Postpartum breast cancer progression is driven by semaphorin 7a-mediated invasion and survival

Oncogene. 2020 Mar;39(13):2772-2785. doi: 10.1038/s41388-020-1192-9. Epub 2020 Feb 4.

Abstract

Young women diagnosed with breast cancer (BC) have poor prognosis due to increased rates of metastasis. In addition, women diagnosed within 10 years of most recent childbirth are approximately three times more likely to develop metastasis than age- and stage-matched nulliparous women. We define these cases as postpartum BC (PPBC) and propose that the unique biology of the postpartum mammary gland drives tumor progression. Our published results revealed roles for SEMA7A in breast tumor cell growth, motility, invasion, and tumor-associated lymphangiogenesis, all of which are also increased in preclinical models of PPBC. However, whether SEMA7A drives progression in PPBC remains largely unexplored. Our results presented herein show that silencing of SEMA7A decreases tumor growth in a model of PPBC, while overexpression is sufficient to increase growth in nulliparous hosts. Further, we show that SEMA7A promotes multiple known drivers of PPBC progression including tumor-associated COX-2 expression and fibroblast-mediated collagen deposition in the tumor microenvironment. In addition, we show for the first time that SEMA7A-expressing cells deposit fibronectin to promote tumor cell survival. Finally, we show that co-expression of SEMA7A/COX-2/FN predicts for poor prognosis in breast cancer patient cohorts. These studies suggest SEMA7A as a key mediator of BC progression, and that targeting SEMA7A may open avenues for novel therapeutic strategies.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigens, CD / genetics
  • Antigens, CD / metabolism*
  • Breast / pathology
  • Breast Neoplasms / genetics
  • Breast Neoplasms / mortality
  • Breast Neoplasms / pathology*
  • Cell Line, Tumor
  • Cell Survival / genetics
  • Cohort Studies
  • Cyclooxygenase 2 / metabolism
  • Disease Progression
  • Female
  • Fibronectins / metabolism
  • GPI-Linked Proteins / genetics
  • GPI-Linked Proteins / metabolism
  • Gene Knockdown Techniques
  • Humans
  • Kaplan-Meier Estimate
  • Mammary Glands, Human / pathology
  • Mice
  • Neoplasm Invasiveness / genetics
  • Neoplasm Invasiveness / pathology
  • Postpartum Period*
  • Pregnancy
  • Prognosis
  • RNA, Small Interfering / metabolism
  • Semaphorins / genetics
  • Semaphorins / metabolism*
  • Tumor Microenvironment
  • Xenograft Model Antitumor Assays

Substances

  • Antigens, CD
  • FN1 protein, human
  • Fibronectins
  • GPI-Linked Proteins
  • RNA, Small Interfering
  • SEMA7A protein, human
  • Semaphorins
  • Cyclooxygenase 2
  • PTGS2 protein, human