate to other tissues, remaining dormant and clinically undetectable for many years. Little is known about the cues that cause these dormant cells to awaken, resume proliferating, and develop into metastases. Studying mouse models, we found that sustained lung inflammation caused by tobacco smoke exposure or nasal instillation of lipopolysaccharide converted disseminated, dormant cancer cells to aggressively growing metastases. Sustained inflammation induced the formation of neutrophil extracellular traps (NETs), and these were required for awakening dormant cancer. Mechanistic analysis revealed that two NET-associated proteases, neutrophil elastase and matrix metalloproteinase 9, sequentially cleaved laminin. The proteolytically remodeled laminin induced proliferation of dormant cancer cells by activating integrin α3β1 signaling. Antibodies against NET-remodeled laminin prevented awakening of dormant cells. Therapies aimed at preventing dormant cell awakening could potentially prolong the survival of cancer patients.
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NETs have been directly associated with the initiation and induction of tumor invasion, aiding metastasis.
“recently, through increasing evidence, NETs have been directly associated with the initiation and induction of tumor invasion, aiding metastasis [20, 33–36].”
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- Authors
- Albrengues, J., Shields, M. A., Ng, D., Park, C. G., Ambrico, A., Poindexter, M. E., Upadhyay, P., Uyeminami, D. L., Pommier, A., Küttner, V., Bružas, E., Maiorino, L., Bautista, C., Carmona, E. M., Gimotty, P. A., Fearon, D. T., Chang, K., Lyons, S. K., Pinkerton, K. E., Trotman, L. C., Goldberg, M. S., Yeh, J. T.-H., & Egeblad, M.
- Affiliations
- Cold Spring Harbor Laboratory (US)
- Harvard University (US)
- University of California, Davis (US)
- University of Pennsylvania (US)
- Cornell University (US)
- Corresponding author
- Egeblad, Mikala
- ORCID
- Albrengues, Jean
- Shields, Mario A.
- Ng, David
- Park, Chun Gwon
- Ambrico, Alexandra
- Poindexter, Morgan E.
- Upadhyay, Priya
- Uyeminami, Dale L.
- Pommier, Arnaud
- Bružas, Emilis
- Maiorino, Laura
- Bautista, Carmelita
- Gimotty, Phyllis A.
- Fearon, Douglas T.
- Chang, Kenneth
- Lyons, Scott K.
- Pinkerton, Kent E.
- Trotman, Lloyd C.
- Goldberg, Michael S.
- Yeh, Johannes T.-H.
- Egeblad, Mikala
- Venue
- Science
- Published
- 2018-09-28
- Volume
- 361
- Issue
- 6409
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- PMC
- PMC6777850
- OpenAlex
- W2894451493
- Cited by
- 1,476
- References
- 52
- Citations by year
- 2026: 172 · 2025: 205 · 2024: 214 · 2023: 198 · 2022: 186 · 2021: 219 · 2020: 168 · 2019: 102 · 2018: 10 · 2017: 1
- FWCI
- 53.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Cold Spring Harbor Laboratory Institutional Repository (Cold Spring Harbor Laboratory) (submittedVersion)
- Funders
- U.S. Department of Defense (W81XWH-14-1-0078)
- National Cancer Institute
- Susan G. Komen for the Cure (PDF16376754)
- European Molecular Biology Organization (ALTF 1425-2015)
- Lustgarten Foundation
- Association pour la Recherche sur le Cancer (AE20141202131)
- northwell health
- Cold Spring Harbor Laboratory Cancer Center Support Grant (P30-CA045508)
- Deutsche Forschungsgemeinschaft (KU 3264/1-1)
- George A. and Marjorie H. Anderson Fellowship from the Watson School
- R01 NIH Research Grant Program (5R01CA137050-07)
- Terri Brodeur Breast Cancer Foundation
- Starr Centennial Scholarship from the Watson School of Biological Sciences (21090249)
- Cold Sprint Harbor Laboratory Cancer Center Grant (P30-CA045508)
- Cold Spring Harbor Laboratory Cancer Center Grant (P30-CA045508)
- Cedar Hill Foundation
- Boehringer Ingelheim Fonds Ph.D. fellowship
- AACR-Bayer Healthcare Basic Cancer Research Fellowship (15-40-44-SHIE)
- R01 NIH Research Grant (5R01CA137050-07)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Health Sciences › Medicine › Psychiatry and Mental health › Cancer, Stress, Anesthesia, and Immune Response
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Keywords
- neutrophil extracellular traps, tumor dormancy, dormant cancer cells, metastasis, lung inflammation, lipopolysaccharide, tobacco smoke, neutrophil elastase, MMP-9, tumor cell proliferation, disseminated tumor cells
- MeSH terms
- Protein-Arginine Deiminases, Protein-Arginine Deiminase Type 4, Animals, DNA, Humans, Inflammation, Lipopolysaccharides, Lung, Lung Neoplasms, Mice, Inbred BALB C, Neoplasms, Experimental, Neutrophils, Pneumonia, Smoking, Signal Transduction, Pneumonia, Bacterial, Leukocyte Elastase, Matrix Metalloproteinase 9, Lamins, Integrin alpha3beta1, Mice, Rats, Proteolysis, MCF-7 Cells, Carcinogenesis, Extracellular Traps
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