Transl Res. 2021 Nov 26. pii: S1931-5244(21)00281-4. [Epub ahead of print]
BACKGROUND: A deeper knowledge of the functional versatility and dynamic nature of the ECM has improved the understanding of cancer biology. Translational Significance: This work provides an in-depth view of the importance of the ECM to develop more mimetic breast cancer models, which aim to recreate the components and architecture of tumor microenvironment. Special focus is placed on decellularized matrices derived from tissue and cell culture, both in procurement and applications, as they have achieved great success in cancer research and pharmaceutical sector. Abstract: The extracellular matrix (ECM) is increasingly recognized as a master regulator of cell behavior and response to breast cancer (BC) treatment. During BC progression, the mammary gland ECM is remodeled and altered in the composition and organization. Accumulated evidence suggests that changes in the composition and mechanics of ECM, orchestrated by tumor-stromal interactions along with ECM remodeling enzymes, are actively involved in BC progression and metastasis. Understanding how specific ECM components modulate the tumorigenic process has led to an increased interest in the development of biomaterial-based biomimetic ECM models to recapitulate key tumor characteristics. The decellularized ECMs (dECMs) have emerged as a promising in vitro 3D tumor model, whose recent advances in the processing and application could become the biomaterial by excellence for BC research and the pharmaceutical industry. This review offers a detailed view of the contribution of ECM in BC progression, and highlights the application of dECM-based biomaterials as promising personalized tumor models that more accurately mimic the tumorigenic mechanisms of BC and the response to treatment. This will allow the design of targeted therapeutic approaches adapted to the specific characteristics of each tumor that will have a great impact on the precision medicine applied to BC patients.
Keywords: 5FU, 5-fluorouaracil; BC, Breast Cancer; BCCs, Breast Cancer cells; BCSC, Breast cancer stem cells; CAFs, Cancer-associated fibroblasts; CLS, Capillary-like structures; CSC, Cancer Stem Cells; Col I, Collagen type I; DAPI, 4’,6-diamidino-2-phenylindole; DCIS, Ductal carcinoma in situ; DOX, Doxorubicin; ECSs, Embryonic stem cells; EGF, Epidermal Growth Factor; EGFR, Epidermal growth factor receptor; EMT, Epithelial-Mesenchymal Transition; ERK, Extracellular signal-regulated kinases; FAP, Fibroblast activation protein; FN, Fibronectin; GAG, Glycosaminoglycan; GPC, Glypican; GelMA, Methacrylate gelatin; HA, Hyaluronan; HASPc, Heparan sultafe Proteoglycans; ICH, Immunohistochemical; LM, Laminin; LOX, Lysyl Oxidase; MDR1, Multidrug resistance protein; MHC-I, Major histocompatibility class I complex; MMPs, Matrix metalloproteinase; MSCs, Mesenchymal stem cells; PAM, Polyacrylamide; PDGF, Platelet-derived growth factor; PEG MAL, Polyethylene glycol maleimide; PEG, Polyethylene glycol; PEG-PC, Polyethylene glycol phosphocholine; PG, Proteoglycans; PGA, Poly-glycolic acid; PI3K, Phosphoinositide 3-kinase; PLA, Poly-lactic acid; PLGA, Poly lactic-co-glycolic acid; POSTN, Periostine; PTX, Paclitaxel; SC, Stem Cell; SDC1, Sydencan-1; SDC2, Syndecan-2; SDS, Sodium deoxysulfate; SEM, Scanning electron microscopy; SLES, Sodium lauryl Ether Sulphate; SLPR, Small Leucine-rich proteoglycan; SPARC, Secreted Protein Acidic and Rich in Cysteine; SSP1, Phosphoprotein 1; TACS, Tumor Associated Collagen Signatures; TAMs, Tumor-associated macrophages; TGF-β, Transforming growth factor-beta; THBS, Thrombospondine; TME, Tumor Microenvironment; TNC, Tenascin; Upa, Urokinase plasminogen; VEGF, Endothelial growth factor; Wnt, Wingless; dECMs, Decellularized Extracellular Matrix; extracellular matrix (ECM), decellularized ECM, desmoplasia, biomaterials, decellularized3D models, breast cancer, Abbreviations, ECM, Extracellular Matrix; hDAM, Human adipose tissue; rBM, Reconstituted basement membrane