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Erschienen in: Surgery Today 8/2023

02.01.2023 | Original Article

Inhibitory effect of aspirin on inflammation-induced lung metastasis of cancer cells associated with neutrophil infiltration

verfasst von: Erica Nishimura, Kazumasa Fukuda, Satoru Matsuda, Ryota Kobayashi, Kazuaki Matsui, Masashi Takeuchi, Koshu Okubo, Junichi Hirahashi, Rieko Nakamura, Hirofumi Kawakubo, Yuko Kitagawa

Erschienen in: Surgery Today | Ausgabe 8/2023

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Abstract

Purpose

Systematic inflammation has been reported to contribute to cancer progression through various mechanisms; however, the exact mechanism is still the subject of research. In this study, we evaluated the influence of systematic inflammation on lung metastasis, using a murine abdominal sepsis model, and assessed its relationship with pneumonia after curative esophagectomy in patients with esophageal cancer.

Methods

We used a murine abdominal sepsis model given highly metastatic osteosarcoma, to reveal the mechanism of systematic inflammation and its potential for lung metastasis. The therapeutic effect of aspirin (ASA) in preventing distant metastasis was also investigated. Subsequently, we analyzed, retrospectively, the relationship between pneumonia and lung metastasis after esophagectomy in patients who underwent esophagectomy at Keio University between January, 2007 and October, 2020.

Results

Abdominal sepsis provoked lung injury in the acute phase. ASA inhibited the recruitment of neutrophils triggered by the lung injury, and it also suppressed lung metastasis. Our retrospective study revealed that lung metastasis was more frequent in patients with postoperative pneumonia.

Conclusions

Postoperative acute lung injury is associated with a higher risk of lung metastasis. ASA may be a potential preoperative treatment for inhibiting lung metastasis by preventing the recruitment of neutrophils.
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Literatur
1.
Zurück zum Zitat Aoyama T, Oba K, Honda M, Sadahiro S, Hamada C, Mayanagi S, et al. Impact of postoperative complications on the colorectal cancer survival and recurrence: analyses of pooled individual patients’ data from three large phase III randomized trials. Cancer Med. 2017;6(7):1573–80.CrossRefPubMed Aoyama T, Oba K, Honda M, Sadahiro S, Hamada C, Mayanagi S, et al. Impact of postoperative complications on the colorectal cancer survival and recurrence: analyses of pooled individual patients’ data from three large phase III randomized trials. Cancer Med. 2017;6(7):1573–80.CrossRefPubMed
2.
Zurück zum Zitat Goldfarb Y, Sorski L, Benish M, Levi B, Melamed R, Ben-Eliyahu S. Improving postoperative immune status and resistance to cancer metastasis: a combined perioperative approach of immunostimulation and prevention of excessive surgical stress responses. Ann Surg. 2011;253(4):798–810.CrossRefPubMed Goldfarb Y, Sorski L, Benish M, Levi B, Melamed R, Ben-Eliyahu S. Improving postoperative immune status and resistance to cancer metastasis: a combined perioperative approach of immunostimulation and prevention of excessive surgical stress responses. Ann Surg. 2011;253(4):798–810.CrossRefPubMed
3.
Zurück zum Zitat Alieva M, van Rheenen J, Broekman MLD. Potential impact of invasive surgical procedures on primary tumor growth and metastasis. Clin Exp Metastasis. 2018;35(4):319–31.CrossRefPubMedPubMedCentral Alieva M, van Rheenen J, Broekman MLD. Potential impact of invasive surgical procedures on primary tumor growth and metastasis. Clin Exp Metastasis. 2018;35(4):319–31.CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Jiang M, Xu X, Bi Y, Xu J, Qin C, Han M. Systemic inflammation promotes lung metastasis via E-selectin upregulation in mouse breast cancer model. Cancer Biol Ther. 2014;15(6):789–96.CrossRefPubMedPubMedCentral Jiang M, Xu X, Bi Y, Xu J, Qin C, Han M. Systemic inflammation promotes lung metastasis via E-selectin upregulation in mouse breast cancer model. Cancer Biol Ther. 2014;15(6):789–96.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Archer M, Dogra N, Kyprianou N. Inflammation as a driver of prostate cancer metastasis and therapeutic resistance. Cancers (Basel). 2020;12(10):2984.CrossRefPubMed Archer M, Dogra N, Kyprianou N. Inflammation as a driver of prostate cancer metastasis and therapeutic resistance. Cancers (Basel). 2020;12(10):2984.CrossRefPubMed
6.
Zurück zum Zitat Fontenot JD, Gavin MA, Rudensky AY. Pillars Article: Foxp3 Programs the Development and Function of CD4+CD25+ Regulatory T Cells. J Immunol. 2017;198(3):986–92 (Nat. Immunol. 2003. 4: 330–336).PubMed Fontenot JD, Gavin MA, Rudensky AY. Pillars Article: Foxp3 Programs the Development and Function of CD4+CD25+ Regulatory T Cells. J Immunol. 2017;198(3):986–92 (Nat. Immunol. 2003. 4: 330–336).PubMed
7.
Zurück zum Zitat Rahman M, Gustafsson D, Wang Y, Thorlacius H, Braun OO. Ticagrelor reduces neutrophil recruitment and lung damage in abdominal sepsis. Platelets. 2014;25(4):257–63.CrossRefPubMed Rahman M, Gustafsson D, Wang Y, Thorlacius H, Braun OO. Ticagrelor reduces neutrophil recruitment and lung damage in abdominal sepsis. Platelets. 2014;25(4):257–63.CrossRefPubMed
8.
Zurück zum Zitat Vardon Bounes F, Memier V, Marcaud M, Jacquemin A, Hamzeh-Cognasse H, Garcia C, et al. Platelet activation and prothrombotic properties in a mouse model of peritoneal sepsis. Sci Rep. 2018;8(1):13536.CrossRefPubMedPubMedCentral Vardon Bounes F, Memier V, Marcaud M, Jacquemin A, Hamzeh-Cognasse H, Garcia C, et al. Platelet activation and prothrombotic properties in a mouse model of peritoneal sepsis. Sci Rep. 2018;8(1):13536.CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Park I, Kim M, Choe K, Song E, Seo H, Hwang Y, et al. Neutrophils disturb pulmonary microcirculation in sepsis-induced acute lung injury. Eur Respir J. 2019;53(3):1800786.CrossRefPubMedCentral Park I, Kim M, Choe K, Song E, Seo H, Hwang Y, et al. Neutrophils disturb pulmonary microcirculation in sepsis-induced acute lung injury. Eur Respir J. 2019;53(3):1800786.CrossRefPubMedCentral
10.
Zurück zum Zitat Rizk NP, Bach PB, Schrag D, Bains MS, Turnbull AD, Karpeh M, et al. The impact of complications on outcomes after resection for esophageal and gastroesophageal junction carcinoma. J Am Coll Surg. 2004;198(1):42–50.CrossRefPubMed Rizk NP, Bach PB, Schrag D, Bains MS, Turnbull AD, Karpeh M, et al. The impact of complications on outcomes after resection for esophageal and gastroesophageal junction carcinoma. J Am Coll Surg. 2004;198(1):42–50.CrossRefPubMed
11.
Zurück zum Zitat Luo JL, Luo JL, Maeda S, Hsu LC, Yagita H, Karin M. Inhibition of NF-kappaB in cancer cells converts inflammation- induced tumor growth mediated by TNFalpha to TRAIL-mediated tumor regression. Cancer Cell. 2004;6(3):297–305.CrossRefPubMed Luo JL, Luo JL, Maeda S, Hsu LC, Yagita H, Karin M. Inhibition of NF-kappaB in cancer cells converts inflammation- induced tumor growth mediated by TNFalpha to TRAIL-mediated tumor regression. Cancer Cell. 2004;6(3):297–305.CrossRefPubMed
12.
Zurück zum Zitat Rauzi F, Kirkby NS, Edin ML, Whiteford J, Zeldin DC, Mitchell JA, et al. Aspirin inhibits the production of proangiogenic 15(S)-HETE by platelet cyclooxygenase-1. FASEB J. 2016;30(12):4256–66.CrossRefPubMedPubMedCentral Rauzi F, Kirkby NS, Edin ML, Whiteford J, Zeldin DC, Mitchell JA, et al. Aspirin inhibits the production of proangiogenic 15(S)-HETE by platelet cyclooxygenase-1. FASEB J. 2016;30(12):4256–66.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Warner TD, Giuliano F, Vojnovic I, Bukasa A, Mitchell JA, Vane JR. Nonsteroid drug selectivities for cyclo-oxygenase-1 rather than cyclo-oxygenase-2 are associated with human gastrointestinal toxicity: a full in vitro analysis. Proc Natl Acad Sci U S A. 1999;96(13):7563–8.CrossRefPubMedPubMedCentral Warner TD, Giuliano F, Vojnovic I, Bukasa A, Mitchell JA, Vane JR. Nonsteroid drug selectivities for cyclo-oxygenase-1 rather than cyclo-oxygenase-2 are associated with human gastrointestinal toxicity: a full in vitro analysis. Proc Natl Acad Sci U S A. 1999;96(13):7563–8.CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Rothwell PM, Wilson M, Price JF, Belch JFF, Meade TW, Mehta Z. Effect of daily aspirin on risk of cancer metastasis: a study of incident cancers during randomised controlled trials. The Lancet. 2012;379(9826):1591–601.CrossRef Rothwell PM, Wilson M, Price JF, Belch JFF, Meade TW, Mehta Z. Effect of daily aspirin on risk of cancer metastasis: a study of incident cancers during randomised controlled trials. The Lancet. 2012;379(9826):1591–601.CrossRef
15.
Zurück zum Zitat Lucotti S, Cerutti C, Soyer M, Gil-Bernabe AM, Gomes AL, Allen PD, et al. Aspirin blocks formation of metastatic intravascular niches by inhibiting platelet-derived COX-1/thromboxane A2. J Clin Invest. 2019;129(5):1845–62.CrossRefPubMedPubMedCentral Lucotti S, Cerutti C, Soyer M, Gil-Bernabe AM, Gomes AL, Allen PD, et al. Aspirin blocks formation of metastatic intravascular niches by inhibiting platelet-derived COX-1/thromboxane A2. J Clin Invest. 2019;129(5):1845–62.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Yang LY, Luo Q, Lu L, Zhu WW, Sun HT, Wei R, et al. Increased neutrophil extracellular traps promote metastasis potential of hepatocellular carcinoma via provoking tumorous inflammatory response. J Hematol Oncol. 2020;13(1):3.CrossRefPubMedPubMedCentral Yang LY, Luo Q, Lu L, Zhu WW, Sun HT, Wei R, et al. Increased neutrophil extracellular traps promote metastasis potential of hepatocellular carcinoma via provoking tumorous inflammatory response. J Hematol Oncol. 2020;13(1):3.CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Tanaka T, Yui Y, Naka N, Wakamatsu T, Yoshioka K, Araki N, et al. Dynamic analysis of lung metastasis by mouse osteosarcoma LM8: VEGF is a candidate for anti-metastasis therapy. Clin Exp Metastasis. 2013;30(4):369–79.CrossRefPubMed Tanaka T, Yui Y, Naka N, Wakamatsu T, Yoshioka K, Araki N, et al. Dynamic analysis of lung metastasis by mouse osteosarcoma LM8: VEGF is a candidate for anti-metastasis therapy. Clin Exp Metastasis. 2013;30(4):369–79.CrossRefPubMed
18.
Zurück zum Zitat Ruiz S, Vardon-Bounes F, Merlet-Dupuy V, Conil JM, Buleon M, Fourcade O, et al. Sepsis modeling in mice: ligation length is a major severity factor in cecal ligation and puncture. Intensive Care Med Exp. 2016;4(1):22.CrossRefPubMedPubMedCentral Ruiz S, Vardon-Bounes F, Merlet-Dupuy V, Conil JM, Buleon M, Fourcade O, et al. Sepsis modeling in mice: ligation length is a major severity factor in cecal ligation and puncture. Intensive Care Med Exp. 2016;4(1):22.CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Rittirsch D, Huber-Lang MS, Flierl MA, Ward PA. Immunodesign of experimental sepsis by cecal ligation and puncture. Nat Protoc. 2009;4(1):31–6.CrossRefPubMedPubMedCentral Rittirsch D, Huber-Lang MS, Flierl MA, Ward PA. Immunodesign of experimental sepsis by cecal ligation and puncture. Nat Protoc. 2009;4(1):31–6.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Kostopanagiotou GG, Kalimeris KA, Arkadopoulos NP, Pafiti A, Panagopoulos D, Smyrniotis V, et al. Desferrioxamine attenuates minor lung injury following surgical acute liver failure. Eur Respir J. 2009;33(6):1429–36.CrossRefPubMed Kostopanagiotou GG, Kalimeris KA, Arkadopoulos NP, Pafiti A, Panagopoulos D, Smyrniotis V, et al. Desferrioxamine attenuates minor lung injury following surgical acute liver failure. Eur Respir J. 2009;33(6):1429–36.CrossRefPubMed
21.
Zurück zum Zitat Carraway MS, Kalimeris KA, Arkadopoulos NP, Pafiti A, Panagopoulos D, Smyrniotis V, et al. Blockade of tissue factor: treatment for organ injury in established sepsis. Am J Respir Crit Care Med. 2003;167(9):1200–9.CrossRefPubMed Carraway MS, Kalimeris KA, Arkadopoulos NP, Pafiti A, Panagopoulos D, Smyrniotis V, et al. Blockade of tissue factor: treatment for organ injury in established sepsis. Am J Respir Crit Care Med. 2003;167(9):1200–9.CrossRefPubMed
22.
Zurück zum Zitat Matute-Bello G, Downey G, Moore BB, Groshong SD, Matthay MA, Slutsky AS, et al. An official American thoracic society workshop report: features and measurements of experimental acute lung injury in animals. Am J Respir Cell Mol Biol. 2011;44(5):725–38.CrossRefPubMed Matute-Bello G, Downey G, Moore BB, Groshong SD, Matthay MA, Slutsky AS, et al. An official American thoracic society workshop report: features and measurements of experimental acute lung injury in animals. Am J Respir Cell Mol Biol. 2011;44(5):725–38.CrossRefPubMed
23.
Zurück zum Zitat Rice TW, Patil DT, Blackstone EH. 8th edition AJCC/UICC staging of cancers of the esophagus and esophagogastric junction: application to clinical practice. Ann Cardiothorac Surg. 2017;6(2):119–30.CrossRefPubMedPubMedCentral Rice TW, Patil DT, Blackstone EH. 8th edition AJCC/UICC staging of cancers of the esophagus and esophagogastric junction: application to clinical practice. Ann Cardiothorac Surg. 2017;6(2):119–30.CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009;250(2):187–96.CrossRefPubMed Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009;250(2):187–96.CrossRefPubMed
26.
Zurück zum Zitat Huang Y, Ji Q, Zhu Y, Fu S, Chen S, Chu L, et al. Activated platelets autocrine 5-hydroxytryptophan aggravates sepsis-induced acute lung injury by promoting neutrophils extracellular traps formation. Front Cell Dev Biol. 2021;9: 777989.CrossRefPubMed Huang Y, Ji Q, Zhu Y, Fu S, Chen S, Chu L, et al. Activated platelets autocrine 5-hydroxytryptophan aggravates sepsis-induced acute lung injury by promoting neutrophils extracellular traps formation. Front Cell Dev Biol. 2021;9: 777989.CrossRefPubMed
27.
Zurück zum Zitat Jenne CN, Wong CH, Zemp FJ, McDonald B, Rahman MM, Forsyth PA, et al. Neutrophils recruited to sites of infection protect from virus challenge by releasing neutrophil extracellular traps. Cell Host Microbe. 2013;13(2):169–80.CrossRefPubMed Jenne CN, Wong CH, Zemp FJ, McDonald B, Rahman MM, Forsyth PA, et al. Neutrophils recruited to sites of infection protect from virus challenge by releasing neutrophil extracellular traps. Cell Host Microbe. 2013;13(2):169–80.CrossRefPubMed
28.
Zurück zum Zitat Berger-Achituv S, Brinkmann V, Abed UA, Kuhn LI, Ben-Ezra J, Elhasid R, et al. A proposed role for neutrophil extracellular traps in cancer immunoediting. Front Immunol. 2013;4:48.CrossRefPubMedPubMedCentral Berger-Achituv S, Brinkmann V, Abed UA, Kuhn LI, Ben-Ezra J, Elhasid R, et al. A proposed role for neutrophil extracellular traps in cancer immunoediting. Front Immunol. 2013;4:48.CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Homa-Mlak I, Majdan A, Mlak R, Malecka-Massalska T. Metastatic potential of NET in neoplastic disease. Postepy Hig Med Dosw (Online). 2016;70:887–95.CrossRefPubMed Homa-Mlak I, Majdan A, Mlak R, Malecka-Massalska T. Metastatic potential of NET in neoplastic disease. Postepy Hig Med Dosw (Online). 2016;70:887–95.CrossRefPubMed
30.
Zurück zum Zitat Masucci MT, Minopoli M, Del Vecchio S, Carriero MV. The emerging role of neutrophil extracellular traps (NETs) in tumor progression and metastasis. Front Immunol. 2020;11:1749.CrossRefPubMedPubMedCentral Masucci MT, Minopoli M, Del Vecchio S, Carriero MV. The emerging role of neutrophil extracellular traps (NETs) in tumor progression and metastasis. Front Immunol. 2020;11:1749.CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Masucci MT, Minopoli M, Carriero MV. Tumor associated neutrophils their role in tumorigenesis, metastasis, prognosis and therapy. Front Oncol. 2019;9:1146.CrossRefPubMedPubMedCentral Masucci MT, Minopoli M, Carriero MV. Tumor associated neutrophils their role in tumorigenesis, metastasis, prognosis and therapy. Front Oncol. 2019;9:1146.CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Yazdani HO, Roy E, Comerci AJ, van der Windt DJ, Zhang H, Huang H, et al. Neutrophil extracellular traps drive mitochondrial homeostasis in tumors to augment growth. Cancer Res. 2019;79(21):5626–39.CrossRefPubMedPubMedCentral Yazdani HO, Roy E, Comerci AJ, van der Windt DJ, Zhang H, Huang H, et al. Neutrophil extracellular traps drive mitochondrial homeostasis in tumors to augment growth. Cancer Res. 2019;79(21):5626–39.CrossRefPubMedPubMedCentral
33.
Zurück zum Zitat Mota JM, Leite CA, Souza LE, Melo PH, Nascimento DC, de Deus-Wagatsuma VM, et al. Post-sepsis state induces tumor-associated macrophage accumulation through CXCR4/CXCL12 and favors tumor progression in mice. Cancer Immunol Res. 2016;4(4):312–22.CrossRefPubMed Mota JM, Leite CA, Souza LE, Melo PH, Nascimento DC, de Deus-Wagatsuma VM, et al. Post-sepsis state induces tumor-associated macrophage accumulation through CXCR4/CXCL12 and favors tumor progression in mice. Cancer Immunol Res. 2016;4(4):312–22.CrossRefPubMed
34.
Zurück zum Zitat Caudrillier A, Kessenbrock K, Gilliss BM, Nguyen JX, Marques MB, Monestier M, et al. Platelets induce neutrophil extracellular traps in transfusion-related acute lung injury. J Clin Invest. 2012;122(7):2661–71.CrossRefPubMedPubMedCentral Caudrillier A, Kessenbrock K, Gilliss BM, Nguyen JX, Marques MB, Monestier M, et al. Platelets induce neutrophil extracellular traps in transfusion-related acute lung injury. J Clin Invest. 2012;122(7):2661–71.CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat Ortiz-Munoz G, Mallavia B, Bins A, Headley M, Krummel MF, Looney MR. Aspirin-triggered 15-epi-lipoxin A4 regulates neutrophil-platelet aggregation and attenuates acute lung injury in mice. Blood. 2014;124(17):2625–34.CrossRefPubMedPubMedCentral Ortiz-Munoz G, Mallavia B, Bins A, Headley M, Krummel MF, Looney MR. Aspirin-triggered 15-epi-lipoxin A4 regulates neutrophil-platelet aggregation and attenuates acute lung injury in mice. Blood. 2014;124(17):2625–34.CrossRefPubMedPubMedCentral
36.
Zurück zum Zitat Rothwell PM, Fowkes FGR, Belch JF, Ogawa H, Warlow CP, Meade TW. Effect of daily aspirin on long-term risk of death due to cancer: analysis of individual patient data from randomised trials. The Lancet. 2011;377(9759):31–41.CrossRef Rothwell PM, Fowkes FGR, Belch JF, Ogawa H, Warlow CP, Meade TW. Effect of daily aspirin on long-term risk of death due to cancer: analysis of individual patient data from randomised trials. The Lancet. 2011;377(9759):31–41.CrossRef
37.
Zurück zum Zitat Algra AM, Rothwell PM. Effects of regular aspirin on long-term cancer incidence and metastasis: a systematic comparison of evidence from observational studies versus randomised trials. The Lancet Oncol. 2012;13(5):518–27.CrossRefPubMed Algra AM, Rothwell PM. Effects of regular aspirin on long-term cancer incidence and metastasis: a systematic comparison of evidence from observational studies versus randomised trials. The Lancet Oncol. 2012;13(5):518–27.CrossRefPubMed
38.
Zurück zum Zitat Elwood PC, Morgan G, Pickering JE, Galante J, Weightman AL, Morris D, et al. Aspirin in the treatment of cancer: reductions in metastatic spread and in mortality: a systematic review and meta-analyses of published studies. PLoS ONE. 2016;11(4): e0152402.CrossRefPubMedPubMedCentral Elwood PC, Morgan G, Pickering JE, Galante J, Weightman AL, Morris D, et al. Aspirin in the treatment of cancer: reductions in metastatic spread and in mortality: a systematic review and meta-analyses of published studies. PLoS ONE. 2016;11(4): e0152402.CrossRefPubMedPubMedCentral
Metadaten
Titel
Inhibitory effect of aspirin on inflammation-induced lung metastasis of cancer cells associated with neutrophil infiltration
verfasst von
Erica Nishimura
Kazumasa Fukuda
Satoru Matsuda
Ryota Kobayashi
Kazuaki Matsui
Masashi Takeuchi
Koshu Okubo
Junichi Hirahashi
Rieko Nakamura
Hirofumi Kawakubo
Yuko Kitagawa
Publikationsdatum
02.01.2023
Verlag
Springer Nature Singapore
Erschienen in
Surgery Today / Ausgabe 8/2023
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-022-02637-x

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