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Cancer-associated fibroblasts regulate endothelial adhesion protein LPP to promote ovarian cancer chemoresistance
Cecilia S. Leung, … , Michael J. Birrer, Samuel C. Mok
Cecilia S. Leung, … , Michael J. Birrer, Samuel C. Mok
Published December 18, 2017
Citation Information: J Clin Invest. 2018;128(2):589-606. https://doi.org/10.1172/JCI95200.
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Research Article Cell biology Oncology

Cancer-associated fibroblasts regulate endothelial adhesion protein LPP to promote ovarian cancer chemoresistance

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Abstract

The molecular mechanism by which cancer-associated fibroblasts (CAFs) confer chemoresistance in ovarian cancer is poorly understood. The purpose of the present study was to evaluate the roles of CAFs in modulating tumor vasculature, chemoresistance, and disease progression. Here, we found that CAFs upregulated the lipoma-preferred partner (LPP) gene in microvascular endothelial cells (MECs) and that LPP expression levels in intratumoral MECs correlated with survival and chemoresistance in patients with ovarian cancer. Mechanistically, LPP increased focal adhesion and stress fiber formation to promote endothelial cell motility and permeability. siRNA-mediated LPP silencing in ovarian tumor–bearing mice improved paclitaxel delivery to cancer cells by decreasing intratumoral microvessel leakiness. Further studies showed that CAFs regulate endothelial LPP via a calcium-dependent signaling pathway involving microfibrillar-associated protein 5 (MFAP5), focal adhesion kinase (FAK), ERK, and LPP. Thus, our findings suggest that targeting endothelial LPP enhances the efficacy of chemotherapy in ovarian cancer. Our data highlight the importance of CAF–endothelial cell crosstalk signaling in cancer chemoresistance and demonstrate the improved efficacy of using LPP-targeting siRNA in combination with cytotoxic drugs.

Authors

Cecilia S. Leung, Tsz-Lun Yeung, Kay-Pong Yip, Kwong-Kwok Wong, Samuel Y. Ho, Lingegowda S. Mangala, Anil K. Sood, Gabriel Lopez-Berestein, Jianting Sheng, Stephen T.C. Wong, Michael J. Birrer, Samuel C. Mok

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Figure 7

CAF-derived MFAP5 activates LPP through the calcium-dependent MFAP5/FAK/ERK/LPP signaling pathway.

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CAF-derived MFAP5 activates LPP through the calcium-dependent MFAP5/FAK/...
(A) hMEC-1 and TIME MECs treated with recMFAP5 had significantly higher motility rates than did MECs treated with the control buffer, and the stimulatory effect of MFAP5 on cell motility was abrogated in cells preloaded with the cell-permeant calcium chelator BAPTA-AM (mean ± SEM of 3 independent experiments; P < 0.01, by 2-tailed Student’s t test). (B) Fluorescence micrographs show that MFAP5-induced stress fiber formation was abrogated in MECs that had been preloaded with BAPTA-AM, suggesting that calcium signaling is involved in modulating MFAP5 function. Red: F-actin; blue: nuclei. Scale bars: 5 μm. (C–E) Mean normalized time courses of calcium mobilization induced by treating hMEC-1 cells with recMFAP5 in the absence and presence of calcium channel blockers. Calcium influx was monitored with confocal fluorescence microscopy. recMFAP5 was added to the imaging chamber at t0. Blue lines indicate the mean; red lines indicate the SEM. The inositol 1,4,5-triphosphate receptor inhibitor xestospongin C abrogated calcium mobilization, while inhibition of ryanodine receptor with ryanodine did not prevent calcium mobilization. (F) Mean normalized time courses of store-operated calcium entry. Thapsigargin was used to empty intracellular Ca2+ stores in the absence of extracellular Ca2+. Addition of Ca2+ to the medium at t0 resulted in rapid extracellular Ca2+ entry, which was inhibited by preincubation with SKF96365. Solid lines indicate the mean. Dotted lines indicate the SEM. (G) Western blot analyses showing that hMEC-1 and TIME endothelial cells treated with recMFAP5 had higher expression of p-FAK (Y861), p–PLC-γ1 (Y783), p-PKCθ (T538), p-ERK1/2 (T202/Y204), p-MLC2 (T18/S19), p-CREB (S133), c-Jun, and p–c-Jun (S73) compared with control cells. Relative normalized protein expression levels with respect to the corresponding controls are shown. Note: The blot groupings for p-CREB in hMEC-1 and TIME MECs and p-PKCθ in TIME MECs were generated from multiple gels that were run in parallel. (H) MFAP5-induced microvascular endothelial cell motility was suppressed in MECs treated with anti–αVβ3 integrin antibodies. hMEC-1 and TIME MECs were treated with 50 ng/ml recMFAP5 in the presence of an anti-α5 antibody, an anti-αvβ3 antibody, or the control IgG, and the effect on cell motility was determined by a Boyden chamber cell motility assay (mean ± SEM of 3 independent experiments; P < 0.01, by 2-tailed Student’s t test).

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