Abstract 3911: Stromal platelet derived growth factor receptor-beta (PDGFRbeta) promotes breast brain metastasis
Authors: Thies Katie A. , Hammer Anisha M. , Trimboli Anthony J. , Hildreth B. Eason , Russell Luke O. , Bolyard Chelsea M. , Kladney Raleigh D. , Sizemore Steven T. , Pilarski Robert , Schoenfield Lynn , Otero Jose , Chakravarti Arnab , Kaur Balveen , Leone Gustavo , Ostrowski Michael C. , Sizemore Gina M. 
Published: July 2017

Abstract
The platelet derived growth factor (PDGF) pathway is a prime example of tumor-stroma signaling in a number of cancer types. Others have shown that PDGF receptors are expressed in breast fibroblasts and pericytes while PDGF ligands are often expressed in breast cancer cells and tumor-associated endothelium; however, how PDGF signaling mediates breast cancer initiation, progression and metastasis remains unclear. Importantly, our evaluation of publicly available datasets revealed that PDGFB expression correlates with breast cancer patient metastatic recurrence leading to the hypothesis that PDGF-B to PDGFR signaling promotes metastatic progression of breast cancer. Given that PDGF-B preferentially activates PDGFRβ, we established an in vivo system to investigate this pathway during breast cancer progression. We utilized a mesenchymal-specific promoter to drive Cre recombinase and conditionally activate PDGFRβ by way of the endogenous Pdgfrb promoter (hereafter “PDGFRβ mutant”). A murine mammary tumor cell line which expresses high levels of PDGF-B was injected either by tail vein or intracranially to evaluate metastatic seeding and distant tumor growth. Following tail vein injection of tumor cells, we observed 50% incidence of brain metastases in the PDGFRβ mutant mice while no brain lesions were seen in the controls. There was no difference in incidence of lung, liver or bone metastases (other common sites of breast cancer metastasis). Not surprisingly, larger tumors formed in the brains of PDGFRβ mutant mice when cells were injected intracranially. Brains were stained for phospho-PLCγ as a way to confirm activation of PDGFRβ. To our knowledge, this is the first example where genetic manipulation of the stroma leads to an increased incidence of breast brain metastases. Furthermore, this study highlights a role for stromal activation of PDGFRβ in the brain microenvironment and during metastatic progression. For the 20-30% of patients that develop breast cancer brain metastases, the one-year survival rate is sadly less than 20%, and how the brain microenvironment contributes to metastatic seeding and subsequent growth of tumor cells remains poorly understood. To confirm translational relevance, we analyzed a small cohort of matched primary breast tumors and brain metastases for PDGFRβ expression observing strong stromal staining in fibroblasts and pericytes within and around all of the primary tumors similar to previous studies. Importantly, high PDGFRβ expression was found in the perivasculature of all associated brain metastases suggesting a functional role in the establishment or growth at this site. Combined, our findings strongly suggest that high primary tumor expression of PDGF-B/PDGFRβ might define a subset of breast cancer patients predisposed to brain metastases. These patients may benefit from therapeutic targeting of PDGFR signaling as a means to thwart metastatic seeding in the brain.
Citation Format: Katie A. Thies, Anisha M. Hammer, Anthony J. Trimboli, B. Eason Hildreth, Luke O. Russell, Chelsea M. Bolyard, Raleigh D. Kladney, Steven T. Sizemore, Robert Pilarski, Lynn Schoenfield, Jose Otero, Arnab Chakravarti, Balveen Kaur, Gustavo Leone, Michael C. Ostrowski, Gina M. Sizemore. Stromal platelet derived growth factor receptor-beta (PDGFRbeta) promotes breast brain metastasis [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2017; 2017 Apr 1-5; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2017;77(13 Suppl):Abstract nr 3911. doi:10.1158/1538-7445.AM2017-3911