Breast cancer exploits neural signaling pathways for bone-to-meninges metastasis

Science. 2024 Jun 21;384(6702):eadh5548. doi: 10.1126/science.adh5548. Epub 2024 Jun 21.

Abstract

The molecular mechanisms that regulate breast cancer cell (BCC) metastasis and proliferation within the leptomeninges (LM) are poorly understood, which limits the development of effective therapies. In this work, we show that BCCs in mice can invade the LM by abluminal migration along blood vessels that connect vertebral or calvarial bone marrow and meninges, bypassing the blood-brain barrier. This process is dependent on BCC engagement with vascular basement membrane laminin through expression of the neuronal pathfinding molecule integrin α6. Once in the LM, BCCs colocalize with perivascular meningeal macrophages and induce their expression of the prosurvival neurotrophin glial-derived neurotrophic factor (GDNF). Intrathecal GDNF blockade, macrophage-specific GDNF ablation, or deletion of the GDNF receptor neural cell adhesion molecule (NCAM) from BCCs inhibits breast cancer growth within the LM. These data suggest integrin α6 and the GDNF signaling axis as new therapeutic targets against breast cancer LM metastasis.

MeSH terms

  • Animals
  • Basement Membrane / metabolism
  • Bone Neoplasms* / metabolism
  • Bone Neoplasms* / secondary
  • Breast Neoplasms* / genetics
  • Breast Neoplasms* / metabolism
  • Breast Neoplasms* / pathology
  • Cell Line, Tumor
  • Cell Movement
  • Female
  • Glial Cell Line-Derived Neurotrophic Factor / genetics
  • Glial Cell Line-Derived Neurotrophic Factor / metabolism
  • Humans
  • Integrin alpha6* / metabolism
  • Laminin / metabolism
  • Macrophages / metabolism
  • Meningeal Neoplasms* / metabolism
  • Meningeal Neoplasms* / secondary
  • Meninges* / pathology
  • Mice
  • Mice, Knockout
  • Mice, SCID
  • Neoplasm Invasiveness
  • Neural Cell Adhesion Molecules / genetics
  • Neural Cell Adhesion Molecules / metabolism
  • Neural Pathways* / metabolism
  • Signal Transduction

Substances

  • Glial Cell Line-Derived Neurotrophic Factor
  • Integrin alpha6
  • Laminin
  • Neural Cell Adhesion Molecules
  • Gdnf protein, mouse