IL-1B drives opposing responses in primary tumours and bone metastases; harnessing combination therapies to improve outcome in breast cancer
Abstract Breast cancer bone metastasis is currently incurable, ~75% of patients with late-stage breast cancer develop disease recurrence in bone and available treatments are only palliative. We have previously shown that production of the pro-inflammatory cytokine interleukin-1B (IL-1B) by breast ca...
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2021
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oai:doaj.org-article:db7c85c82ea947e69d237a3402f52c962021-12-02T16:17:53ZIL-1B drives opposing responses in primary tumours and bone metastases; harnessing combination therapies to improve outcome in breast cancer10.1038/s41523-021-00305-w2374-4677https://doaj.org/article/db7c85c82ea947e69d237a3402f52c962021-07-01T00:00:00Zhttps://doi.org/10.1038/s41523-021-00305-whttps://doaj.org/toc/2374-4677Abstract Breast cancer bone metastasis is currently incurable, ~75% of patients with late-stage breast cancer develop disease recurrence in bone and available treatments are only palliative. We have previously shown that production of the pro-inflammatory cytokine interleukin-1B (IL-1B) by breast cancer cells drives bone metastasis in patients and in preclinical in vivo models. In the current study, we have investigated how IL-1B from tumour cells and the microenvironment interact to affect primary tumour growth and bone metastasis through regulation of the immune system, and whether targeting IL-1 driven changes to the immune response improves standard of care therapy for breast cancer bone metastasis. Using syngeneic IL-1B/IL1R1 knock out mouse models in combination with genetic manipulation of tumour cells to overexpress IL-1B/IL1R1, we found that IL-1B signalling elicited an opposite response in primary tumours compared with bone metastases. In primary tumours, IL-1B inhibited growth, by impairing the infiltration of innate immune cell subsets with potential anti-cancer functions but promoted enhanced tumour cell migration. In bone, IL-1B stimulated the development of osteolytic metastases. In syngeneic models of breast cancer, combining standard of care treatments (Doxorubicin and Zoledronic acid) with the IL-1 receptor antagonist Anakinra inhibited both primary tumour growth and metastasis. Anakinra had opposite effects on the immune response compared to standard of care treatment, and its anti-inflammatory signature was maintained in the combination therapy. These data suggest that targeting IL-1B signalling may provide a useful therapeutic approach to inhibit bone metastasis and improve efficacy of current treatments for breast cancer patients.Claudia TulottaDiane V. LefleyCharlotte K. MooreAna E. AmariuteiAmy R. Spicer-HadlingtonLewis A. QuayleRussell O. HughesKhawla AhmedVictoria CooksonCatherine A. EvansJayakumar VadakekolathuPaul HeathSheila FrancisEmmanuel PinteauxA. Graham PockleyPenelope D. OttewellNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Breast Cancer, Vol 7, Iss 1, Pp 1-15 (2021) |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Claudia Tulotta Diane V. Lefley Charlotte K. Moore Ana E. Amariutei Amy R. Spicer-Hadlington Lewis A. Quayle Russell O. Hughes Khawla Ahmed Victoria Cookson Catherine A. Evans Jayakumar Vadakekolathu Paul Heath Sheila Francis Emmanuel Pinteaux A. Graham Pockley Penelope D. Ottewell IL-1B drives opposing responses in primary tumours and bone metastases; harnessing combination therapies to improve outcome in breast cancer |
description |
Abstract Breast cancer bone metastasis is currently incurable, ~75% of patients with late-stage breast cancer develop disease recurrence in bone and available treatments are only palliative. We have previously shown that production of the pro-inflammatory cytokine interleukin-1B (IL-1B) by breast cancer cells drives bone metastasis in patients and in preclinical in vivo models. In the current study, we have investigated how IL-1B from tumour cells and the microenvironment interact to affect primary tumour growth and bone metastasis through regulation of the immune system, and whether targeting IL-1 driven changes to the immune response improves standard of care therapy for breast cancer bone metastasis. Using syngeneic IL-1B/IL1R1 knock out mouse models in combination with genetic manipulation of tumour cells to overexpress IL-1B/IL1R1, we found that IL-1B signalling elicited an opposite response in primary tumours compared with bone metastases. In primary tumours, IL-1B inhibited growth, by impairing the infiltration of innate immune cell subsets with potential anti-cancer functions but promoted enhanced tumour cell migration. In bone, IL-1B stimulated the development of osteolytic metastases. In syngeneic models of breast cancer, combining standard of care treatments (Doxorubicin and Zoledronic acid) with the IL-1 receptor antagonist Anakinra inhibited both primary tumour growth and metastasis. Anakinra had opposite effects on the immune response compared to standard of care treatment, and its anti-inflammatory signature was maintained in the combination therapy. These data suggest that targeting IL-1B signalling may provide a useful therapeutic approach to inhibit bone metastasis and improve efficacy of current treatments for breast cancer patients. |
format |
article |
author |
Claudia Tulotta Diane V. Lefley Charlotte K. Moore Ana E. Amariutei Amy R. Spicer-Hadlington Lewis A. Quayle Russell O. Hughes Khawla Ahmed Victoria Cookson Catherine A. Evans Jayakumar Vadakekolathu Paul Heath Sheila Francis Emmanuel Pinteaux A. Graham Pockley Penelope D. Ottewell |
author_facet |
Claudia Tulotta Diane V. Lefley Charlotte K. Moore Ana E. Amariutei Amy R. Spicer-Hadlington Lewis A. Quayle Russell O. Hughes Khawla Ahmed Victoria Cookson Catherine A. Evans Jayakumar Vadakekolathu Paul Heath Sheila Francis Emmanuel Pinteaux A. Graham Pockley Penelope D. Ottewell |
author_sort |
Claudia Tulotta |
title |
IL-1B drives opposing responses in primary tumours and bone metastases; harnessing combination therapies to improve outcome in breast cancer |
title_short |
IL-1B drives opposing responses in primary tumours and bone metastases; harnessing combination therapies to improve outcome in breast cancer |
title_full |
IL-1B drives opposing responses in primary tumours and bone metastases; harnessing combination therapies to improve outcome in breast cancer |
title_fullStr |
IL-1B drives opposing responses in primary tumours and bone metastases; harnessing combination therapies to improve outcome in breast cancer |
title_full_unstemmed |
IL-1B drives opposing responses in primary tumours and bone metastases; harnessing combination therapies to improve outcome in breast cancer |
title_sort |
il-1b drives opposing responses in primary tumours and bone metastases; harnessing combination therapies to improve outcome in breast cancer |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/db7c85c82ea947e69d237a3402f52c96 |
work_keys_str_mv |
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