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Mast cells inhibit colorectal cancer development by inducing ER stress through secreting Cystatin C

Abstract

Mast cells (MCs) are abundantly distributed in the human intestinal mucosa and submucosa. However, their roles and mechanisms in the development of colorectal cancer (CRC) are still unclear. In the present research, we found that the infiltration density of MCs in CRC tissues was positively correlated with improved patients’ prognoses. Moreover, MCs suppressed the growth and induced the apoptosis of CRC cells in vitro and in vivo but had no effect on normal colonic epithelial cells. The present study revealed that MCs specifically induced endoplasmic reticulum stress (ERS) and activated the unfolded protein response (UPR) in CRC cells but not in normal cells, which led to the suppression of CRC development in vivo. Furthermore, we found that the secreted Cystatin C protein was the key factor for the MC-induced ERS in CRC cells. This work is of significance for uncovering the antitumor function of MCs in CRC progression and identifying the potential of CRC to respond to MC-targeted immunotherapy.

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Fig. 1: Infiltration of MCs into CRC tissues predicted improved prognosis.
Fig. 2: CM from MCs induced the growth arrest and apoptosis of CRC cells.
Fig. 3: MCs specifically induced ERS and activated UPR in CRC cells.
Fig. 4: MCs activated ERS and inhibited the growth of CRC cells in vivo.
Fig. 5: MCs inhibited the development of CRC by inducing ERS.
Fig. 6: Cystatin C protein was the key factor of MCs in inducing ERS of CRC cells.
Fig. 7: Knockout of Cystatin C in MCs alleviated their inhibitory effect on CRC development.

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Data availability

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

  1. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clinicians. 2018;68:394–424.

    Article  Google Scholar 

  2. Ferrone C, Dranoff G. Dual roles for immunity in gastrointestinal cancers. JCO. 2010;28:4045–51.

    Article  CAS  Google Scholar 

  3. Poh AR, Love CG, Masson F, Preaudet A, Tsui C, Whitehead L, et al. Inhibition of hematopoietic cell kinase activity suppresses myeloid cell-mediated colon cancer progression. Cancer Cell. 2017;31:563–575.e5.

    Article  CAS  Google Scholar 

  4. Reissfelder C, Stamova S, Gossmann C, Braun M, Bonertz A, Walliczek U, et al. Tumor-specific cytotoxic T lymphocyte activity determines colorectal cancer patient prognosis. J Clin Investig. 2015;125:739–51.

    Article  Google Scholar 

  5. Bruni D, Angell HK, Galon J. The immune contexture and Immunoscore in cancer prognosis and therapeutic efficacy. Nat Rev Cancer. 2020;20:662–80.

    Article  CAS  Google Scholar 

  6. Saito T, Nishikawa H, Wada H, Nagano Y, Sugiyama D, Atarashi K, et al. Two FOXP3+CD4+ T cell subpopulations distinctly control the prognosis of colorectal cancers. Nat Med. 2016;22:679–84.

    Article  CAS  Google Scholar 

  7. Tosolini M, Kirilovsky A, Mlecnik B, Fredriksen T, Mauger S, Bindea G, et al. Clinical impact of different classes of infiltrating T cytotoxic and helper cells (Th1, Th2, Treg, Th17) in patients with colorectal cancer. Cancer Res. 2011;71:1263–71.

    Article  CAS  Google Scholar 

  8. Amicarella F, Muraro MG, Hirt C, Cremonesi E, Padovan E, Mele V, et al. Dual role of tumour-infiltrating T helper 17 cells in human colorectal cancer. Gut. 2017;66:692–704.

    Article  CAS  Google Scholar 

  9. Maciel TT, Moura IC, Hermine O. The role of mast cells in cancers. F1000Prime Rep. 2015;7. https://facultyopinions.com/prime/reports/m/7/9/.

  10. Malfettone A, Silvestris N, Saponaro C, Ranieri G, Russo A, Caruso S, et al. High density of tryptase-positive mast cells in human colorectal cancer: a poor prognostic factor related to protease-activated receptor 2 expression. J Cell Mol Med. 2013;17:1025–37.

    Article  CAS  Google Scholar 

  11. Mehdawi L, Osman J, Topi G, Sjölander A. High tumor mast cell density is associated with longer survival of colon cancer patients. Acta Oncol. 2016;55:1434–42.

    Article  CAS  Google Scholar 

  12. Nielsen HJ, Hansen U, Christensen IJ, Reimert CM, Brünner N, Moesgaard F. Independent prognostic value of eosinophil and mast cell infiltration in colorectal cancer tissue. J Pathol. 1999;189:487–95.

    Article  CAS  Google Scholar 

  13. Mao Y, Feng Q, Zheng P, Yang L, Zhu D, Chang W, et al. Low tumor infiltrating mast cell density confers prognostic benefit and reflects immunoactivation in colorectal cancer: Tumor infiltrating mast cell in colorectal cancer. Int J Cancer. 2018;143:2271–80.

    Article  CAS  Google Scholar 

  14. Gulubova M, Vlaykova T. Prognostic significance of mast cell number and microvascular density for the survival of patients with primary colorectal cancer. J Gastroenterol Hepatol. 2009;24:1265–75.

    Article  Google Scholar 

  15. Dudeck A, Köberle M, Goldmann O, Meyer N, Dudeck J, Lemmens S, et al. Mast cells as protectors of health. J Allergy Clin Immunol. 2019;144:S4–18.

    Article  CAS  Google Scholar 

  16. Yodavudh S, Tangjitgamol S, Puangsa-art S. Prognostic significance of microvessel density and mast cell density for the survival of Thai patients with primary colorectal cancer. J Med Assoc Thai. 2008;91:723–32.

    Google Scholar 

  17. Blatner NR, Bonertz A, Beckhove P, Cheon EC, Krantz SB, Strouch M, et al. In colorectal cancer mast cells contribute to systemic regulatory T-cell dysfunction. Proc Natl Acad Sci USA 2010;107:6430–5.

    Article  CAS  Google Scholar 

  18. Marichal T, Tsai M, Galli SJ. Mast cells: potential positive and negative roles in tumor biology. Cancer Immunol Res. 2013;1:269–79.

    Article  CAS  Google Scholar 

  19. Tan SY. Prognostic significance of cell infiltrations of immunosurveillance in colorectal cancer. World J Gastroenterol. 2005;11:1210.

    Article  Google Scholar 

  20. Dabiri S, Huntsman D, Makretsov N, Cheang M, Gilks B, Bajdik C, et al. The presence of stromal mast cells identifies a subset of invasive breast cancers with a favorable prognosis. Mod Pathol. 2004;17:690–5.

    Article  Google Scholar 

  21. della Rovere F, Granata A, Familiari D, D’Arrigo G, Mondello B, Basile G. Mast cells in invasive ductal breast cancer: different behavior in high and minimum hormone-receptive cancers. Anticancer Res. 2007;27:2465–71.

    Google Scholar 

  22. Rajput AB, Turbin DA, Cheang MC, Voduc DK, Leung S, Gelmon KA, et al. Stromal mast cells in invasive breast cancer are a marker of favourable prognosis: a study of 4,444 cases. Breast Cancer Res Treat. 2008;107:249–57.

    Article  Google Scholar 

  23. Shikotra A, Ohri CM, Green RH, Waller DA, Bradding P. Mast cell phenotype, TNFα expression and degranulation status in non-small cell lung cancer. Sci Rep. 2016;6. http://www.nature.com/articles/srep38352.

  24. Hempel HA, Cuka NS, Kulac I, Barber JR, Cornish TC, Platz EA, et al. Low intratumoral mast cells are associated with a higher risk of prostate cancer recurrence: mast cells and prostate cancer recurrence. Prostate 2017;77:412–24.

    Article  CAS  Google Scholar 

  25. Fu H, Zhu Y, Wang Y, Liu Z, Zhang J, Wang Z, et al. Tumor infiltrating mast cells (TIMs) confers a marked survival advantage in nonmetastatic clear-cell renal cell carcinoma. Ann Surg Oncol. 2017;24:1435–42.

    Article  Google Scholar 

  26. Dantas RCM, de Souza RO, Valverde L de F, Vidal MTA, Sales CBS, et al. Evaluation of mast cell density in the tumor microenvironment in oral epithelial dysplasia and oral squamous cell carcinoma. Appl Immunohistochem Mol Morphol. 2017;25:e83–8.

  27. Lin C, Liu H, Zhang H, Cao Y, Li R, Wu S, et al. Tryptase expression as a prognostic marker in patients with resected gastric cancer. Br J Surg. 2017;104:1037–44.

    Article  CAS  Google Scholar 

  28. Chan JK, Magistris A, Loizzi V, Lin F, Rutgers J, Osann K, et al. Mast cell density, angiogenesis, blood clotting, and prognosis in women with advanced ovarian cancer. Gynecol. Oncol. 2005;99:20–5.

    Article  CAS  Google Scholar 

  29. da Silva EZM, Jamur MC, Oliver C. Mast cell function: a new vision of an old cell. J Histochem Cytochem. 2014;62:698–738.

    Article  Google Scholar 

  30. Ribatti D. Mast cells and macrophages exert beneficial and detrimental effects on tumor progression and angiogenesis. Immunol Lett. 2013;152:83–8.

    Article  CAS  Google Scholar 

  31. Rigoni A, Colombo MP, Pucillo C. The role of mast cells in molding the tumor microenvironment. Cancer Microenviron. 2015;8:167–76.

    Article  CAS  Google Scholar 

  32. Dowling P, Clynes M. Conditioned media from cell lines: a complementary model to clinical specimens for the discovery of disease-specific biomarkers. Proteomics. 2011;11:794–804.

    Article  CAS  Google Scholar 

  33. Vis MAM, Ito K, Hofmann S. Impact of culture medium on cellular interactions in in vitro co-culture systems. Front Bioeng Biotechnol. 2020;8:911.

    Article  Google Scholar 

  34. Kyritsi K, Kennedy L, Meadows V, Hargrove L, Demieville J, Pham L, et al. Mast cells induce ductular reaction mimicking liver injury in mice through mast cell–derived transforming growth factor beta 1 signaling. Hepatology. 2021;73:2397–410.

    Article  CAS  Google Scholar 

  35. Ma Y, Hwang RF, Logsdon CD, Ullrich SE. Dynamic mast cell–stromal cell interactions promote growth of pancreatic cancer. Cancer Res. 2013;73:3927–37.

    Article  CAS  Google Scholar 

  36. Segura-Villalobos D, Ramírez-Moreno IG, Martínez-Aguilar M, Ibarra-Sánchez A, Muñoz-Bello JO, Anaya-Rubio I, et al. Mast cell–tumor interactions: molecular mechanisms of recruitment, intratumoral communication and potential therapeutic targets for tumor growth. Cells. 2022;11:349.

    Article  CAS  Google Scholar 

  37. Hughes MR, McNagny KM. Preface. Mast cells. Methods Mol Biol. 2015;1220:vii–viii.

    Google Scholar 

  38. Aran D, Hu Z, Butte AJ. xCell: digitally portraying the tissue cellular heterogeneity landscape. Genome Biol. 2017;18:220.

    Article  Google Scholar 

  39. Hetz C, Papa FR. The unfolded protein response and cell fate control. Mol Cell. 2018;69:169–81.

    Article  CAS  Google Scholar 

  40. Zhu P, Hu S, Jin Q, Li D, Tian F, Toan S, et al. Ripk3 promotes ER stress-induced necroptosis in cardiac IR injury: a mechanism involving calcium overload/XO/ROS/mPTP pathway. Redox Biol. 2018;16:157–68.

    Article  CAS  Google Scholar 

  41. Zeeshan H, Lee G, Kim HR, Chae HJ. Endoplasmic reticulum stress and associated ROS. IJMS 2016;17:327.

    Article  Google Scholar 

  42. Fu S, Yang L, Li P, Hofmann O, Dicker L, Hide W, et al. Aberrant lipid metabolism disrupts calcium homeostasis causing liver endoplasmic reticulum stress in obesity. Nature. 2011;473:528–31.

    Article  CAS  Google Scholar 

  43. Wu J, Chen YJ, Dobbs N, Sakai T, Liou J, Miner JJ, et al. STING-mediated disruption of calcium homeostasis chronically activates ER stress and primes T cell death. J Exp Med. 2019;216:867–83.

    Article  CAS  Google Scholar 

  44. Chen Y, Li C, Xie H, Fan Y, Yang Z, Ma J, et al. Infiltrating mast cells promote renal cell carcinoma angiogenesis by modulating PI3K→AKT→GSK3β→AM signaling. Oncogene. 2017;36:2879–88.

    Article  CAS  Google Scholar 

  45. Melillo RM, Guarino V, Avilla E, Galdiero MR, Liotti F, Prevete N, et al. Mast cells have a protumorigenic role in human thyroid cancer. Oncogene. 2010;29:6203–15.

    Article  CAS  Google Scholar 

  46. Huber AL, Lebeau J, Guillaumot P, Pétrilli V, Malek M, Chilloux J, et al. p58IPK-Mediated attenuation of the proapoptotic PERK-CHOP pathway allows malignant progression upon low glucose. Mol Cell. 2013;49:1049–59.

    Article  CAS  Google Scholar 

  47. Wellen KE, Lu C, Mancuso A, Lemons JMS, Ryczko M, Dennis JW, et al. The hexosamine biosynthetic pathway couples growth factor-induced glutamine uptake to glucose metabolism. Genes Dev. 2010;24:2784–99.

    Article  CAS  Google Scholar 

  48. Acikalin MF, Oner U, Topçu I, Yaşar B, Kiper H, Colak E. Tumour angiogenesis and mast cell density in the prognostic assessment of colorectal carcinomas. Dig Liver Dis. 2005;37:162–9.

    Article  CAS  Google Scholar 

  49. Suzuki S, Ichikawa Y, Nakagawa K, Kumamoto T, Mori R, Matsuyama R, et al. High infiltration of mast cells positive to tryptase predicts worse outcome following resection of colorectal liver metastases. BMC Cancer. 2015;15:840.

    Article  Google Scholar 

  50. Majorini MT, Cancila V, Rigoni A, Botti L, Dugo M, Triulzi T, et al. Infiltrating mast cell–mediated stimulation of estrogen receptor activity in breast cancer cells promotes the luminal phenotype. Cancer Res. 2020;80:2311–24.

    Article  CAS  Google Scholar 

  51. Cheng S, Li Z, Gao R, Xing B, Gao Y, Yang Y, et al. A pan-cancer single-cell transcriptional atlas of tumor infiltrating myeloid cells. Cell. 2021;184:792–809.e23.

    Article  CAS  Google Scholar 

  52. Marone G, Varricchi G, Loffredo S, Granata F. Mast cells and basophils in inflammatory and tumor angiogenesis and lymphangiogenesis. Eur J Pharmacol. 2016;778:146–51.

    Article  CAS  Google Scholar 

  53. Ribatti D. Mast cells as therapeutic target in cancer. Eur J Pharmacol. 2016;778:152–7.

    Article  CAS  Google Scholar 

  54. Tran H, Mittal A, Sagi V, Luk K, Nguyen A, Gupta M, Nguyen J, Lamarre Y, Lei J, Guedes A, Gupta K. Mast cells induce blood brain barrier damage in SCD by causing endoplasmic reticulum stress in the endothelium. Front. Cell. Neurosci. 2019;13:56. https://doi.org/10.3389/fncel.2019.00056.

    Article  CAS  Google Scholar 

  55. Burikhanov R, Zhao Y, Goswami A, Qiu S, Schwarze SR, Rangnekar VM. The tumor suppressor Par-4 activates an extrinsic pathway for apoptosis. Cell 2009;138:377–88.

    Article  CAS  Google Scholar 

  56. Urra H, Dufey E, Lisbona F, Rojas-Rivera D, Hetz C. When ER stress reaches a dead end. Biochim Biophysica Acta Mol Cell Res. 2013;1833:3507–17.

    Article  CAS  Google Scholar 

  57. Glab JA, Doerflinger M, Nedeva C, Jose I, Mbogo GW, Paton JC, et al. DR5 and caspase-8 are dispensable in ER stress-induced apoptosis. Cell Death Differ. 2017;24:944–50.

    Article  CAS  Google Scholar 

  58. Pihán P, Carreras-Sureda A, Hetz C. BCL-2 family: integrating stress responses at the ER to control cell demise. Cell Death Differ. 2017;24:1478–87.

    Article  Google Scholar 

  59. He K, Zheng X, Li M, Zhang L, Yu J. mTOR inhibitors induce apoptosis in colon cancer cells via CHOP-dependent DR5 induction on 4E-BP1 dephosphorylation. Oncogene. 2016;35:148–57.

    Article  CAS  Google Scholar 

  60. Chen W, Lian W, Yuan Y, Li M. The synergistic effects of oxaliplatin and piperlongumine on colorectal cancer are mediated by oxidative stress. Cell Death Dis. 2019;10:600.

    Article  Google Scholar 

  61. Kim JL, Kim BR, Kim DY, Jeong YA, Jeong S, Na YJ, et al. Cannabidiol enhances the therapeutic effects of TRAIL by upregulating DR5 in colorectal cancer. Cancers. 2019;11:642.

    Article  CAS  Google Scholar 

  62. Wu MS, Chien CC, Jargalsaikhan G, Ilsan NA, Chen YC. Activation of PERK contributes to apoptosis and G2/M arrest by microtubule disruptors in human colorectal carcinoma cells. Cancers. 2020;12:97.

  63. Hamanaka RB, Bennett BS, Cullinan SB, Diehl JA. PERK and GCN2 contribute to eIF2α phosphorylation and cell cycle arrest after activation of the unfolded protein response pathway. MBoC. 2005;16:5493–501.

    Article  CAS  Google Scholar 

  64. Mussap M, Plebani M. Biochemistry and clinical role of human cystatin C. Crit Rev Clin Lab Sci. 2004;41:467–550.

    Article  CAS  Google Scholar 

  65. Xu Y, Ding Y, Li X, Wu X. Cystatin C is a disease‐associated protein subject to multiple regulation. Immunol Cell Biol. 2015;93:442–51.

    Article  CAS  Google Scholar 

  66. Leto G, Crescimanno M, Flandina C. On the role of cystatin C in cancer progression. Life Sci. 2018;202:152–60.

    Article  CAS  Google Scholar 

  67. Ji X, Yao L, Wang M, Liu X, Peng S, Li K, et al. Cystatin C attenuates insulin signaling transduction by promoting endoplasmic reticulum stress in hepatocytes. FEBS Lett. 2015;589:3938–44.

    Article  CAS  Google Scholar 

  68. Song FF, Xia LL, Ji P, Tang YB, Huang ZM, Zhu L, et al. Human dCTP pyrophosphatase 1 promotes breast cancer cell growth and stemness through the modulation on 5-methyl-dCTP metabolism and global hypomethylation. Oncogenesis. 2015;4:e159–e159.

    Article  CAS  Google Scholar 

  69. Song F, Chen Q, Rao W, Zhang R, Wang Y, Ge H, et al. OVA66 promotes tumour angiogenesis and progression through enhancing autocrine VEGF-VEGFR2 signalling. EBioMedicine. 2019;41. https://www.ebiomedicine.com/article/S2352-3964(19)30130-6/fulltext.

  70. Sinnamon MJ, Carter KJ, Sims LP, LaFleur B, Fingleton B, Matrisian LM. A protective role of mast cells in intestinal tumorigenesis. Carcinogenesis. 2008;29:880–6.

    Article  CAS  Google Scholar 

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Acknowledgements

We wish to thank Professor Jianfeng Chen from Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences for his scientific vision and kindly support during the study conduction.

Funding

This work was financially supported by the National Natural Science Foundation of China (Nos. 82072647, 31741087, 81602262 and 82173190).

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FS and YZ carried out most of the experiments, assembled the figures, and wrote the manuscript. QC assisted with the data analysis and the manuscript revision. DB gave his help for bioinformatic analysis. MY and LL provided suggestions for experimental design. ML, HZ and YL provided suggestions for manuscript writing. QW, HQ and JL designed and supervised the project.

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Correspondence to Qing Wei, Huanlong Qin or Jiyu Li.

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The study protocol was approved by the Ethics Committees of Shanghai Tenth People’s Hospital and Experimental Animal Ethics Committee of Shanghai Tenth People’s Hospital. Patients or the public were not involved in the design, or conduct, or reporting, or dissemination plans of our research.

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Song, F., Zhang, Y., Chen, Q. et al. Mast cells inhibit colorectal cancer development by inducing ER stress through secreting Cystatin C. Oncogene 42, 209–223 (2023). https://doi.org/10.1038/s41388-022-02543-z

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