Abstract
The mammary gland is composed of a complex cellular hierarchy with unusual postnatal plasticity. The identities of stem/progenitor cell populations, as well as tumour-initiating cells that give rise to breast cancer, are incompletely understood. Here we show that Lgr6 marks rare populations of cells in both basal and luminal mammary gland compartments in mice. Lineage tracing analysis showed that Lgr6+ cells are unipotent progenitors, which expand clonally during puberty but diminish in adulthood. In pregnancy or following stimulation with ovarian hormones, adult Lgr6+ cells regained proliferative potency and their progeny formed alveoli over repeated pregnancies. Oncogenic mutations in Lgr6+ cells resulted in expansion of luminal cells, culminating in mammary gland tumours. Conversely, depletion of Lgr6+ cells in the MMTV-PyMT model of mammary tumorigenesis significantly impaired tumour growth. Thus, Lgr6 marks mammary gland progenitor cells that can initiate tumours, and cells of luminal breast tumours required for efficient tumour maintenance.
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Acknowledgements
We thank Å. Bergström, M. Saghafian and R. Kuiper for technical help and support, and E. Tüksammel for mouse husbandry, genotyping and surgery. We are grateful to H. Clevers for providing the Lgr6-EGFP-IRES-CreERT2 mouse line. We also thank P.-M. Blaas and E. Casanova for critical reading of the manuscript. Finally, we thank C. Cremona for her terrific assistance in writing the manuscript. This work was supported by grants from M. Skłodowska-Curie actions (Project no. 297639) and the Wenner Gren Foundation (to L.Blaas), the Swedish Cancer Society (to M.G., R.T.), the German Research Foundation DFG (to M.G., DFG Ge 2386/1-1), the German Academic Exchange Service DAAD (to D.B.), the Knut and Alice Wallenberg Foundation (to I.D.), the Breast Cancer Theme group at the Karolinska Institutet (to A.B.A., R.T.), the Swedish Research Council (to R.T.), the Center for Innovative Medicine in the Department of Biosciences and Nutrition, Karolinska Institutet (to R.T.), and the Francis Crick Institute, which receives its core funding from Cancer Research UK (FC001039), the UK Medical Research Council (FC001039) and the Wellcome Trust (FC001039). This study was performed partly at the Francis Crick Institute in London, partly at the Wallenberg Institute for Regenerative Medicine Flow Cytometry Facility, and Regenerative Medicine, Karolinska Institutet, Huddinge, Sweden, and partly at the Live Cell Imaging Unit/Nikon Center of Excellence in the Department of Biosciences and Nutrition, which receives funding from the Knut and Alice Wallenberg Foundation, the Swedish Research Council, the Center for Innovative Medicine and the Jonasson donation to the School of Technology and Health, Kungliga Tekniska Högskolan, Huddinge, Sweden.
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L.Blaas and F.P. designed and performed experiments, analysed data and wrote the manuscript. H.A.M. performed immunostaining. A.B.A. performed mouse experiments, in situ hybridization and immunostaining. E.J.R. generated the FRL mice. M.G. and A.M. performed experiments and analysed data. D.B. conducted confocal imaging and analysed data. I.D. planned and set up flow cytometry experiments. B.S.-D. and R.S. performed immunohistochemistry and in situ hybridization. R.M. performed RNA-seq analysis. L.Bhaw and A.K.S. performed RNA sequencing. J.J. provided analytical tools. G.S. performed immunopathology evaluations of mammary gland tumours. I.M. assisted with MMTV-PyMT tumour cell isolation and culture, and data interpretation. R.T. and A.B. supervised the project and wrote the manuscript.
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Integrated supplementary information
Supplementary Figure 1 FACS strategies used for detection and sorting of EGFP+ mammary epithelial cell populations in single cell suspensions from Lgr6-CreERT2+/− mammary glands at 5 weeks of age.
(a) FACS strategy applied to sort EGFP+ and EGFP− mammary epithelial cells (quadrant I) from 5-6 week old mice for RNA sequencing analysis (b) Heat map of RNA-Seq transcriptome analysis from two experiments (Ex.1/Ex.2), showing all genes differentially expressed between Lgr6+ and Lgr6− cells isolated from mammary glands of 5-6w-old Lgr6-CreERT2+/− mice. Red indicates upregulated genes; blue indicates downregulated genes. (n = 6 mice for each of the 2 biological replicates). (c) FACS strategy for determining the distribution of EGFP+ cells over basal (lin− CD29hiCD24+) and luminal (lin− CD29loCD24+) MECs. The gate for EGFP+ cells was set using wildtype mice as fluorescence-minus-one (FMO) EGFP controls.
Supplementary Figure 2 Lgr6-expressing cells in postnatal mammary gland development.
(a) K8 immunostaining of Lgr6-CreERT2+/− mammary glands at postnatal day 14 (P14) and P30. EGFP+ cells in luminal (arrowheads) and basal cells (arrows). Scale bars, 25 μm. (b) Recombination efficiency 24 h after tamoxifen administration to 2w-old (n = 5 mice) and 4w-old (n = 4 mice) Lgr6-CreERT2+/−:tdTomato+/− (LT) females. Mean ± s.e.m. (c) FACS plot showing the distribution of tdTomato+ cells over MECs 24 h after tamoxifen administration to 2w-old (left) and 4w-old (right) LT mice. (d) FACS analysis to exclude recombination of the Rosa26-tdTomato allele by Lgr6-CreERT2 in the absence of Tamoxifen. Left/middle panel: MECs from 10w old wildtype (WT) or LT mice injected with sunflower seed oil at P12 and analysed 8w later Right: Detection of tdTomato+ cells 8w after administration of 1 mg tamoxifen at P12. (e) Mammary gland from LT mouse injected with sunflower seed oil at P12 and imaged 8w later. Scale bars, 1 mm (f) F-actin staining of LT mammary glands 22w p.i. in pre-puberty (right panel) and 24w p.i. in puberty (left panel). Scale bars, 100 μm, 20 μm (insets). (g, h) Distribution of basal and luminal multi-cellular tdTomato+ clones, and cell patches spanning both compartments after induction in pre-puberty (2w, g). and in puberty (4w, h). Numbers indicate % of multicellular areas comprising adjacent basal and luminal cells. (Analysed clones pooled from n = 3 mice per timepoint: n = 1,157, n = 344, n = 542, n = 645, n = 691 for 2w, and n = 531, n = 1,476, n = 1,733, n = 163, n = 782, n = 597 for 4w). Mean ± s.e.m. (i) K14/K8 immunostained mammary gland 16w p.i. (4w) showing a rare tdTomato+ ‘clone’ spanning the basal (arrow) and luminal (arrowhead) compartments. Scale bar, 25 μm. (j) RNA in situ hybridization (ISH) analysis. Left: Lgr6 (blue arrowheads) and Axin2 (red arrowheads). Lgr6/Axin2 co-expression (arrows) can be observed in some cells. Right: Rare cells in the terminal end buds (TEBs) of pubertal mammary glands co-express Lgr6 and Lgr5 mRNA (arrows; inset). Scale bars, 10 μm (left), 20 μm (right). (k) Overview of transplantation assays of basal EGFP+ and EGFP− cells from adult virgin LT females into emptied fat pads of NOD/SCID mice. See Supplementary Table 2 for source data for g,h.
Supplementary Figure 3 Basal and luminal Lgr6 + progenitors contribute to the alveolar network during pregnancy.
(a, b) Confocal images of K14/K8 immunostained whole mount mammary glands from LT female at 17.5 dpc in first pregnancy (17.5 dpc P1). tdTomato+ clones dispersed over newly formed alveolar structures contain either basal K14+ cells (a) or K8+ alveolar cells (b). Scale bars, 40 μm (a), 20 μm (b). (c) Confocal overview image of mammary gland on day 1 of the first lactation (1d L1). LN: lymph node. Scale bar, 2 mm. (d) 3D reconstruction of 1d L1 mammary gland showing an alveolar network of myoepithelial tdTomato+ cells. Scale bar, 50 μm. (e) Quantification of alveoli containing basal and luminal tdTomato + cells in the first lactation after tamoxifen administration to LT females at 4w of age. (1,115 alveoli pooled from 3 mice were analysed). (f) Confocal z-stack image of tdTomato+ cells lining ducts and alveolar remnants (arrows), and adjacent to apoptotic cells (arrowheads) at the end of involution (21d Inv1). Autofluorescent signal (arrowheads) comes from dying cells. Scale bar, 50 μm. (g) Confocal z-stack image of K14/K8 immunostained mammary duct at the end of involution. Scale bar, 25 μm. (h) 3D reconstruction of K8 stained mammary duct showing luminal clones remaining after involution. Scale bar, 50 μm.
Supplementary Figure 4 Analysis of Lgr6-expressing cells in the adult mammary gland.
(a) Flow cytometry dot plot showing distribution of EGFP expression in MECs of 8w-old Lgr6-CreERT2+/− females. (b) Bar graph demonstrating the recombination efficiency 24 h after tamoxifen administration to 8w-old (n = 4 mice) Lgr6-CreERT2+/−:Rosa26-tdTomato+/− (LT) females. Mean ± s.e.m. (c) Flow cytometry plot showing the distribution of tdTomato-labelled cells over MECs 24 h p.i. (d) Flow cytometry dot plots of primary MECs 22w p.i., showing the distribution of tdTomato-labelled cells. (e) Representative flow cytometry plots showing very rare EGFP+ cells (left panel), present in both MEC compartments (right panel) of mammary glands from 30w-old Lgr6-CreERT2+/− females. (f) Confocal z-stack image (image 1) of K14/K8 immunostaining showing adjacent basal and luminal tdTomato+ clones (arrowheads) in 1d L1 alveoli of 8w-induced LT mice. Images 2–11 show the resolution of the 3D image into 10 single plane images. Insets show magnified regions containing adjacent basal and luminal tdTomato+ cells (arrowheads). Scale bar, 20 μm. (g) 3D reconstruction of duct at 14.5 dpc showing multi-cellular tdTomato+ cell patches containing K14+ (arrows) and K8+ cells (arrowheads). Scale bar, 50 μm.
Supplementary Figure 5 Activation of oncogenic Ras combined with Fbxw7 deletion in Lgr6-positive cells results in breast cancer.
(a) Description of the FRL mouse strain, derived from crossing three strains (Fbxw7f/f; LSL-KRasG12D; Lgr6-CreERT2). (b) Treatment scheme of 5-week-old FRL mice with tamoxifen and subsequent tumour analysis. (c) Immunohistochemistry of tumours from FRL mice 3 weeks post-injection with tamoxifen, stained with haematoxylin-eosin (HE) and probed for markers against basal (K5) and luminal (K8) cells. Scale bars, 100 μm. (d) Immunohistochemistry of tumours from FRL mice 8 weeks post-tamoxifen injection stained with HE and probed for K5, K8 and ERα. Scale bars, 100 μm. (e) Summary of BPL and FRL tumour lesions.
Supplementary Figure 6 Lgr6+ cells in MMTV-PyMT-expressing mammary glands.
(a) Mammary glands of Lgr6-CreERT2+/− (left) and Lgr6-CreERT2+/−:MMTV-PyMT+/− females (right) at P14. PyMT-induced lesions are found at P14 (inset). Scale bars, 50 μm, 20 μm (inset). (b) Mammary glands of Lgr6-CreERT2+/−(left) and Lgr6-CreERT2+/−:MMTV-PyMT+/− females (right) at P28. Middle T antigen-induced hyperplasia in puberty (right, inset). Scale bars, 100 μm, 20 μm (inset). (c) Middle T expression in early lesions of Lgr6-CreERT2+/−:MMTV-PyMT+/− mammary gland at P14. Lesions stained positive for PyMT (arrows) whereas normally appearing ducts were negative (arrowhead). Arrowheads in inset: PyMT− cells embedded within PyMT+ region. Scale bars, 100 μm, 20 μm (inset). (d) Middle T and K14 expression in pre-malignant mammary gland tissue of 2w-old (left panel) and mammary tumour of 15w-old (right) Lgr6-CreERT2+/−:MMTV-PyMT+/− females. Only rare Middle T oncogene expressing cells are positive for EGFP (arrows) and EGFP+ cells negative for PyMT oncogene are found (arrowheads). Scale bars, 50 μm (left), 200 μm (right panel), 50 μm (inset). (e) Adjacent EGFP+/tdTomato+ (yellow arrows/arrowheads) and tdTomato+ (red arrows/arrowheads) clones 2d post P28-induction. Green arrows/arrowheads depict EGFP+ cells. Scale bar, 50 μm. (f) GFP/EdU co-stained Lgr6-CreERT2+/−:MMTV-PyMT+/−mammary glands at 2w (left) and 15w of age (right). Left: EdU+ cells expressing Lgr6 (arrows). Scale bars, 50 μm. Right: Tumour regions with EdU+/Lgr6+ cells (arrows and inset). Scale bar, 200 μm, 25 μm (inset). (g) GFP immunostaining in mammary tumour of 24w-old PLT female induced at P29. Scale bars, 100 μm, 10 μm (inset). (h) Tumours from PLT females injected with sunflower-seed oil at 2w (left) or 4w (right) did not present with tdTomato+ cells. Scale bars, 1 mm. (i) Tamoxifen administration and time-points to analyse the contribution of Lgr6+ cells to tumour maintenance. (j) PLT mammary tumours 1d (inset) and 1w p.i. Scale bars, 100 μm (inset), 100 μm (inset). (k) Quantification of tdTomato+ area in PLT tumours after induction at 14w. (n = 6 tumours pooled from 4 mice) Line indicates mean. (l) Lgr6 in situ hybridization combined with immunostaining 1w after MPA (left) or MPA/DMBA (right) treatment demonstrating basal (arrows) and luminal (arrowheads) Lgr6+ cells in mammary glands undergoing chemical carcinogenesis. Scale bars, 25 μm.
Supplementary Figure 7 Lgr6+ cells contribute to tumour maintenance in the MMTV-PyMT model of breast carcinoma.
(a) Experimental setup to analyse chemotherapeutic resistance of Lgr6-expressing PyMT tumour cells in vitro. Tumour-bearing PLT mice were treated with tamoxifen and tumour organoids were cultured 24 h later. The organoids were treated with 2 μM doxorubicin for 48 h and allowed to recover until analysis. (b) Combined light microscopy and fluorescence images of tumour organoids comparing tdTomato tracing between untreated PLT organoids (upper panels) and doxorubicin-treated organoids (lower panels). tdTomato + cells survive chemotherapeutic treatment (lower middle panel) and are able to form completely traced, healthy organoids upon recovery (lower right panel). (c) Extent of tdTomato tracing within untreated and doxorubicin-treated organoids. (n = 8 pooled tumours from n = 4 mice, collected in 3 independent experiments). Mean ± s.e.m. ∗∗P < 0.01, ∗∗∗P < 0.001. (multiple unpaired t-tests). Scale bars, 200 Scale bars, 200 m, 100 μm (insets). (d) Scheme of PDL tumour cell isolation, allele recombination and DT treatment in vitro before colony formation analysis. Images show examples of tumour spheres from untreated (left) and DT-treated (right) cells. (e) mRNA expression for β-actin (Actb), Lgr6 and DTR (normalized over GAPDH) in tamoxifen- and DT-treated tumour cells from PDL mice. (n = 3 wells per group from n = 3 independent mice). Mean ± s.d. ∗∗∗P < 0.001 (unpaired two-tailed t-test) (f) Analysis of colony formation of primary PDL tumour cells after treatment with tamoxifen alone or tamoxifen plus diphtheria toxin. (n = 12 wells per group from n = 3 independent mice). Mean ± s.d. ∗P < 0.011 (Two-way ANOVA). (g) H&E staining of tumours formed by control and DT-treated PDL primary tumour cells injected subcutaneously into nude mice as shown in Fig. 7g. Scale bars, 500 μm (1x), 50 μm (40x). See Supplementary Table 2 for exact P values and source data for c,e,f.
Supplementary Figure 8 Scheme summarizing the contribution of Lgr6+ cells to postnatal mammary gland development, pregnancy, and luminal mammary tumours.
(a) During postnatal development, two populations of Lgr6+ mammary epithelial progenitor cells (basal and luminal) contribute to ductal morphogenesis. In adult virgin females, however, Lgr6 + cells do not actively add to tissue homeostasis and their number decreases over time. Their clonal potential is reactivated by pregnancy (and stimulation with ovarian hormones) and they contribute to the alveolar network over multiple pregnancies. (b) Lgr6+ progenitors can function as potent cells of origin of luminal mammary tumours Transformation of Lgr6+ progenitor cells with two different oncogenic combinations (loss of p53 and Brca1, or activation of mutant K-RasG12D and loss of Fbxw7, respectively) resulted in the formation of exclusively luminal mammary tumours, appearing with high penetrance. (c) Lgr6+ cells contribute to luminal, but not basal mammary tumours. Lineage tracing showed that luminal Lgr6+ progenitors contribute to MMTV-PyMT-induced tumours. In contrast, neither basal nor luminal Lgr6-expressing cells were traced in chemically induced, basaloid DMBA/MPA tumours.
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Blaas, L., Pucci, F., Messal, H. et al. Lgr6 labels a rare population of mammary gland progenitor cells that are able to originate luminal mammary tumours. Nat Cell Biol 18, 1346–1356 (2016). https://doi.org/10.1038/ncb3434
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DOI: https://doi.org/10.1038/ncb3434
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