LKB1 loss promotes endometrial cancer progression via CCL2-dependent macrophage recruitment
LKB1 loss promotes endometrial cancer progression via CCL2-dependent macrophage recruitment
Endometrial cancer is the most common gynecologic malignancy and the fourth most common malignancy in women. For most patients in whom the disease is confined to the uterus, treatment results in successful remission; however, there are no curative treatments for tumors that have progressed beyond the uterus. The serine/threonine kinase LKB1 has been identified as a potent suppressor of uterine cancer, but the biological modes of action of LKB1 in this context remain incompletely understood. Here, we have shown that LKB1 suppresses tumor progression by altering gene expression in the tumor microenvironment. We determined that LKB1 inactivation results in abnormal, cell-autonomous production of the inflammatory cytokine chemokine (C-C motif) ligand 2 (CCL2) within tumors, which leads to increased recruitment of macrophages with prominent tumor-promoting activities. Inactivation of Ccl2 in an Lkb1-driven mouse model of endometrial cancer slowed tumor progression and increased survival. In human primary endometrial cancers, loss of LKB1 protein was strongly associated with increased CCL2 expression by tumor cells as well as increased macrophage density in the tumor microenvironment. These data demonstrate that CCL2 is a potent effector of LKB1 loss in endometrial cancer, creating potential avenues for therapeutic opportunities.
- University of North Carolina at Chapel Hill United States
- The University of Texas Southwestern Medical Center United States
- Harold C. Simmons Comprehensive Cancer Center United States
- Dana-Farber Cancer Institute United States
- University of Basel Switzerland
Macrophages, AMP-Activated Protein Kinases, Adenocarcinoma, Protein Serine-Threonine Kinases, Endometrial Neoplasms, Neoplasm Proteins, Specific Pathogen-Free Organisms, Gene Expression Regulation, Neoplastic, Mice, AMP-Activated Protein Kinase Kinases, Animals, Humans, Female, Neoplasm Invasiveness, RNA Interference, RNA, Messenger, RNA, Neoplasm, Clodronic Acid, RNA, Small Interfering, Chemokine CCL2
Macrophages, AMP-Activated Protein Kinases, Adenocarcinoma, Protein Serine-Threonine Kinases, Endometrial Neoplasms, Neoplasm Proteins, Specific Pathogen-Free Organisms, Gene Expression Regulation, Neoplastic, Mice, AMP-Activated Protein Kinase Kinases, Animals, Humans, Female, Neoplasm Invasiveness, RNA Interference, RNA, Messenger, RNA, Neoplasm, Clodronic Acid, RNA, Small Interfering, Chemokine CCL2
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