Do Tumor-Immune Interactions Prime Systemic Tolerance of Triple-Negative Breast Cancer Brain Metastases?

NIH RePORTER · NIH · K99 · $162,610 · view on reporter.nih.gov ↗

Abstract

PROJECT SUMMARY / ABSTRACT It is widely estimated that 90% of cancer-related deaths are caused by metastasis. This statistic underscores our inability to manage cancer once it disseminates through the body, and our need to better understand molecular mechanisms that drive metastasis. Triple-negative breast cancer (TNBC) occurs in 15% of breast cancer cases. Taken as a group, TNBCs pose an unmet clinical challenge in many ways: (1) TNBCs represents the most aggressive and most metastatic subtype of breast cancer, (2) up to 46% of TNBC patients will develop brain metastases, (3) TNBC patients are at four-times higher risk of developing diffuse metastases on the brain surface (leptomeningeal disease), which is rapidly and universally fatal, and (4) women of African ancestry have an up to 80% higher likelihood of developing TNBC – making TNBC a cancer disparity. Previous studies demonstrate that primary TNBC is highly immunogenic, and immune infiltration is associated with improved prognosis. However, little is known about the immune environment in TNBC brain metastases and how tumor-immune interactions effect metastatic potential. Recognizing these pressing issues, I have chosen to focus my career as an independent researcher on using systems biology approaches to uncover molecular mechanisms that underlie metastasis, and ethnicity-specific cancer disparities. A comprehensive mentoring, research, and career development plan will be executed over the course of the K99 and R00 training periods, which will provide me with the necessary tools to make a successful transition to independence. To visualize tumor-immune interactions, I will construct an in-situ protein map of TNBC brain metastases using MIBI – a cutting-edge multiplexed imaging method (AIM 1). I will quantitate the composition and spatial architecture of the microenvironment; and determine the extent to which these features correlate with patient outcomes. In AIM 2, I will identify tumor-immune receptor-ligand pairs using single-cell RNA-sequencing on TNBC brain metastases samples. Lastly, in AIM 3, I will use MIBI to visualize tumor-immune interactions in primary TNBCs to determine whether interactions in the primary tumor microenvironment prime systemic tolerance of disseminated tumor cells, enabling brain metastases. I will validate relevant targets by measuring their expression in patient cerebrospinal fluid (CSF), which contains brain-tumor-associated cell-free RNA. My proposed research will positively impact public health as it will reveal key tumor-immune interactions responsible for priming the immune system for metastasis; and will generate the first “TNBC brain metastasis interactome”. My results will lead to the discovery of new molecular targets with the primary goal of reducing metastasis-driven cancer mortality. The K99 career development plan and focused research training will be critical to expand my skillset in biocomputation – a necessary component of my proposed researc...

Key facts

NIH application ID
10735596
Project number
3K99CA256522-02S1
Recipient
STANFORD UNIVERSITY
Principal Investigator
Maxine Umeh Garcia
Activity code
K99
Funding institute
NIH
Fiscal year
2023
Award amount
$162,610
Award type
3
Project period
2021-07-01 → 2025-06-30