Bidirectional tumor/stroma crosstalk promotes metastasis in mesenchymal colorectal cancer

Oncogene. 2020 Mar;39(12):2453-2466. doi: 10.1038/s41388-020-1157-z. Epub 2020 Jan 23.

Abstract

Patients with the mesenchymal subtype colorectal cancer (CRC) have a poor prognosis, in particular patients with stroma-rich tumors and aberrant SMAD4 expression. We hypothesized that interactions between SMAD4-deficient CRC cells and cancer-associated fibroblasts provide a biological explanation. In transwell invasion assays, fibroblasts increased the invasive capacity of SMAD4-deficient HT29 CRC cells, but not isogenic SMAD4-proficient HT29 cells. A TGF-β/BMP-specific array showed BMP2 upregulation by fibroblasts upon stimulation with conditioned medium from SMAD4-deficient CRC cells, while also stimulating their invasion. In a mouse model for experimental liver metastasis, the co-injection of fibroblasts increased metastasis formation of SMAD4-deficient CRC cells (p = 0.02) but not that of SMAD4-proficient CRC cells. Significantly less metastases were seen in mice co-injected with BMP2 knocked-down fibroblasts. Fibroblast BMP2 expression seemed to be regulated by TRAIL, a factor overexpressed in SMAD4-deficient CRC cells. In a cohort of 146 stage III CRC patients, we showed that patients with a combination of high stromal BMP2 expression and the loss of tumor SMAD4 expression had a significantly poorer overall survival (HR 2.88, p = 0.04). Our results suggest the existence of a reciprocal loop in which TRAIL from SMAD4-deficient CRC cells induces BMP2 in fibroblasts, which enhances CRC invasiveness and metastasis.

MeSH terms

  • Animals
  • Bone Morphogenetic Protein 2 / metabolism
  • Cancer-Associated Fibroblasts / metabolism*
  • Cell Line
  • Colorectal Neoplasms / metabolism
  • Colorectal Neoplasms / pathology*
  • Culture Media, Conditioned
  • HT29 Cells
  • Humans
  • Liver Neoplasms / secondary
  • Male
  • Mice
  • Neoplasm Invasiveness
  • Neoplasm Metastasis*
  • Smad4 Protein / metabolism*
  • Stromal Cells / metabolism
  • Survival Rate
  • TNF-Related Apoptosis-Inducing Ligand / metabolism

Substances

  • BMP2 protein, human
  • Bone Morphogenetic Protein 2
  • Culture Media, Conditioned
  • SMAD4 protein, human
  • Smad4 Protein
  • TNF-Related Apoptosis-Inducing Ligand
  • TNFSF10 protein, human