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2014 ; 105
(9
): 1142-51
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Prostaglandin E2 receptor EP4 as the common target on cancer cells and
macrophages to abolish angiogenesis, lymphangiogenesis, metastasis, and stem-like
cell functions
#MMPMID24981602
Majumder M
; Xin X
; Liu L
; Girish GV
; Lala PK
Cancer Sci
2014[Sep]; 105
(9
): 1142-51
PMID24981602
show ga
We previously established that COX-2 overexpression promotes breast cancer
progression and metastasis. As long-term use of COX-2 inhibitors (COX-2i) can
promote thrombo-embolic events, we tested an alternative target, prostaglandin E2
receptor EP4 subtype (EP4), downstream of COX-2. Here we used the highly
metastatic syngeneic murine C3L5 breast cancer model to test the role of
EP4-expressing macrophages in vascular endothelial growth factor (VEGF)-C/D
production, angiogenesis, and lymphangiogenesis in situ, the role of EP4 in
stem-like cell (SLC) functions of tumor cells, and therapeutic effects of an EP4
antagonist RQ-15986 (EP4A). C3L5 cells expressed all EP receptors, produced
VEGF-C/D, and showed high clonogenic tumorsphere forming ability in vitro,
functions inhibited with COX-2i or EP4A. Treating murine macrophage RAW 264.7
cell line with COX-2i celecoxib and EP4A significantly reduced VEGF-A/C/D
production in vitro, measured with quantitative PCR and Western blots. Orthotopic
implants of C3L5 cells in C3H/HeJ mice showed rapid tumor growth, angiogenesis,
lymphangiogenesis (CD31/LYVE-1 and CD31/PROX1 immunostaining), and metastasis to
lymph nodes and lungs. Tumors revealed high incidence of EP4-expressing, VEGF-C/D
producing macrophages identified with dual immunostaining of F4/80 and EP4 or
VEGF-C/D. Celecoxib or EP4A therapy at non-toxic doses abrogated tumor growth,
lymphangiogenesis, and metastasis to lymph nodes and lungs. Residual tumors in
treated mice revealed markedly reduced VEGF-A/C/D and phosphorylated Akt/ERK
proteins, VEGF-C/D positive macrophage infiltration, and proliferative/apoptotic
cell ratios. Knocking down COX-2 or EP4 in C3L5 cells or treating cells in vitro
with celecoxib or EP4A and treating tumor-bearing mice in vivo with the same drug
reduced SLC properties of tumor cells including preferential co-expression of
COX-2 and SLC markers ALDH1A, CD44, OCT-3/4, ?-catenin, and SOX-2. Thus, EP4 is
an excellent therapeutic target to block stem-like properties, angiogenesis, and
lymphangiogenesis induced by VEGF-A/C/D secreted by cancer cells and tumor
infiltrating macrophages.