Metabolically activated adipose tissue macrophages link obesity to triple-negative breast cancer

P Tiwari, A Blank, C Cui, KQ Schoenfelt… - Journal of Experimental …, 2019 - rupress.org
P Tiwari, A Blank, C Cui, KQ Schoenfelt, G Zhou, Y Xu, G Khramtsova, F Olopade, AM Shah…
Journal of Experimental Medicine, 2019rupress.org
Obesity is associated with increased incidence and severity of triple-negative breast cancer
(TNBC); however, mechanisms underlying this relationship are incompletely understood.
Here, we show that obesity reprograms mammary adipose tissue macrophages to a pro-
inflammatory metabolically activated phenotype (MMe) that alters the niche to support tumor
formation. Unlike pro-inflammatory M1 macrophages that antagonize tumorigenesis, MMe
macrophages are pro-tumorigenic and represent the dominant macrophage phenotype in …
Obesity is associated with increased incidence and severity of triple-negative breast cancer (TNBC); however, mechanisms underlying this relationship are incompletely understood. Here, we show that obesity reprograms mammary adipose tissue macrophages to a pro-inflammatory metabolically activated phenotype (MMe) that alters the niche to support tumor formation. Unlike pro-inflammatory M1 macrophages that antagonize tumorigenesis, MMe macrophages are pro-tumorigenic and represent the dominant macrophage phenotype in mammary adipose tissue of obese humans and mice. MMe macrophages release IL-6 in an NADPH oxidase 2 (NOX2)–dependent manner, which signals through glycoprotein 130 (GP130) on TNBC cells to promote stem-like properties including tumor formation. Deleting Nox2 in myeloid cells or depleting GP130 in TNBC cells attenuates obesity-augmented TNBC stemness. Moreover, weight loss reverses the effects of obesity on MMe macrophage inflammation and TNBC tumor formation. Our studies implicate MMe macrophage accumulation in mammary adipose tissue as a mechanism for promoting TNBC stemness and tumorigenesis during obesity.
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