Elsevier

Life Sciences

Volume 264, 1 January 2021, 118719
Life Sciences

Docosahexaenoic acid reverses the promoting effects of breast tumor cell-derived exosomes on endothelial cell migration and angiogenesis

https://doi.org/10.1016/j.lfs.2020.118719Get rights and content

Abstract

Aim

As a natural compound, docosahexaenoic acid (DHA) exerts anti-cancer and anti-angiogenesis functions through exosomes; however, little is known about the molecular mechanisms.

Main methods

Breast cancer (BC) cells were treated with DHA (50 μM) and then tumor cell-derived exosomes (TDEs) were collected and characterized by electron microscopy, dynamic light scattering, and western blot analyses. By the time the cells were treated with DHA, RT-qPCR was used to investigate the expression of vascular endothelial growth factor (VEGF) and the selected pro- and anti-angiogenic microRNAs (miRNAs). The quantification of secreted VEGF protein was measured by enzyme-linked immunosorbent assay (ELISA). The effects of TDEs on endothelial cell angiogenesis were explored by transwell cell migration and in vitro vascular tube formation assays.

Key findings

DHA treatment caused a significant and time-dependent decrease in the expression and secretion of VEGF in/from BC cells. This also increased expression of anti-angiogenic miRNAs (i.e. miR-34a, miR-125b, miR-221, and miR-222) while decreased levels of pro-angiogenic miRNAs (i.e. miR-9, miR-17-5p, miR-19a, miR-126, miR-130a, miR-132, miR-296, and miR-378) in exosomes derived from DHA-treated BC cells, TDE (DHA+). While treatment with exosomes (100 μg/ml) obtained from untreated BC cells, TDE (DHA−), enhanced the expression of VEGF-A in human umbilical vein endothelial cells (HUVECs), incubation with DHA or TDE (DHA+) led to the significant decrease of VEGF-A transcript level in these cells. We indicated that the incubation with TDE (DHA+) could significantly decrease endothelial cell proliferation and migration and also the length and number of tubes made by HUVECs in comparison with endothelial cells incubated with exosomes obtained from untreated BC cells.

Significance

DHA alters angiogenesis by shifting the up-regulation of exosomal miRNA contents from pro-angiogenic to anti-angiogenic, resulting in the inhibition of endothelial cell angiogenesis. These data can help to figure out DHA's anti-cancer function, maybe its use in cancer therapy.

Introduction

Breast cancer (BC) is by far the most common cause of cancer-associated mortality among women throughout the world. Over recent years, many steps have been taken forward for better BC diagnosis and treatment, although metastatic BC remains unsolvable problems, covering a large number of deaths in patients [1,2]. BC tumor is surrounded by an environment embracing extracellular matrix, tumor-associated vasculature, and a variety of stromal cell types e.g. fibroblasts, adipocytes, endothelial cells, and inflammatory immune cells [3]. As one of the essential members of the tumor microenvironment, stromal cells contribute importantly to the process of tumor development [4] and also angiogenesis [5]. This process of new blood vessel formation contributes critically to the invasive properties and metastatic features of BC cells [6,7].

Extracellular vesicles, e.g. secreted exosomes by tumor cells, are actively involved in the coordination of stromal reprogramming [8]. Exosomes function in intercellular communications by delivering a variety of biomolecules such as proteins, DNA, coding and non-coding RNAs [9,10]. Tumor cell-derived exosomes (TDEs) can carry oncogenic information and exert broad effects on promoting angiogenesis, metastasis, and other cellular events in malignant transformation [11]. As an important content in exosomes, microRNAs (miRNAs, miRs) are small non-coding RNAs (~22 nucleotides in length) playing important roles in gene regulation. They target specific mRNAs through degrading and/or repressing the translation [12,13].

Docosahexaenoic acid (DHA) is known as an important omega-3 fatty acid. This abundant compound in fish oil performs different biological activities including boosting immune function [14], alleviating inflammation [15], and optimizing cellular metabolism [16]. DHA also has anti-cancer functions in BC [17]. The anti-cancer mechanism of DHA is attributed to its anti-angiogenic properties whereby DHA can suppress angiogenic mediators, e.g. vascular endothelial growth factor (VEGF) [18]. The up-regulation of VEGF has been reported in the association of BC invasiveness and metastasis [19]. VEGF is in the first line of promoters of angiogenesis, thus can be considered as an important mitogen with high specificity for endothelial cells (reviewed in [20]). Despite growing knowledge about the therapeutic properties of DHA, unveiling the mechanisms involved in BC requires further investigations.

Considering the biological functions of exosomes, we speculated whether TDEs carry biomolecules that can per se regulate VEGF-related angiogenesis in vascular endothelial cells or not. We also sought to determine whether DHA is able to alter the levels of angiogenesis-associated miRNAs in BC cell-derived exosomes and suppress the migration and angiogenesis of endothelial cells. This information can broaden the horizons toward BC progression and represent potential use for developing new therapeutic strategies targeting intercellular communications in BC.

Section snippets

Cell culture

Human breast adenocarcinoma cell lines (MDA-MB-231 and BT-20), human non-tumorigenic breast epithelial cells (MCF10A), and human umbilical vein endothelial cells (HUVECs) were purchased from the National Cell Bank at Pasteur Institute, Tehran, Iran. All cells were cultured in Dulbecco's Modified Eagle's Medium (DMEM) that was supplemented with 10% fetal bovine serum (FBS), 2 mM l-glutamine, and 1% penicillin-streptomycin (all from Gibco BRL, Rockville, MD, USA). The cells were incubated at

DHA decreases the viability of BC cells in a specific and time-dependent manner

In order to show the DHA-induced cytotoxic effects on triple-negative BC cells, MDA-MB-231 cells were treated with different concentrations of DHA (12.5, 25, 50, 100, and 200 μM). Afterward, we used the MTT assay to determine cell viability. At 100 μM, DHA decreased 68.72, 46.02, and 34.87% of the viability of MDA-MB-231 cells in 24, 48, and 72 h, respectively. The equivalent volume of the diluent was also tested but did not show any significant effect on cell viability. According to these

Discussion

Over recent years, global efforts have been done to unveil the molecular mechanisms of angiogenesis. The final goal is to discover how to inhibit neovascularization and block the metastatic properties of tumor cells. DHA, as an omega-3 fatty acid, exerts the anti-cancer effects on malignancies, particularly BC. DHA can alter BC exosome secretion and miRNA contents, which in turn bring about the suppression of endothelial tube formation. DHA can also suppress the angiogenesis of endothelial

Conclusion

Taken together, our findings suggest that DHA elicits anti-cancer effects on BC cells through suppressing angiogenesis, particularly through miRNAs. This anti-angiogenic activity might be attributed to modulating pertinent groups of exosomal miRNAs including pro- and anti-angiogenic miRNAs. This information can offer valuable insights into the development of therapeutic strategies against BC tumors based on targeting exosome secretion and the transfer of exosome contents. Some open questions

Declaration of competing interest

The authors declare no competing interests.

Acknowledgments

The authors highly appreciate the help of all colleagues involved in conducting this project.

References (47)

  • P. Penfornis et al.

    Extracellular vesicles as carriers of microRNA, proteins and lipids in tumor microenvironment

    Int. J. Cancer

    (2016)
  • Y. Mao et al.

    Stromal cells in tumor microenvironment and breast cancer

    Cancer Metastasis Rev.

    (2013)
  • S. Merfeld-Clauss et al.

    Adipose stromal cell contact with endothelial cells results in loss of complementary vasculogenic activity mediated by induction of activin A

    Stem Cells

    (2015)
  • Y. Niu et al.

    HIF2-induced long noncoding RNA RAB11B-AS1 promotes hypoxia-mediated angiogenesis and breast cancer metastasis

    Cancer Res.

    (2020)
  • S. Bachawal et al.

    Evaluation of ductal carcinoma in situ grade via triple-modal molecular imaging of B7-H3 expression

    NPJ Breast Cancer.

    (2020)
  • S.N. Saleem et al.

    Tumor-derived exosomes in oncogenic reprogramming and cancer progression

    Cell. Mol. Life Sci.

    (2015)
  • K. Pakravan et al.

    MicroRNA-100 shuttled by mesenchymal stem cell-derived exosomes suppresses in vitro angiogenesis through modulating the mTOR/HIF-1α/VEGF signaling axis in breast cancer cells

    Cell. Oncol.

    (2017)
  • S. Masoumi-Dehghi, S. Babashah, M. Sadeghizadeh, MicroRNA-141-3p-containing small extracellular vesicles derived from...
  • X.-Y. Huang et al.

    Exosomal circRNA-100338 promotes hepatocellular carcinoma metastasis via enhancing invasiveness and angiogenesis

    J. Exp. Clin. Cancer Res.

    (2020)
  • A. Poursheikhani et al.

    Non-coding RNAs underlying chemoresistance in gastric cancer

    Cell. Oncol. (Dordr.)

    (2020)
  • B.N. Hannafon et al.

    Exosome-mediated microRNA signaling from breast cancer cells is altered by the anti-angiogenesis agent docosahexaenoic acid (DHA)

    Mol. Cancer

    (2015)
  • N. Matesanz et al.

    Docosahexaenoic acid improves the nitroso-redox balance and reduces VEGF-mediated angiogenic signaling in microvascular endothelial cells

    Invest. Ophthalmol. Vis. Sci.

    (2010)
  • C.-A. Wang et al.

    SIX1 induces lymphangiogenesis and metastasis via upregulation of VEGF-C in mouse models of breast cancer

    J. Clin. Invest.

    (2012)
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