4.5 Article

Adipocyte-derived exosomes may promote breast cancer progression in type 2 diabetes

Journal

SCIENCE SIGNALING
Volume 14, Issue 710, Pages -

Publisher

AMER ASSOC ADVANCEMENT SCIENCE
DOI: 10.1126/scisignal.abj2807

Keywords

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Funding

  1. Cancer Systems Biology Consortium of the National Cancer Institute [U01CA182898, U01CA243004, R01CA222170]
  2. National Institute of Diabetes and Digestive and Kidney Diseases [R01DK117161, P30DK046200]

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The study found that vesicles shed by adipocytes from type 2 diabetes patients or insulin-resistant individuals contain protein TSP5 that promotes EMT in breast cancer cells, potentially worsening the prognosis for breast cancer patients. Additionally, the gene expression in these vesicles can affect the prognosis of breast cancer patients.
Obesity and metabolic diseases, such as insulin resistance and type 2 diabetes (T2D), are associated with metastatic breast cancer in postmenopausal women. Here, we investigated the critical cellular and molecular factors behind this link. We found that primary human adipocytes shed extracellular vesicles, specifically exosomes, that induced the expression of genes associated with epithelial-to-mesenchymal transition (EMT) and cancer stemlike cell (CSC) traits in cocultured breast cancer cell lines. Transcription of these genes was further increased in cells exposed to exosomes shed from T2D patient-derived adipocytes or insulin-resistant adipocytes and required the epigenetic reader proteins BRD2 and BRD4 in recipient cells. The thrombospondin family protein TSP5, which is associated with cancer, was more abundant in exosomes from T2D or insulin-resistant adipocytes and partially contributed to EMT in recipient cells. Bioinformatic analysis of breast cancer patient tissue showed that greater coexpression of COMP (which encodes TSP5) and BRD2 or BRD3 correlated with poorer prognosis, specifically decreased distant metastasis-free survival. Our findings reveal a mechanism of exosome-mediated cross-talk between metabolically abnormal adipocytes and breast cancer cells that may promote tumor aggressiveness in patients with T2D.

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