Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Macrophage-mediated RON signaling supports breast cancer growth and progression through modulation of IL-35

Abstract

Tumor associated macrophages (TAMs) play a major role in regulating mammary tumor growth and in directing the responses of tumor infiltrating leukocytes in the microenvironment. However, macrophage-specific mechanisms regulating the interactions of macrophages with tumor cells and other leukocytes that support tumor progression have not been extensively studied. In this study, we show that the activation of the RON receptor tyrosine kinase signaling pathway specifically in macrophages supports breast cancer growth and metastasis. Using clinically relevant murine models of breast cancer, we demonstrate that loss of macrophage RON expression results in decreases in mammary tumor cell proliferation, survival, cancer stem cell self-renewal, and metastasis. Macrophage RON signaling modulates these phenotypes via direct effects on the tumor proper and indirectly by regulating leukocyte recruitment including macrophages, T-cells, and B-cells in the mammary tumor microenvironment. We further show that macrophage RON expression regulates the macrophage secretome including IL-35 and other immunosuppressive factors. Overall, our studies implicate activation of RON signaling in macrophages as a key player in supporting a thriving mammary pro-tumor microenvironment through novel mechanisms including the augmentation of tumor cell properties through IL-35.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Myeloid RON signaling sustains BCa growth and survival.
Fig. 2: RON signaling within myeloid cells promotes BCa cell metastasis and self-renewal.
Fig. 3: Macrophage-specific RON signaling sustains BCa growth and survival.
Fig. 4: Loss of RON signaling in macrophages alters macrophage functions to inhibit tumor cell proliferation, survival, migration, and self-renewal.
Fig. 5: RON signaling in macrophages alters the macrophage secretome to support immunomodulatory pathways and the production of IL-12 family members.
Fig. 6: Breast cancer patients with high RON and IL12A (p35) expression have poorer relapse-free survival and distant metastasis-free survival.

Similar content being viewed by others

References

  1. Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer statistics, 2021. CA Cancer J Clin. 2021;71:7–33.

    Article  PubMed  Google Scholar 

  2. Wellenstein MD, de Visser KE. Cancer-cell-intrinsic mechanisms shaping the tumor immune landscape. Immunity. 2018;48:399–416.

    Article  CAS  PubMed  Google Scholar 

  3. Gurusamy D, Gray JK, Pathrose P, Kulkarni RM, Finkleman FD, Waltz SE. Myeloid-specific expression of Ron receptor kinase promotes prostate tumor growth. Cancer Res. 2013;73:1752–63.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Lindsten T, Hedbrant A, Ramberg A, Wijkander J, Solterbeck A, Eriksson M, et al. Effect of macrophages on breast cancer cell proliferation, and on expression of hormone receptors, uPAR and HER-2. Int J Oncol. 2017;51:104–14.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Singh S, Mehta N, Lilan J, Budhthoki MB, Chao F, Yong L. Initiative action of tumor-associated macrophage during tumor metastasis. Biochim Open. 2017;4:8–18.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Eyob H, Ekiz HA, Derose YS, Waltz SE, Williams MA, Welm AL. Inhibition of ron kinase blocks conversion of micrometastases to overt metastases by boosting antitumor immunity. Cancer Discov. 2013;3:751–60.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Korkaya H, Liu S, Wicha MS. Breast cancer stem cells, cytokine networks, and the tumor microenvironment. J Clin Investig. 2011;121:3804–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Ruiz-Torres SJ, Benight NM, Karns RA, Lower EE, Guan JL, Waltz SE. HGFL-mediated RON signaling supports breast cancer stem cell phenotypes via activation of non-canonical beta-catenin signaling. Oncotarget. 2017;8:58918–33.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Iwama A, Wang MH, Yamaguchi N, Ohno N, Okano K, Sudo T, et al. Terminal differentiation of murine resident peritoneal macrophages is characterized by expression of the STK protein tyrosine kinase, a receptor for macrophage-stimulating protein. Blood. 1995;86:3394–403.

    Article  CAS  PubMed  Google Scholar 

  10. Wagh PK, Peace BE, Waltz SE. Met-related receptor tyrosine kinase Ron in tumor growth and metastasis. Adv Cancer Res. 2008;100:1–33.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Kulkarni RM, Stuart WD, Waltz SE. Ron receptor-dependent gene regulation of Kupffer cells during endotoxemia. Hepatobiliary Pancreat Dis Int. 2014;13:281–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Nikolaidis NM, Gray JK, Gurusamy D, Fox W, Stuart WD, Huber N, et al. Ron receptor tyrosine kinase negatively regulates TNFalpha production in alveolar macrophages by inhibiting NF-kappaB activity and Adam17 production. Shock. 2010;33:197–204.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Nikolaidis NM, Kulkarni RM, Gray JK, Collins MH, Waltz SE. Ron receptor deficient alveolar myeloid cells exacerbate LPS-induced acute lung injury in the murine lung. Innate Immun. 2011;17:499–507.

    Article  CAS  PubMed  Google Scholar 

  14. Stuart WD, Kulkarni RM, Gray JK, Vasiliauskas J, Leonis MA, Waltz SE. Ron receptor regulates Kupffer cell-dependent cytokine production and hepatocyte survival following endotoxin exposure in mice. Hepatology. 2011;53:1618–28.

    Article  CAS  PubMed  Google Scholar 

  15. Brunelleschi S, Penengo L, Lavagno L, Santoro C, Colangelo D, Viano I, et al. Macrophage stimulating protein (MSP) evokes superoxide anion production by human macrophages of different origin. Br J Pharmacol. 2001;134:1285–95.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Kurihara N, Iwama A, Tatsumi J, Ikeda K, Suda T. Macrophage-stimulating protein activates STK receptor tyrosine kinase on osteoclasts and facilitates bone resorption by osteoclast-like cells. Blood. 1996;87:3704–10.

    Article  CAS  PubMed  Google Scholar 

  17. Nanney LB, Skeel A, Luan J, Polis S, Richmond A, Wang MH, et al. Proteolytic cleavage and activation of pro-macrophage-stimulating protein and upregulation of its receptor in tissue injury. J Investig Dermatol. 1998;111:573–81.

    Article  CAS  PubMed  Google Scholar 

  18. Kulkarni RM, Stuart WD, Gurusamy D, Waltz SE. Ron receptor signaling is protective against DSS-induced colitis in mice. Am J Physiol Gastrointest Liver Physiol. 2014;306:G1065–74.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Ray M, Yu S, Sharda DR, Wilson CB, Liu Q, Kaushal N, et al. Inhibition of TLR4-induced IkappaB kinase activity by the RON receptor tyrosine kinase and its ligand, macrophage-stimulating protein. J Immunol. 2010;185:7309–16.

    Article  CAS  PubMed  Google Scholar 

  20. Waltz SE, Eaton L, Toney-Earley K, Hess KA, Peace BE, Ihlendorf JR, et al. Ron-mediated cytoplasmic signaling is dispensable for viability but is required to limit inflammatory responses. J Clin Investig. 2001;108:567–76.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Chen YQ, Fisher JH, Wang MH. Activation of the RON receptor tyrosine kinase inhibits inducible nitric oxide synthase (iNOS) expression by murine peritoneal exudate macrophages: phosphatidylinositol-3 kinase is required for RON-mediated inhibition of iNOS expression. J Immunol. 1998;161:4950–9.

    Article  CAS  PubMed  Google Scholar 

  22. Morrison AC, Correll PH. Activation of the stem cell-derived tyrosine kinase/RON receptor tyrosine kinase by macrophage-stimulating protein results in the induction of arginase activity in murine peritoneal macrophages. J Immunol. 2002;168:853–60.

    Article  CAS  PubMed  Google Scholar 

  23. Morrison AC, Wilson CB, Ray M, Correll PH. Macrophage-stimulating protein, the ligand for the stem cell-derived tyrosine kinase/RON receptor tyrosine kinase, inhibits IL-12 production by primary peritoneal macrophages stimulated with IFN-gamma and lipopolysaccharide. J Immunol. 2004;172:1825–32.

    Article  CAS  PubMed  Google Scholar 

  24. Sharda DR, Yu S, Ray M, Squadrito ML, De Palma M, Wynn TA, et al. Regulation of macrophage arginase expression and tumor growth by the Ron receptor tyrosine kinase. J Immunol. 2011;187:2181–92.

    Article  CAS  PubMed  Google Scholar 

  25. Wilson CB, Ray M, Lutz M, Sharda D, Xu J, Hankey PA. The RON receptor tyrosine kinase regulates IFN-gamma production and responses in innate immunity. J Immunol. 2008;181:2303–10.

    Article  CAS  PubMed  Google Scholar 

  26. Wang MH, Cox GW, Yoshimura T, Sheffler LA, Skeel A, Leonard EJ. Macrophage-stimulating protein inhibits induction of nitric oxide production by endotoxin- or cytokine-stimulated mouse macrophages. J Biol Chem. 1994;269:14027–31.

    Article  CAS  PubMed  Google Scholar 

  27. Benight NM, Wagh PK, Zinser GM, Peace BE, Stuart WD, Vasiliauskas J, et al. HGFL supports mammary tumorigenesis by enhancing tumor cell intrinsic survival and influencing macrophage and T-cell responses. Oncotarget. 2015;6:17445–61.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Hunt BG, Wicker CA, Bourn JR, Lower EE, Takiar V, Waltz SE. MST1R (RON) expression is a novel prognostic biomarker for metastatic progression in breast cancer patients. Breast Cancer Res Treat. 2020;181:529–40.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Benight NM, Waltz SE. Ron receptor tyrosine kinase signaling as a therapeutic target. Expert Opin Ther Targets. 2012;16:921–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. McClaine RJ, Marshall AM, Wagh PK, Waltz SE. Ron receptor tyrosine kinase activation confers resistance to tamoxifen in breast cancer cell lines. Neoplasia. 2010;12:650–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Welm AL, Sneddon JB, Taylor C, Nuyten DS, van de Vijver MJ, Hasegawa BH, et al. The macrophage-stimulating protein pathway promotes metastasis in a mouse model for breast cancer and predicts poor prognosis in humans. Proc Natl Acad Sci USA. 2007;104:7570–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Zinser GM, Leonis MA, Toney K, Pathrose P, Thobe M, Kader SA, et al. Mammary-specific Ron receptor overexpression induces highly metastatic mammary tumors associated with beta-catenin activation. Cancer Res. 2006;66:11967–74.

    Article  CAS  PubMed  Google Scholar 

  33. Peace BE, Toney-Earley K, Collins MH, Waltz SE. Ron receptor signaling augments mammary tumor formation and metastasis in a murine model of breast cancer. Cancer Res. 2005;65:1285–93.

    Article  CAS  PubMed  Google Scholar 

  34. Choi J, Leung PS, Bowlus C, Gershwin ME. IL-35 and autoimmunity: a comprehensive perspective. Clin Rev Allergy Immunol. 2015;49:327–32.

    Article  CAS  PubMed  Google Scholar 

  35. Kourko O, Seaver K, Odoardi N, Basta S, Gee K. IL-27, IL-30, and IL-35: a cytokine triumvirate in cancer. Front Oncol. 2019;9:969.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Dambuza IM, He C, Choi JK, Yu CR, Wang R, Mattapallil MJ, et al. IL-12p35 induces expansion of IL-10 and IL-35-expressing regulatory B cells and ameliorates autoimmune disease. Nat Commun. 2017;8:719.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Pylayeva-Gupta Y. Molecular pathways: interleukin-35 in autoimmunity and cancer. Clin Cancer Res. 2016;22:4973–8.

    Article  CAS  PubMed  Google Scholar 

  38. Vignali DA, Kuchroo VK. IL-12 family cytokines: immunological playmakers. Nat Immunol. 2012;13:722–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Jadus MR, Irwin MC, Irwin MR, Horansky RD, Sekhon S, Pepper KA, et al. Macrophages can recognize and kill tumor cells bearing the membrane isoform of macrophage colony-stimulating factor. Blood. 1996;87:5232–41.

    Article  CAS  PubMed  Google Scholar 

  40. Sainz B Jr., Carron E, Vallespinos M, Machado HL. Cancer stem cells and macrophages: implications in tumor biology and therapeutic strategies. Mediators Inflamm. 2016;2016:9012369.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Goodridge HS, Harnett W, Liew FY, Harnett MM. Differential regulation of interleukin-12 p40 and p35 induction via Erk mitogen-activated protein kinase-dependent and -independent mechanisms and the implications for bioactive IL-12 and IL-23 responses. Immunology. 2003;109:415–25.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Kollet JI, Petro TM. IRF-1 and NF-kappaB p50/cRel bind to distinct regions of the proximal murine IL-12 p35 promoter during costimulation with IFN-gamma and LPS. Mol Immunol. 2006;43:623–33.

    Article  CAS  PubMed  Google Scholar 

  43. Liu J, Guan X, Tamura T, Ozato K, Ma X. Synergistic activation of interleukin-12 p35 gene transcription by interferon regulatory factor-1 and interferon consensus sequence-binding protein. J Biol Chem. 2004;279:55609–17.

    Article  CAS  PubMed  Google Scholar 

  44. Hunt BG, Wicker CA, Bourn JR, Lower EE, Takiar V, Waltz SE. MST1R (RON) expression is a novel prognostic biomarker for metastatic progression in breast cancer patients. Breast Cancer Res Treat. 2020;181:529–40.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Sullivan C, Brown NE, Vasiliauskas J, Pathrose P, Starnes SL, Waltz SE. Prostate epithelial RON signaling promotes M2 macrophage activation to drive prostate tumor growth and progression. Mol Cancer Res. 2020;18:1244–54.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Lee CC, Lin JC, Hwang WL, Kuo YJ, Chen HK, Tai SK, et al. Macrophage-secreted interleukin-35 regulates cancer cell plasticity to facilitate metastatic colonization. Nat Commun. 2018;9:3763.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Sawant DV, Hamilton K, Vignali DA. Interleukin-35: expanding its job profile. J Interferon Cytokine Res. 2015;35:499–512.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. De Nardo D, Kalvakolanu DV, Latz E. Immortalization of murine bone marrow-derived macrophages. Springer. 2018. p. 35–49.

  49. Ito Y, Teitelbaum SL, Zou W, Zheng Y, Johnson JF, Chappel J, et al. Cdc42 regulates bone modeling and remodeling in mice by modulating RANKL/M-CSF signaling and osteoclast polarization. J Clin Investig. 2010;120:1981–93.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Chen J, Bardes EE, Aronow BJ, Jegga AG. ToppGene suite for gene list enrichment analysis and candidate gene prioritization. Nucleic Acids Res. 2009;37:W305–11. Web Server issue

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Györffy B, Lanczky A, Eklund AC, Denkert C, Budczies J, Li Q, et al. An online survival analysis tool to rapidly assess the effect of 22,277 genes on breast cancer prognosis using microarray data of 1,809 patients. Breast Cancer Res Treat. 2010;123:725–31.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We would like to thank Vidjaya L. Premkumar, Lennox Brooks, Rebekah Karns, James Davis, and Madison Nashu for their technical and bioinformatic assistance. US Department of Veterans Affairs research grant 1IOBX000803 (SEW); National Institutes of Health grants R01 CA239697 (SEW), T32 CA117846 (SEW, SJRT, NMB, JRB), F31 CA228373 (BGH, SEW), and National Institutes of Diabetes & Digestive & Kidney Diseases grant P30 DK078392.

Author information

Authors and Affiliations

Authors

Contributions

The authors have made the following declarations about their contributions: Conceived and designed experiments: SJRT, JRB, BGH, and SEW. Performed experiments: SJRT, NMB, JRB, BGH, and CL. Analyzed data: SJRT, JRB, NMB, BGH, CL, and SEW. Wrote the paper: SJRT, JRB, BGH, and SEW.

Corresponding author

Correspondence to Susan E. Waltz.

Ethics declarations

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ruiz-Torres, S.J., Bourn, J.R., Benight, N.M. et al. Macrophage-mediated RON signaling supports breast cancer growth and progression through modulation of IL-35. Oncogene 41, 321–333 (2022). https://doi.org/10.1038/s41388-021-02091-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41388-021-02091-y

This article is cited by

Search

Quick links