PMID- 28832662 OWN - NLM STAT- MEDLINE DCOM- 20171019 LR - 20190115 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 12 IP - 8 DP - 2017 TI - Oxygen-dependent regulation of tumor growth and metastasis in human breast cancer xenografts. PG - e0183254 LID - 10.1371/journal.pone.0183254 [doi] LID - e0183254 AB - BACKGROUND: Tumor hypoxia is relevant for tumor growth, metabolism, resistance to chemotherapy and metastasis. We have previously shown that hyperoxia, using hyperbaric oxygen treatment (HBOT), attenuates tumor growth and shifts the phenotype from mesenchymal to epithelial (MET) in the DMBA-induced mammary tumor model. This study describes the effect of HBOT on tumor growth, angiogenesis, chemotherapy efficacy and metastasis in a triple negative MDA-MB-231 breast cancer model, and evaluates tumor growth using a triple positive BT-474 breast cancer model. MATERIALS AND METHODS: 5 x 105 cancer cells were injected s.c. in the groin area of NOD/SCID female mice. The BT-474 group was supplied with Progesterone and Estradiol pellets 2-days prior to tumor cell injection. Mice were divided into controls (1 bar, pO2 = 0.2 bar) or HBOT (2.5 bar, pO2 = 2.5 bar, 90 min, every third day until termination of the experiments). Treatment effects were determined by assessment of tumor growth, proliferation (Ki67-staining), angiogenesis (CD31-staining), metastasis (immunostaining), EMT markers (western blot), stromal components collagen type I, Itgb1 and FSP1 (immunostaining) and chemotherapeutic efficacy (5FU). RESULTS: HBOT significantly suppressed tumor growth in both the triple positive and negative tumors, and both MDA-MB-231 and BT-474 showed a decrease in proliferation after HBOT. No differences were found in angiogenesis or 5FU efficacy between HBOT and controls. Nevertheless, HBOT significantly reduced both numbers and total area of the metastastatic lesions, as well as reduced expression of N-cadherin, Axl and collagen type I measured in the MDA-MB-231 model. No change in stromal Itgb1 and FSP1 was found in either tumor model. CONCLUSION: Despite the fact that behavior and prognosis of the triple positive and negative subtypes of cancer are different, the HBOT had a similar suppressive effect on tumor growth, indicating that they share a common oxygen dependent anti-tumor mechanism. Furthermore, HBOT significantly reduced the number and area of metastatic lesions in the triple negative model as well as a significant reduction in the EMT markers N-cadherin, Axl and density of collagen type I. FAU - Yttersian Sletta, Kristine AU - Yttersian Sletta K AD - Department of Biomedicine, University of Bergen, Bergen, Norway. FAU - Tveitaras, Maria K AU - Tveitaras MK AUID- ORCID: 0000-0003-3902-9225 AD - Department of Biomedicine, University of Bergen, Bergen, Norway. AD - Center for Cancer Biomarkers (CCBIO), University of Bergen, Bergen, Norway. AD - Matrix Biology, Haukeland University Hospital, Bergen, Norway. FAU - Lu, Ning AU - Lu N AD - Department of Biomedicine, University of Bergen, Bergen, Norway. FAU - Engelsen, Agnete S T AU - Engelsen AST AD - Department of Biomedicine, University of Bergen, Bergen, Norway. AD - Center for Cancer Biomarkers (CCBIO), University of Bergen, Bergen, Norway. FAU - Reed, Rolf K AU - Reed RK AD - Department of Biomedicine, University of Bergen, Bergen, Norway. AD - Center for Cancer Biomarkers (CCBIO), University of Bergen, Bergen, Norway. FAU - Garmann-Johnsen, Annette AU - Garmann-Johnsen A AD - Department of Biomedicine, University of Bergen, Bergen, Norway. FAU - Stuhr, Linda AU - Stuhr L AD - Department of Biomedicine, University of Bergen, Bergen, Norway. AD - Center for Cancer Biomarkers (CCBIO), University of Bergen, Bergen, Norway. LA - eng PT - Journal Article DEP - 20170823 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - S88TT14065 (Oxygen) SB - IM MH - Animals MH - Breast Neoplasms/*pathology MH - Cell Line, Tumor MH - *Cell Proliferation MH - Epithelial-Mesenchymal Transition MH - Female MH - Humans MH - Mice MH - Mice, Inbred NOD MH - Mice, SCID MH - *Neoplasm Metastasis MH - Oxygen/*metabolism MH - Xenograft Model Antitumor Assays PMC - PMC5568407 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2017/08/24 06:00 MHDA- 2017/10/20 06:00 PMCR- 2017/08/23 CRDT- 2017/08/24 06:00 PHST- 2017/03/07 00:00 [received] PHST- 2017/08/01 00:00 [accepted] PHST- 2017/08/24 06:00 [entrez] PHST- 2017/08/24 06:00 [pubmed] PHST- 2017/10/20 06:00 [medline] PHST- 2017/08/23 00:00 [pmc-release] AID - PONE-D-17-09029 [pii] AID - 10.1371/journal.pone.0183254 [doi] PST - epublish SO - PLoS One. 2017 Aug 23;12(8):e0183254. doi: 10.1371/journal.pone.0183254. eCollection 2017.