Blood cells could serve as a 'thermometer' to detect breast cancer

Blood cells could serve as a 'thermometer' to detect breast cancer
This study shows that patients develop alterations in a type of leukocyte at the initial stage of the disease. This discovery paves the way for the enhanced diagnosis and treatment of this type of tumor (comparative image between different profiles of protein CD163 expression in tumor-associated macrophages (TAM) differentiated from monocytes of breast cancer patients [left]; detailed image showing different levels of TAM infiltration detected in tissue microarray [right]. Credit: Clinical & Translational Immunology

Immune system cells in the blood of breast cancer patients undergo alterations early in the disease course, according to a study published in the journal Clinical & Translational Immunology. The authors believe that this discovery may contribute to the early identification of aggressive tumors and help enhance personalized immunotherapy strategies in the future.

The study was conducted while Rodrigo Nalio Ramos, who was doing a doctoral research internship at Claude Bernard University in Lyon, France. The principal investigator was Jose Alexandre Marzagão Barbuto, a professor at the University of São Paulo's Biomedical Sciences Institute (ICB-USP), and the supervisor abroad was Christophe Caux, a senior scientist at the Lyon Cancer Research Center (CRCL).

"It's probable that monocytes, a type of leukocyte, can be used as a 'thermometer' of the disease. At least that's what we found for breast cancer patients," Ramos said.

Monocytes are the largest blood cells and account for approximately 7% of leukocytes. They are important immune cells, patrolling the body in search of threats such as viruses, bacteria and . They are produced in the and travel in the bloodstream to other tissues where they differentiate into macrophages (cells that engulf and destroy pathogens and apoptotic cells) or (cells that process antigen material and present it on the cell surface to the structures that produce specific antibodies).

In this study, the researchers collected monocytes from the blood of breast cancer patients and tried to differentiate them in the laboratory into pro-inflammatory macrophages, which tell the immune system to send reinforcements to the tumor site. Monocytes were collected from 44 donated by treated in France and at Pérola Byington Hospital in Brazil, as well as 25 samples from healthy individuals who served as controls.

"We used a cocktail of cytokines [signaling proteins that modulate the immune system] to try to induce monocytes to differentiate into pro-inflammatory macrophages. In theory, this type of cell is supposed to tell the organism it has a tumor and eliminate it," Ramos said. "However, the monocytes failed to perform this role in approximately 40% of the patients and displayed a very similar profile to that of the intratumoral macrophages associated with an adverse outcome."

The researchers then analyzed monocyte gene expression to determine which messenger RNAs the cells were producing. The analysis identified alterations to several signaling pathways, even in patients whose cells differentiated into macrophages like they should in healthy subjects.

"This confirms that breast cancer isn't just a local disease. It doesn't affect only the breast, but affects all cells systemically. The defense cells are already altered when they enter the bloodstream," Barbuto said.

The researchers cannot yet explain exactly how these tumors interfere with the immune system. "One possibility is the secretion of transcription factors [proteins with a modulating function] into the blood," Ramos said, "another hypothesis could be a systemic effect via the bone marrow, but this is harder to verify. In this case, the disease could affect monocyte precursor cells."

According to Ramos, cancer can develop slowly over a period of years. "If we could detect alteration early on when there are no signs of the disease, it might be possible to prescribe more tests to determine if something is wrong," he said.


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More information: Rodrigo Nalio Ramos et al, CD163 + tumor‐associated macrophage accumulation in breast cancer patients reflects both local differentiation signals and systemic skewing of monocytes, Clinical & Translational Immunology (2020). DOI: 10.1002/cti2.1108
Provided by FAPESP
Citation: Blood cells could serve as a 'thermometer' to detect breast cancer (2020, May 13) retrieved 29 May 2020 from https://medicalxpress.com/news/2020-05-blood-cells-thermometer-breast-cancer.html
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