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Contribution of an alveolar cell of origin to the high-grade malignant phenotype of pregnancy-associated breast cancer

Abstract

Pregnancy-associated breast cancers (PABCs) are tumors diagnosed during pregnancy or up to 5 years following parturition, and are usually high-grade, connective tissue-rich, and estrogen receptor (ER)/progesterone receptor-negative. Little is known about the cellular origin of PABCs or the mechanisms by which PABCs are initiated. Using the RCAS retrovirus to deliver the ErbB2 oncogene into the mammary epithelium of our previously reported MMTV-tva transgenic mice, we detected high-grade, poorly differentiated, stroma-rich and ER-negative tumors during pregnancy and lactation. These high-grade and stroma-rich tumors were less frequent in involuted mice or in age-matched nulliparous mice. More importantly, by generating a WAP-tva transgenic line for expression of ErbB2 selectively in WAP+ mammary alveolar cells, we found that tumors had similar morphological phenotypes (high grade, poorly differentiated, stroma-rich and ER-negative), irrespective of the time since pregnancy and even in the absence of pregnancy. These data suggest that PABCs arise preferentially from an alveolar cell population that expands during pregnancy and lactation. This somatic mouse model may also be useful for preclinical testing of new prophylactic and therapeutic strategies against PABC.

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References

  1. Schedin P . Pregnancy-associated breast cancer and metastasis. Nat Rev Cancer 2006; 6: 281–291.

    Article  CAS  Google Scholar 

  2. Middleton LP, Amin M, Gwyn K, Theriault R, Sahin A . Breast carcinoma in pregnant women: assessment of clinicopathologic and immunohistochemical features. Cancer 2003; 98: 1055–1060.

    Article  Google Scholar 

  3. Mathelin C, Annane K, Treisser A, Chenard MP, Tomasetto C, Bellocq JP et al. Pregnancy and post-partum breast cancer: a prospective study. Anticancer Res 2008; 28: 2447–2452.

    PubMed  Google Scholar 

  4. Genin AS, Lesieur B, Gligorov J, Antoine M, Selleret L, Rouzier R . Pregnancy-associated breast cancers: do they differ from other breast cancers in young women? Breast 2012; 21: 550–555.

    Article  Google Scholar 

  5. Lyons TR, Schedin PJ, Borges VF . Pregnancy and breast cancer: when they collide. J Mammary Gland Biol Neoplasia 2009; 14: 87–98.

    Article  Google Scholar 

  6. Fornetti J, Martinson H, Borges V, Schedin P . Emerging targets for the prevention of pregnancy-associated breast cancer. Cell Cycle 2012; 11: 639–640.

    Article  CAS  Google Scholar 

  7. Lyons TR, O'Brien J, Borges VF, Conklin MW, Keely PJ, Eliceiri KW et al. Postpartum mammary gland involution drives progression of ductal carcinoma in situ through collagen and COX-2. Nat Med 2011; 17: 1109–1115.

    Article  CAS  Google Scholar 

  8. O'Brien J, Lyons T, Monks J, Lucia MS, Wilson RS, Hines L et al. Alternatively activated macrophages and collagen remodeling characterize the postpartum involuting mammary gland across species. Am J Pathol 2010; 176: 1241–1255.

    Article  CAS  Google Scholar 

  9. Pilewskie M, Gorodinsky P, Fought A, Hansen N, Bethke K, Jeruss J et al. Association between recency of last pregnancy and biologic subtype of breast cancer. Ann Surg Oncol 2012; 19: 1167–1173.

    Article  Google Scholar 

  10. Stensheim H, Moller B, van Dijk T, Fossa SD . Cause-specific survival for women diagnosed with cancer during pregnancy or lactation: a registry-based cohort study. J Clin Oncol 2009; 27: 45–51.

    Article  Google Scholar 

  11. O'Brien J, Hansen K, Barkan D, Green J, Schedin P . Non-steroidal anti-inflammatory drugs target the pro-tumorigenic extracellular matrix of the postpartum mammary gland. Int J Dev Biol 2011; 55: 745–755.

    Article  Google Scholar 

  12. Watson CJ, Khaled WT . Mammary development in the embryo and adult: a journey of morphogenesis and commitment. Development 2008; 135: 995–1003.

    Article  CAS  Google Scholar 

  13. Robinson GW, McKnight RA, Smith GH, Hennighausen L . Mammary epithelial cells undergo secretory differentiation in cycling virgins but require pregnancy for the establishment of terminal differentiation. Development 1995; 121: 2079–2090.

    CAS  PubMed  Google Scholar 

  14. Yamaji D, Na R, Feuermann Y, Pechhold S, Chen W, Robinson GW et al. Development of mammary luminal progenitor cells is controlled by the transcription factor STAT5A. Genes Dev 2009; 23: 2382–2387.

    Article  CAS  Google Scholar 

  15. Khaled WT, Read EK, Nicholson SE, Baxter FO, Brennan AJ, Came PJ et al. The IL-4/IL-13/Stat6 signalling pathway promotes luminal mammary epithelial cell development. Development 2007; 134: 2739–2750.

    Article  CAS  Google Scholar 

  16. Smith GH, Boulanger CA . Mammary epithelial stem cells: transplantation and self-renewal analysis. Cell Prolif 2003; 36 (Suppl 1): 3–15.

    Article  CAS  Google Scholar 

  17. Bu W, Chen J, Morrison GD, Huang S, Creighton CJ, Huang J et al. Keratin 6a marks mammary bipotential progenitor cells that can give rise to a unique tumor model resembling human normal-like breast cancer. Oncogene 2011; 30: 4399–4409.

    Article  CAS  Google Scholar 

  18. Ince TA, Richardson AL, Bell GW, Saitoh M, Godar S, Karnoub AE et al. Transformation of different human breast epithelial cell types leads to distinct tumor phenotypes. Cancer Cell 2007; 12: 160–170.

    Article  CAS  Google Scholar 

  19. Proia TA, Keller PJ, Gupta PB, Klebba I, Jones AD, Sedic M et al. Genetic predisposition directs breast cancer phenotype by dictating progenitor cell fate. Cell Stem Cell 2011; 8: 149–163.

    Article  CAS  Google Scholar 

  20. Keller PJ, Arendt LM, Skibinski A, Logvinenko T, Klebba I, Dong S et al. Defining the cellular precursors to human breast cancer. Proc Natl Acad Sci USA 2012; 109: 2772–2777.

    Article  CAS  Google Scholar 

  21. Molyneux G, Geyer FC, Magnay FA, McCarthy A, Kendrick H, Natrajan R et al. BRCA1 basal-like breast cancers originate from luminal epithelial progenitors and not from basal stem cells. Cell Stem Cell 2010; 7: 403–417.

    Article  CAS  Google Scholar 

  22. Bu W, Zhang X, Dai H, huang S, Li Y . Mammary cells with active Wnt signaling resist ErbB2-induced tumorigenesis. PLoS One 2013; 8: e78720.

    Article  CAS  Google Scholar 

  23. Du Z, Podsypanina K, Huang S, McGrath A, Toneff MJ, Bogoslovskaia E et al. Introduction of oncogenes into mammary glands in vivo with an avian retroviral vector initiates and promotes carcinogenesis in mouse models. Proc Natl Acad Sci USA 2006; 103: 17396–17401.

    Article  CAS  Google Scholar 

  24. Reddy JP, Li Y . The RCAS-TVA system for introduction of oncogenes into selected somatic mammary epithelial cells in vivo. J Mammary Gland Biol Neoplasia 2009; 14: 405–409.

    Article  Google Scholar 

  25. Toneff MJ, Du Z, Dong J, Huang J, Sinai P, Forman J et al. Somatic expression of PyMT or activated ErbB2 induces estrogen-independent mammary tumorigenesis. Neoplasia 2010/09; 12: 718–726.

    Article  CAS  Google Scholar 

  26. Cruz GI, Martinez ME, Natarajan L, Wertheim BC, Gago-Dominguez M, Bondy M et al. Hypothesized role of pregnancy hormones on HER2+ breast tumor development. Breast Cancer Res Treat 2013; 137: 237–246.

    Article  CAS  Google Scholar 

  27. Baselga J, Swain SM . Novel anticancer targets: revisiting ERBB2 and discovering ERBB3. Nat Rev Cancer 2009; 9: 463–475.

    Article  CAS  Google Scholar 

  28. Klaus A, Birchmeier W . Wnt signalling and its impact on development and cancer. Nat Rev Cancer 2008; 8: 387–398.

    Article  CAS  Google Scholar 

  29. Brisken C . Hormonal control of alveolar development and its implications for breast carcinogenesis. J Mammary Gland Biol Neoplasia 2002; 7: 39–48.

    Article  Google Scholar 

  30. Liu X, Robinson GW, Wagner KU, Garrett L, Wynshaw-Boris A, Hennighausen L . Stat5a is mandatory for adult mammary gland development and lactogenesis. Genes Dev 1997; 11: 179–186.

    Article  CAS  Google Scholar 

  31. Shackleton M, Vaillant F, Simpson KJ, Stingl J, Smyth GK, Asselin-Labat ML et al. Generation of a functional mammary gland from a single stem cell. Nature 2006; 439: 84–88.

    Article  CAS  Google Scholar 

  32. Van Keymeulen A, Rocha AS, Ousset M, Beck B, Bouvencourt G, Rock J et al. Distinct stem cells contribute to mammary gland development and maintenance. Nature 2011; 479: 189–193.

    Article  CAS  Google Scholar 

  33. MacMahon B, Cole P, Lin TM, Lowe CR, Mirra AP, Ravnihar B et al. Age at first birth and breast cancer risk. Bull World Health Organ 1970; 43: 209–221.

    CAS  PubMed  PubMed Central  Google Scholar 

  34. Medina D . Breast cancer: the protective effect of pregnancy. Clin Cancer Res 2004; 10 (1 Pt 2): 380S–384SS.

    Article  CAS  Google Scholar 

  35. Nielsen M, Thomsen JL, Primdahl S, Dyreborg U, Andersen JA . Breast cancer and atypia among young and middle-aged women: a study of 110 medicolegal autopsies. Br J Cancer 1987; 56: 814–819.

    Article  CAS  Google Scholar 

  36. Welch HG, Black WC . Using autopsy series to estimate the disease ‘reservoir’ for ductal carcinoma in situ of the breast: how much more breast cancer can we find? Ann Intern Med 1997; 127: 1023–1028.

    Article  CAS  Google Scholar 

  37. Bartow SA, Pathak DR, Black WC, Key CR, Teaf SR . Prevalence of benign, atypical, and malignant breast lesions in populations at different risk for breast cancer. A forensic autopsy study. Cancer 1987; 60: 2751–2760.

    Article  CAS  Google Scholar 

  38. Foulkes WD, Metcalfe K, Sun P, Hanna WM, Lynch HT, Ghadirian P et al. Estrogen receptor status in BRCA1- and BRCA2-related breast cancer: the influence of age, grade, and histological type. Clin Cancer Res 2004; 10: 2029–2034.

    Article  CAS  Google Scholar 

  39. Murphy CG, Mallam D, Stein S, Patil S, Howard J, Sklarin N et al. Current or recent pregnancy is associated with adverse pathologic features but not impaired survival in early breast cancer. Cancer 2012; 118: 3254–3259.

    Article  Google Scholar 

  40. Campbell SM, Rosen JM, Hennighausen LG, Strech-Jurk U, Sippel AE . Comparison of the whey acidic protein genes of the rat and mouse. Nucleic Acids Res 1984; 12: 8685–8697.

    Article  CAS  Google Scholar 

  41. Holland EC, Varmus HE . Basic fibroblast growth factor induces cell migration and proliferation after glia-specific gene transfer in mice. Proc Natl Acad Sci USA 1998; 95: 1218–1223.

    Article  CAS  Google Scholar 

  42. Bu W, Xin L, Toneff M, Li L, Li Y . Lentivirus vectors for stably introducing genes into mammary epithelial cells in vivo. J Mammary Gland Biol Neoplasia 2009; 14: 401–404.

    Article  Google Scholar 

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Acknowledgements

We acknowledge the Varmus Laboratory for the resources in the generation and initial characterization of WAP-tva mice. This work was supported in part by funds from NIH CA124820 (to YL) and U54CA149196 (to YL; PI: Stephan Wong); from CDMRP BC085050 (to YL) and BC073703 (to YL); NCI U01 CA141582 (to RDC); and from the Nancy Owens Memorial Foundation (to YL); as well as by the resources from the Dan L. Duncan Cancer Center (P30CA125123) and the Sue & Lester Breast Center (P50-CA058183).

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Correspondence to Y Li.

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Haricharan, S., Hein, S., Dong, J. et al. Contribution of an alveolar cell of origin to the high-grade malignant phenotype of pregnancy-associated breast cancer. Oncogene 33, 5729–5739 (2014). https://doi.org/10.1038/onc.2013.521

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