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Autophagy-deficient breast cancer shows early tumor recurrence and escape from dormancy

Aqbi, Hussein F., Tyutyunyk-Massey, Liliya, Keim, Rebecca C., Butler, Savannah E., Thekkudan, Theresa, Joshi, Supriya, Smith, Timothy M., Bandyopadhyay, Dipankar, Idowu, Michael O., Bear, Harry D., Payne, Kyle K., Gewirtz, David A., Manjili, Masoud H.·2018·Oncotarget

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Crossref · 10.18632/oncotarget.25197

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Figure 1 CQ blocks ADR-induced autophagy MMC tumor cells received three daily doses of ADR alone (1 µM ADR for 2 hrs) (ADR) or in the presence of CQ (10 µM 3 hrs before ADR and 2 hrs during ADR treatment) (ADR+CQ), washed after each daily treatment and analyzed by acridine orange (AO) one day after the last treatment. Untreated MMC (Medium) or MMC treated with CQ (CQ) served as controls. (A) Acridine orange (AO) staining was analyzed for acidic vesicles (red) using image cytometry. Data represent triplicate experiments. (B) Levels of p62/SQSTM1 and LC.3B after treatment with ADR ± CQ indicative of autophagy induction in the absence of autophagic flux (B).
Figure 1 CQ blocks ADR-induced autophagy MMC tumor cells received three daily doses of ADR alone (1 µM ADR for 2 hrs) (ADR) or in the presence of CQ (10 µM 3 hrs before ADR and 2 hrs during ADR treatment) (ADR+CQ), washed after each daily treatment and analyzed by acridine orange (AO) one day after the last treatment. Untreated MMC (Medium) or MMC treated with CQ (CQ) served as controls. (A) Acridine orange (AO) staining was analyzed for acidic vesicles (red) using image cytometry. Data represent triplicate experiments. (B) Levels of p62/SQSTM1 and LC.3B after treatment with ADR ± CQ indicative of autophagy induction in the absence of autophagic flux (B).CC BY · PubMed Central
Figure 2 ADR-induced dormant tumor cells remain dormant in the presence of CQ MMC tumor cells were treated with 3 daily doses of ADR (1 uM for 2 hrs), with one group receiving CQ (10 uM) 3 hrs prior to and during ADR treatment. Both groups remained untreated for 3 weeks and 6 weeks, in vitro. (A) Adherent viable cells were counted using trypan blue exclusion at various time points. Data represent 3 replicates ± SEM. (B) At weeks 3 and 6 post-treatment, Ki-67 expression (upper panel) and viability (lower panel) were quantified within the population of adherent tumor cells. Data represent 2–3 replicates ± SEM. Four independent experiments have been carried out which have shown similar results.
Figure 2 ADR-induced dormant tumor cells remain dormant in the presence of CQ MMC tumor cells were treated with 3 daily doses of ADR (1 uM for 2 hrs), with one group receiving CQ (10 uM) 3 hrs prior to and during ADR treatment. Both groups remained untreated for 3 weeks and 6 weeks, in vitro. (A) Adherent viable cells were counted using trypan blue exclusion at various time points. Data represent 3 replicates ± SEM. (B) At weeks 3 and 6 post-treatment, Ki-67 expression (upper panel) and viability (lower panel) were quantified within the population of adherent tumor cells. Data represent 2–3 replicates ± SEM. Four independent experiments have been carried out which have shown similar results.CC BY · PubMed Central
Figure 3 Dormant tumor cells established by ADR or ADR+CQ remain susceptible to immunotherapy The in vitro tumor dormancy was established three weeks after three daily treatments of MMC with ADR or ADR+CQ. Untreated MMC cells were used as control. (A) Apoptosis was determined by FVS viability staining in MMC (control), ADR-treated dormant MMC (ADR), ADR+CQ-treated dormant MMC (ADR+CQ), as well as control MMC cultured with three daily doses of IFN-g and analyzed two days later (50 ng/ml) (IFN-g), ADR-treated dormant MMC cultured with three daily doses of IFN-g (50 ng/ml) and analyzed two days later (ADR > IFN-g), or ADR+CQ-treated dormant MMC cultured with three daily doses of IFN-g (50 ng/ml) and analyzed two days later (ADR+CQ > IFN-g). (B) Apoptosis was determined by FVS viability staining of MMC (control), MMC cultured with MMC-sensitized T cells for 48 hrs (T cells), ADR-treated dormant MMC (ADR), ADR-treated dormant MMC cultured with MMC-sensitized T cells for 48 hrs (ADR > T cells), ADR+CQ-treated dormant MMC (ADR+CQ), or ADR+CQ-treated dormant MMC cultured with MMC-sensitized T cells for 48 hrs (ADR+CQ > T cells). Splenic T cells were collected from MMC tumor-bearing FVBN202 mice.
Figure 3 Dormant tumor cells established by ADR or ADR+CQ remain susceptible to immunotherapy The in vitro tumor dormancy was established three weeks after three daily treatments of MMC with ADR or ADR+CQ. Untreated MMC cells were used as control. (A) Apoptosis was determined by FVS viability staining in MMC (control), ADR-treated dormant MMC (ADR), ADR+CQ-treated dormant MMC (ADR+CQ), as well as control MMC cultured with three daily doses of IFN-g and analyzed two days later (50 ng/ml) (IFN-g), ADR-treated dormant MMC cultured with three daily doses of IFN-g (50 ng/ml) and analyzed two days later (ADR > IFN-g), or ADR+CQ-treated dormant MMC cultured with three daily doses of IFN-g (50 ng/ml) and analyzed two days later (ADR+CQ > IFN-g). (B) Apoptosis was determined by FVS viability staining of MMC (control), MMC cultured with MMC-sensitized T cells for 48 hrs (T cells), ADR-treated dormant MMC (ADR), ADR-treated dormant MMC cultured with MMC-sensitized T cells for 48 hrs (ADR > T cells), ADR+CQ-treated dormant MMC (ADR+CQ), or ADR+CQ-treated dormant MMC cultured with MMC-sensitized T cells for 48 hrs (ADR+CQ > T cells). Splenic T cells were collected from MMC tumor-bearing FVBN202 mice.CC BY · PubMed Central
Figure 4 Autophagy knockdown tumor cells become less susceptible to ADR-induced apoptosis Autophagy-deficient MMC (ATG5KD MMC) or autophagy-competent MMC (MMC) were treated with a single dose of ADR alone (1 uM ADR for 2 hrs). Tumor cells were analyzed by Annexin V/PI staining prior to treatment (Day 0) or three days after the treatment (Day 4). Experiments were performed in triplicates.
Figure 4 Autophagy knockdown tumor cells become less susceptible to ADR-induced apoptosis Autophagy-deficient MMC (ATG5KD MMC) or autophagy-competent MMC (MMC) were treated with a single dose of ADR alone (1 uM ADR for 2 hrs). Tumor cells were analyzed by Annexin V/PI staining prior to treatment (Day 0) or three days after the treatment (Day 4). Experiments were performed in triplicates.CC BY · PubMed Central
Figure 5 ADR-induced tumor dormancy in autophagy knockdown tumor cells with polyploid-like morphology compared with autophagy competent tumor cells, in vitro MMC or ATG5KD MMC tumor cells (3 million cells, Day 0) were treated with 3 daily doses of ADR (1uM for 2 hrs), and viable cells were counted at week 3 using trypan blue exclusion. Data represent triplicate experiments (A). Dot plots from each experimental group gated for cell cycle phase based upon DNA content (7-AAD) and Ki-67 expression. Events falling to the left of the G1/G0 gates are considered apoptotic cells (AP). Events falling to the far right of the G2/M gate are considered polyploid-like cells (Poly) (B). Three independent experiments have been performed and data represent 3 replicates ± SEM.
Figure 5 ADR-induced tumor dormancy in autophagy knockdown tumor cells with polyploid-like morphology compared with autophagy competent tumor cells, in vitro MMC or ATG5KD MMC tumor cells (3 million cells, Day 0) were treated with 3 daily doses of ADR (1uM for 2 hrs), and viable cells were counted at week 3 using trypan blue exclusion. Data represent triplicate experiments (A). Dot plots from each experimental group gated for cell cycle phase based upon DNA content (7-AAD) and Ki-67 expression. Events falling to the left of the G1/G0 gates are considered apoptotic cells (AP). Events falling to the far right of the G2/M gate are considered polyploid-like cells (Poly) (B). Three independent experiments have been performed and data represent 3 replicates ± SEM.CC BY · PubMed Central
Figure 6 Earlier relapse of autophagy knockdown tumor cells with polyploid morphology compared with autophagy competent tumor cells, in vivo (A) FVBN202 mice (n = 7) were challenged i.v. with 106 cells ADR-treated dormant control MMC (MMC), or ADR-treated dormant ATG5KD MMC (ATG5KD MMC). Animals were euthanized as soon as they became moribund. Representative tumor relapse in the lung and survival curve are shown. (B) Relapsed tumors were collected and immunohistochemistry slides were prepared by either staining samples with hematoxylin and eosin (H&E) or by Ki67 staining followed by subsequent digitization and analysis with NDP View software (Hamamatsu Photonics). At twenty-times magnification, three representative 0.02 mm2 areas were chosen from the H&E slides containing approximately 100 cells to measure nuclear envelope size. Cells containing a nuclear envelope equal to or greater than 16 um with visible multi-nuclei were considered polyploid-like or high grade cells. The corresponding cell was then analyzed on the Ki67 stained slide to determine Ki67 expression levels. Data was collected from three biological samples. Significance is based on a two-tailed t-test of p < 0.05.
Figure 6 Earlier relapse of autophagy knockdown tumor cells with polyploid morphology compared with autophagy competent tumor cells, in vivo (A) FVBN202 mice (n = 7) were challenged i.v. with 106 cells ADR-treated dormant control MMC (MMC), or ADR-treated dormant ATG5KD MMC (ATG5KD MMC). Animals were euthanized as soon as they became moribund. Representative tumor relapse in the lung and survival curve are shown. (B) Relapsed tumors were collected and immunohistochemistry slides were prepared by either staining samples with hematoxylin and eosin (H&E) or by Ki67 staining followed by subsequent digitization and analysis with NDP View software (Hamamatsu Photonics). At twenty-times magnification, three representative 0.02 mm2 areas were chosen from the H&E slides containing approximately 100 cells to measure nuclear envelope size. Cells containing a nuclear envelope equal to or greater than 16 um with visible multi-nuclei were considered polyploid-like or high grade cells. The corresponding cell was then analyzed on the Ki67 stained slide to determine Ki67 expression levels. Data was collected from three biological samples. Significance is based on a two-tailed t-test of p < 0.05.CC BY · PubMed Central
Figure 7 Autophagy knockdown tumor cells become resistant to T cell-induced apoptosis Neu overexpressing autophagy-deficient MMC (ATG5KD MMC) or autophagy-competent MMC (MMC) were co-cultured with MMC-sensitized T cells and then gated CD45-Neu+ tumor cells were analyzed by Annexin V/PI staining. Data represents triplicate experiments.
Figure 7 Autophagy knockdown tumor cells become resistant to T cell-induced apoptosis Neu overexpressing autophagy-deficient MMC (ATG5KD MMC) or autophagy-competent MMC (MMC) were co-cultured with MMC-sensitized T cells and then gated CD45-Neu+ tumor cells were analyzed by Annexin V/PI staining. Data represents triplicate experiments.CC BY · PubMed Central

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Citations

Cites

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Metadata

Authors
Aqbi, H. F., Tyutyunyk-Massey, L., Keim, R. C., Butler, S. E., Thekkudan, T., Joshi, S., Smith, T. M., Bandyopadhyay, D., Idowu, M. O., Bear, H. D., Payne, K. K., Gewirtz, D. A., & Manjili, M. H.
Affiliations
  • Department of Microbiology and Immunology, Virginia Commonwealth University School of Medicine, Richmond, 23298, VA, USA
  • Department of Pharmacology and Toxicology, Virginia Commonwealth University School of Medicine, Richmond, 23298, VA, USA
  • Department of Human and Molecular Genetics, Virginia Commonwealth University School of Medicine, Richmond, 23298, VA, USA
  • Massey Cancer Center, Virginia Commonwealth University School of Medicine, Richmond, 23298, VA, USA
  • Department of Immunology, Moffitt Cancer Center, Tampa, 33612, FL, USA
Venue
Oncotarget
Published
2018-04-24
Volume
9
Issue
31
Pages
22113-22122
ISSN
1949-2553
Cited by
76
References
2
Language
en

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