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Blocking ‘leader cells’ may halt breast cancer

A breast tumor (blue) uses leader cells (green) to invade muscle tissue (red) in a mouse. (Credit: Kevin Cheung. Courtesy: Cell)

Stopping breast cancer cells from producing a key protein blocks the deadly migration of the disease to other parts of the body, a new study with mice suggests.

The same strategy may also apply to the early stages of cancer spread, or metastasis, in other forms of cancer, researchers say, because the same protein appears in organs elsewhere in the body.


“Metastasis is what most threatens breast cancer patients, and we have found a way to stop the first part of the process in mice,” says Andrew Ewald, assistant professor of cell biology at Johns Hopkins University School of Medicine.

“We’re still several years away from being able to use these insights to help patients with breast cancer, but we now know which tumor cells are the most dangerous, and we know some of the proteins they rely on to do their dirty work.”

Before metastasis occurs, single cells on the edge of a tumor, termed leader cells, form protrusions into surrounding tissue, like someone dipping a toe in to test the water before deciding to venture farther, Ewald says.

If conditions are right, the leader cells act as guides, with many tumor cells following behind, escaping the confines of the tumor and moving into the healthy tissue beyond. Full metastasis occurs when the cells succeed in migrating to a new location—the lungs, for example—and set up shop, creating a new tumor.

What makes a cell a leader?

For the study, published in the journal Cell, researchers grew mouse tumors in the laboratory in special 3D gels that mimic the environment that surrounds breast tumors in human patients. Kevin Cheung, a medical oncology fellow in the Ewald lab, observed that cancer cells infiltrated the gels in groups, with a few cells out in front and the rest following behind.

Looking for a molecular cause for their apparent “leadership,” Cheung searched for proteins that were uniquely present in the initiating cells. One protein, cytokeratin 14, or K14, was present in almost all leader cells but very rare in noninvasive parts of a tumor.

When the team looked at tumors from mice that had other types of breast cancer—some more prone to invasion and others less prone—all  had leader cells containing K14. The more invasive a tumor was, the more cells with K14 it had.

The team then grew breast tumors from 10 human breast cancer patients in 3D gels and found that the leader cells in these human tumors also contained K14.

Process of metastasis

K14 helps form the internal “skeleton” of many cell types, giving them structure and helping them to move. Although its presence in leader cells made its involvement in the invasion process seem likely, the investigators conducted further experiments to determine whether it was essential to the process or merely coincidental to it.

The researchers removed breast tumors from mice with breast cancer and divided them into an experimental group and a control group. Each group was exposed to viruses reprogrammed to carry pieces of genetic material into the cells.

The experimental group received genetic material designed to prevent the production of K14; the control group got genetic material that didn’t affect the cells. The two groups of tumors were then transplanted into healthy mice, with experimental tumors on one side and control tumors on the other side of the same mouse.

After letting the tumors grow for some time, the team removed and examined them. In the control group, leader cells were present, contained K14 and were leading vigorous invasions into normal tissue. In the experimental tumors, whose cells had no K14, the tumor borders were smooth, with essentially no invasions occurring.

“Just a few leader cells are sufficient to start the process of metastasis, and they require K14 to lead the invasion,” Ewald says. K14 is present in cells within many other organs, so K14 may play a similar role in other types of cancer, he says.

Researchers from the University of California, San Francisco, contributed to the study, which was supported by the National Cancer Institute, the National Institute of Environmental Health Sciences, the Department of Defense, the Avon Foundation, the Mary Kay Foundation, the Safeway Foundation, the Cindy Rosencrans Fund for Triple Negative Breast Cancer Research, and the American Cancer Society.

Source: Johns Hopkins University