Inflammation induced by MMP-9 enhances tumor regression of experimental breast cancer

J Immunol. 2013 Apr 15;190(8):4420-30. doi: 10.4049/jimmunol.1202610. Epub 2013 Mar 15.

Abstract

Matrix metalloproteinases (MMPs) have been suggested as therapeutic targets in cancer treatment, but broad-spectrum MMP inhibitors have failed in clinical trials. Recent data suggest that several MMPs including MMP-9 exert both pro- and antitumorigenic properties. This is also the case of the natural inhibitors of MMPs, tissue inhibitor of metalloproteinases (TIMPs). The inhibitor of MMP-9 is TIMP-1, and high levels of this enzyme have been associated with decreased survival in breast cancer. Inflammation is one hallmark of cancer progression, and MMPs/TIMPs may be involved in the local immune regulation. We investigated the role of MMP-9/TIMP-1 in regulating innate antitumor immunity in breast cancer. Breast cancers were established in nude mice and treated with intratumoral injections of adenoviruses carrying the human TIMP-1 or MMP-9 gene (AdMMP-9). In vivo microdialysis for sampling of cancer cell-derived (human) and stroma-derived (murine) proteins, immunostainings, as well as cell cultures were performed. We report a dose-dependent decrease of tumor growth and angiogenesis after AdMMP-9 treatment. In addition to increased generation of endostatin, AdMMP-9 promoted an antitumor immune response by inducing massive neutrophil infiltration. Neutrophil depletion prior to gene transfer abolished the therapeutic effects of AdMMP-9. Additionally, AdMMP-9 activated tumor-infiltrating macrophages into a tumor-inhibiting phenotype both in vivo and in vitro. AdMMP-9 also inhibited tumor growth in immune-competent mice bearing breast cancers. Adenoviruses carrying the human TIMP-1 gene had no effect on tumor growth or the immune response. Our novel data identify MMP-9 as a potent player in modulating the innate immune response into antitumor activities.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenocarcinoma
  • Animals
  • Breast Neoplasms / enzymology*
  • Breast Neoplasms / immunology*
  • Breast Neoplasms / therapy
  • Cell Line, Tumor
  • Cells, Cultured
  • Female
  • Gene Transfer Techniques
  • Humans
  • Inflammation / enzymology*
  • Inflammation / immunology*
  • Inflammation / pathology
  • MCF-7 Cells
  • Macrophage Activation / immunology
  • Matrix Metalloproteinase 9 / physiology*
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Neutrophil Infiltration / immunology
  • Tissue Inhibitor of Metalloproteinase-1 / genetics
  • Up-Regulation / immunology*

Substances

  • Tissue Inhibitor of Metalloproteinase-1
  • Matrix Metalloproteinase 9