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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Autores principales: 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
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Publicado: Nature Portfolio 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle 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
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