PMID- 34312806 OWN - NLM STAT- MEDLINE DCOM- 20220404 LR - 20220405 IS - 1860-2002 (Electronic) IS - 1536-1632 (Print) IS - 1536-1632 (Linking) VI - 24 IP - 1 DP - 2022 Feb TI - Molecular Imaging Reveals a High Degree of Cross-Seeding of Spontaneous Metastases in a Novel Mouse Model of Synchronous Bilateral Breast Cancer. PG - 104-114 LID - 10.1007/s11307-021-01630-z [doi] AB - PURPOSE: Synchronous bilateral breast cancer (SBBC) patients present with cancer in both breasts at the time of diagnosis or within a short time interval. They show higher rates of metastasis and lower overall survival compared to women with unilateral breast cancer. Here we established the first preclinical SBBC model and used molecular imaging to visualize the patterns of metastasis from each primary tumor. PROCEDURES: We engineered human breast cancer cells to express either Akaluc or Antares2 for bioluminescence imaging (BLI) and tdTomato or zsGreen for ex vivo fluorescence microscopy. Both cell populations were implanted into contralateral mammary fat pads of mice (n=10), and dual-BLI was performed weekly for up to day 29 (n=3), 38 (n=4), or 42 (n=3). Primary tumors and lungs were fixed, and ex vivo fluorescence microscopy was used to analyze the cellular makeup of micrometastases. RESULTS: Signal from both Antares2 and Akaluc was first detected in the lungs on day 28 and was present in 9 of 10 mice at endpoint. Ex vivo fluorescence microscopy of the lungs revealed that for mice sacrificed on day 38, a significant percentage of micrometastases were composed of cancer cells from both primary tumors (mean 37%; range 27 to 45%), while two mice sacrificed on day 42 showed percentages of 51% and 70%. CONCLUSIONS: A high degree of metastatic cross-seeding of cancer cells derived from bilateral tumors may contribute to faster metastatic growth and intratumoral heterogeneity. We posit that our work will help understand treatment resistance and optimal planning of SBBC treatment. CI - (c) 2021. The Author(s). FAU - Liu, Shirley AU - Liu S AD - Robarts Research Institute, University of Western Ontario, London, ON, Canada. AD - Department of Medical Biophysics, University of Western Ontario, London, ON, Canada. FAU - Nystrom, Nivin N AU - Nystrom NN AD - Robarts Research Institute, University of Western Ontario, London, ON, Canada. AD - Department of Medical Biophysics, University of Western Ontario, London, ON, Canada. FAU - Kelly, John J AU - Kelly JJ AD - Robarts Research Institute, University of Western Ontario, London, ON, Canada. FAU - Hamilton, Amanda M AU - Hamilton AM AD - Robarts Research Institute, University of Western Ontario, London, ON, Canada. FAU - Fu, Yanghao AU - Fu Y AD - Robarts Research Institute, University of Western Ontario, London, ON, Canada. AD - Department of Medical Biophysics, University of Western Ontario, London, ON, Canada. FAU - Ronald, John A AU - Ronald JA AUID- ORCID: 0000-0003-3665-173X AD - Robarts Research Institute, University of Western Ontario, London, ON, Canada. jronald@robarts.ca. AD - Department of Medical Biophysics, University of Western Ontario, London, ON, Canada. jronald@robarts.ca. LA - eng GR - 377071/CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210726 PL - United States TA - Mol Imaging Biol JT - Molecular imaging and biology JID - 101125610 SB - IM MH - Animals MH - *Breast Neoplasms/diagnostic imaging/pathology MH - Disease Models, Animal MH - Female MH - Humans MH - Mice MH - Molecular Imaging PMC - PMC8760205 OTO - NOTNLM OT - Dual bioluminescence imaging OT - Metastatic cross-seeding OT - Mouse model OT - Spontaneous metastases OT - Synchronous bilateral breast cancer COIS- The authors declare that they have no conflict of interest. EDAT- 2021/07/28 06:00 MHDA- 2022/04/05 06:00 PMCR- 2021/07/26 CRDT- 2021/07/27 07:22 PHST- 2021/03/19 00:00 [received] PHST- 2021/07/05 00:00 [accepted] PHST- 2021/05/18 00:00 [revised] PHST- 2021/07/28 06:00 [pubmed] PHST- 2022/04/05 06:00 [medline] PHST- 2021/07/27 07:22 [entrez] PHST- 2021/07/26 00:00 [pmc-release] AID - 10.1007/s11307-021-01630-z [pii] AID - 1630 [pii] AID - 10.1007/s11307-021-01630-z [doi] PST - ppublish SO - Mol Imaging Biol. 2022 Feb;24(1):104-114. doi: 10.1007/s11307-021-01630-z. Epub 2021 Jul 26.