Jin Li1, Jessica K.R. Boult1, Craig Cummings1, Jeffrey C. Bamber1, Ralph Sinkus2, Yann Jamin1, and Simon P. Robinson1
1Division of Radiotherapy & Imaging, The Institute of Cancer Research, London, United Kingdom, 2Division of Imaging Sciences and Biomedical Engineering, King's College London, King's Health Partners, St. Thomas' Hospital, London, United Kingdom
Synopsis
We
tested the hypothesis that MRE can inform on collagenase-induced matrix
degradation in orthotopic BT474 breast carcinoma xenografts in vivo. An acute reduction in the absolute value of the complex shear modulus
|G*| was detected in tumour just 5 hours after collagenase administration, mostly likely
a consequence of both collagen degradation and reduction of interstitial fluid
pressure. The study highlights the
utility of MRE-derived quantitation of tumour viscoelasticity for monitoring
the response of stromal rich tumours to modification of the extracellular
matrix.
Introduction / Purpose
In most solid tumours, increased
deposition of collagen and other extracellular matrix (ECM) components
contributes to elevated interstitial fluid pressure (IFP) and represents a physical
barrier for the efficient delivery of drugs.1 Stroma-targeted therapies have been shown to improve the delivery of
conventional chemotherapy, resulting in enhanced treatment efficacy.2-5 Intravenous administration of collagenase led to significant acute
reduction in tumour IFP in several tumour models.2,3,6
Magnetic resonance
elastography (MRE) is being exploited for the non-invasive imaging and
quantitation of tissue viscoelastic properties, and its application for the diagnosis
of breast cancer is being investigated.7,8 Using MRE, we have demonstrated that stromal-dense and collagen-rich orthotopically
propagated BT474 breast cancer xenografts presented with a very stiff
mechanical phenotype in vivo.9
In this study we tested the hypothesis that the
degradation of the collagen matrix by exogenously administered collagenase would
induce a significant reduction in the viscoelastic properties of BT474 tumours measured
with MRE.Methods
All
experiments were performed in accordance with the UK Animals (Scientific
Procedures) Act 1986. Orthotopic BT474
breast carcinomas were propagated in the mammary fat pad of female nude mice
previously implanted with slow release estradiol pellets (5x106
cells in 100 µl 50% matrigel). Collagenase (Sigma-Aldrich, type I, from clostridium
histolyticum) was administered intravenously via a lateral tail vein (0.5 mg/kg;
0.1% w/v in PBS (1 mg = 125 collagen digestion units)).6 MRE data were acquired, as previously described,9 24 hours before and 5 hours after treatment with
collagenase (n=2) or without treatment (n=2). Average tumour size was 149 mm3.
Parametric maps of absolute value of the
complex shear modulus |G*| (G* = Gd + iGl, Gd: elasticity, Gl:
viscosity, all in kPa) were calculated using in-house software, reporting
volumetric mean values from ROIs covering the entire tumour over 6 slices, sampling
at a slice interval of 300 µm.Results
BT474 tumours revealed a heterogeneous distribution
of markedly elevated |G*| values at baseline (Fig.1 & Table 1), relative to
5.24 kPa for SW620 colorectal xenografts.10 After 5 hours, treatment with collagenase induced a clear reduction in shear
stiffness |G*| (Fig.1 & Table 1) in both treated tumours. In contrast, there
was no apparent change in |G*| in the control animals. The mechanical response
to collagenase was heterogeneous, with relatively stiffer tumour regions at baseline
exhibiting the largest reductions in |G*| post-treatment. Discussion
This MRE study showed that
treatment of orthotopic BT474 breast xenografts with collagenase resulted in a reduction
in tumour |G*| after just 5 hours. This acute mechanical response to
collagenase is most likely a consequence of both degradation of the collagen
matrix and a consequent reduction in IFP.
Degradation of collagen either lining blood vessels or in the ECM has
been associated with a decrease in the complex shear modulus |G*|,11,12 and shown to
occur as early as one hour following treatment with collagenase in a human osteosarcoma
xenograft model.2
Shear modulus is also related to intravascular
and interstitial fluid pressure.13 An
increase in |G*|, as measured by MRE, in the cerebrum of normal pressure
hydrocephalus patients was associated with an elevation of intracranial
pressure.14 Intravenous
administration of collagenase induced significant acute reductions in IFP in a
range of pre-clinical tumour models.2,3,6Conclusion
Treatment with collagenase leads to an acute
and detectable change in the mechanical phenotype measured by MRE in orthotopic BT474 breast xenografts. This preliminary study warrants further
investigations to evaluate the potential of MRE-derived viscoelastic biomarkers
for assessing breast cancer response to collagenase, or other stroma-targeting
strategies, in this model. Acknowledgements
We acknowledge the CRUK and EPSRC support to the Cancer Imaging Centre
at ICR in association with MRC and Department of Health C1060/A16464 and NHS
funding to the NIHR Biomedicine Research Centre, a Paul O’Gorman Postdoctoral
Fellowship funded by Children with Cancer UK, and funding from the European
Union’s Horizon 2020 research and innovation programme under grant agreement No
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