Yuanqing Zhang1, Ledu Zhou, Lidong Qin. 1. Department of Nanomedicine, Houston Methodist Research Institute , Houston, Texas 77030, United States.
Abstract
Chemotaxis is the phenomenon by which the migration and invasion of cells is directed in response to an extracellular chemical gradient. Chemotaxis of tumor cells and tumor-associated inflammatory and stromal cells is mediated by chemokines, chemokine receptors, growth factors, and growth factor receptors. Current techniques used to study chemotactic driven cell invasion and metastasis utilize two-dimensional migration assays involving imaging and analyzing tumor cells on glass slides or plastic surfaces, which requires large numbers of cells and often lacks real-time monitoring of vertical cell movement and systematically controlled chemotactic gradients, leading to contradictory results compared to those from clinical investigations and animal models. We addressed such challenges by developing a high-throughput microdevice with 4000 ultraminiaturized wells to monitor real-time, three-dimensional cell invasion over a wide range of cell densities and also screen drugs that inhibit cell invasion and potentially prevent metastatic malignancy. Additionally, this microdevice generates opposing gradients for two types of cells on the same chip, which builds a controlled system with sequentially changing components to study environmental effects from basal and immune cells.
Chemotaxis is the phenomenon by which the migration and invasion of cells is directed in response to an extracellular chemical gradient. Chemotaxis of tumor cells and tumor-associated inflammatory and stromal cells is mediated by chemokines, chemokine receptors, growth factors, and growth factor receptors. Current techniques used to study chemotactic driven cell invasion and metastasis utilize two-dimensional migration assays involving imaging and analyzing tumor cells on glass slides or plastic surfaces, which requires large numbers of cells and often lacks real-time monitoring of vertical cell movement and systematically controlled chemotactic gradients, leading to contradictory results compared to those from clinical investigations and animal models. We addressed such challenges by developing a high-throughput microdevice with 4000 ultraminiaturized wells to monitor real-time, three-dimensional cell invasion over a wide range of cell densities and also screen drugs that inhibit cell invasion and potentially prevent metastatic malignancy. Additionally, this microdevice generates opposing gradients for two types of cells on the same chip, which builds a controlled system with sequentially changing components to study environmental effects from basal and immune cells.
Tumor invasion and metastasis
transform a primary tumor into a
systemic and life-threatening disease.[1] The metastatic process involves a cascade of events, including cancer
cell phenotypic transitions at the primary site,[2] tissue invasion,[3] circulation
in blood or lymphatic systems,[4] and interaction
with the cell microenvironment at the metastatic site[5] (Figure 1a). Tumor cell invasion
is a complex, dynamic, and multistep process that has a crucial role
in cancer metastasis. Local invasion begins with the activation of
signaling pathways that control the distribution of certain proteins
(e.g., actin) in cancer cells and the dissolving and softening of
cell–matrix and cell–cell junctions, followed by enhanced
cancer cell penetration into tissues, breaking of the basement membrane,
and migration into neighboring tissue.[6] Recent studies have shown that cell invasion is also a social behavior
related to the tumor microenvironment (i.e., presence of macrophages,
fibroblasts, and other cells).[7] Clinical
studies have sought to identify correlations between the number of
tumor-associated macrophages (TAMs) and disease prognosis, and data
have shown increased macrophage density or high TAM numbers are associated
with poor prognosis.[8] For example, TAMs
were shown to promote breast carcinoma cell invasion, but the complete
molecular mechanism of cell invasion and metastasis is still unclear.
Researchers rely on in vitro invasion assays to characterize
metastatic capability, and an effective assay to quantify invasive
capacity is required to more accurately study and diagnose cell invasiveness.
Figure 1
Design and
operation of the MI-Chip device for 3D cell invasion
studies. (a) Schematic of the process of invasion of metastatic cells
into blood vessels. (b) Chip design and dimensions: 4000 ultraminiaturized
microwells consist of four like-numbered components; each component
contains 10 sets of 10 × 10 microwells. Scale bar: 100 μm.
(c) Schematic of device operation.
Traditional laboratory techniques used to study cell invasion and
metastasis utilize imaging and analyzing tumor cell migration on glass
slides or flat, two-dimensional (2D) plastic surfaces.[9] These 2D substrates provide little quantitative information
about cell–matrix interactions, tumor invasion, or cell–cell
interactions during migration and invasion.[10] Recent studies have shown that 2D systems cannot provide a complete
picture of three-dimensional (3D) tumor cell adhesion and invasion.[11] For example, because cancer cells infiltrate
a stromal environment dominated by cross-linked networks of type I
collagen, the role of antimatrix metalloproteinase (MMP) molecules
in mediating migration (which is intrinsically associated with the
mechanical and structural properties of the matrix)[10] cannot be fully captured in 2D environments. A low-cost,
high-throughput, and real-time 3D cell invasion assay is needed to
accurately study tumor invasion and metastasis.[12] The ideal assay would enable easy manipulation, quantification
by digital analysis and morphological study, downstream biochemical
assays, and close recapitulation of the in vivo setting.[3] Microfabrication-assisted technology using microscale
arrays of round or rectangular wells, channels, or other simple patterns
has the potential to address these issues.[13]Here, we present a high-throughput 3D cell invasion assay
using
4000 ultraminiaturized wells to monitor cell invasion in real-time
(Multiwell Invasion
Chip: MI-Chip; Figure 1b). In this system,
cells are randomly placed or arranged within a gradient at the bottom
of microwells filled with collagen gel, and nutrients are placed on
top of the collagen layer. Cells are then allowed to gravitate from
the collagen gel toward the nutrition layer, and images are captured
at sequential focal planes in the gel at preset time points. The invasive
capacity of either a single cancer cell or cells at various densities
can be evaluated. The capabilities of the MI-Chip could be extended
to generate opposing gradients comprised of two different cell types
on the same chip, which could be used to study the correlation between
macrophage numbers and cancer cell invasiveness. By applying various
antimetastatic drugs to the 3D migration assay, we can easily adapt
the MI-Chip to efficiently screen potential invasiveness inhibitors.
The MI-Chip can perform thousands of experiments with one run and
provide not only accurate and comprehensive information on cell invasiveness
but also selection of candidate drugs to inhibit malignancy.Design and
operation of the MI-Chip device for 3D cell invasion
studies. (a) Schematic of the process of invasion of metastatic cells
into blood vessels. (b) Chip design and dimensions: 4000 ultraminiaturized
microwells consist of four like-numbered components; each component
contains 10 sets of 10 × 10 microwells. Scale bar: 100 μm.
(c) Schematic of device operation.
Results
Fabrication and Operation
of the MI-Chip
The MI-Chip was fabricated with poly(dimethylsiloxane)
using a
photolithographic process as summarized in the Figure S1 and described previously.[14] The MI-Chip consists of 4000 ultraminiaturized wells distributed
in four compartments, each compartment containing 10 arrays of 10
× 10 microwells. These 10 × 10 microwells are produced in
two shapes, square with a bottom size of 200 × 200 μm2 or round with a 200 μm diameter and are arranged in
sequential patterns for mapping and identification,[15] (Figures 1b and S2). In a subsequent cell invasion study, we only calculated
the cells loaded in the square shape microwells. The depth of all
microwells is approximately 160 μm (Figure
S3), which can be further enlarged to meet 3D requirement by
changing the fabrication procedure. In vivo, directional
movement of cancer cells develops at distances typically 100–150
μm beyond the diffusion capacity of chemokines and oxygen from
blood vessels or in areas of a tumor with compromised blood flow due
to aberrant vasculature formation.[16] The
depth of 160 μm is able to mimic real 3D invasion by providing
sufficient spacing for chemotaxis.Generation of cell density gradients.
(a) Steps of the experimental
setup. The MI-Chip was placed at a specific tilt angle in a beaker
filled with a homogeneous suspension of cells. Because of the varying
volume of cells available for sedimentation above the chip, cells
are deposited into the microwells with a density gradient. (b) Fluorescence
micrographs showing cell density gradients generated on the MI-Chip.
(c) Fluorescence micrographs showing the generation of reverse gradients
in cell densities for SUM-159/GFP cells (green) and macrophages (red)
on the same MI-Chip after two consecutive sedimentation processes
in opposite directions. The white box was selected magnified area.
Scale bar: 100 μm.We first treated the surface of the microwells with basement
membrane
extract (BME) solution to facilitate cell adhesion.[17] Cells were then loaded into the microwells randomly or
using a gradient and BME was replaced with 2 mg/mL serum-free collagen
gel. Next, 8 mg/mL collagen gel containing 20% fetal bovine serum
(FBS) was carefully placed across all the microwells as a barrier
to generate a chemoattractant gradient after nutrient addition on
top (Figure 1C) that can be
stably maintained within 160–200 μm during the experiment
(Figure S4). Random cell deposition can
be accomplished by spreading cells with a pipet. Three hundred microliters
of cell suspension are dispensed onto the chip and spread over the
chip area, and the cells are randomly settled into the microwells
by gravity. A single cell assay can be performed using a suspension
of cells diluted in culture medium to 5 × 104 cells/mL;
at this dilution, approximately 34% of the wells will contain single
cells. Increasing cell concentrations resulted in an additional 50
single cells in individual wells (Figure S5). Gradient cell seeding was generated by inserting the chip into
a homogeneous suspension of cells at a preset angle.[18] Cell numbers ranged from 0 to 50 cells along the tilted
chip automatically formed by the sedimentation of cells in the wells
with a tilt angle of 45° and a concentration of 106 cells/mL (Figure 2).
Figure 2
Generation of cell density gradients.
(a) Steps of the experimental
setup. The MI-Chip was placed at a specific tilt angle in a beaker
filled with a homogeneous suspension of cells. Because of the varying
volume of cells available for sedimentation above the chip, cells
are deposited into the microwells with a density gradient. (b) Fluorescence
micrographs showing cell density gradients generated on the MI-Chip.
(c) Fluorescence micrographs showing the generation of reverse gradients
in cell densities for SUM-159/GFP cells (green) and macrophages (red)
on the same MI-Chip after two consecutive sedimentation processes
in opposite directions. The white box was selected magnified area.
Scale bar: 100 μm.
Single-Cell
Invasion Assay
We first
studied the invasive behaviors of breast cancer cells on the MI-Chip.
We utilized two different breast cancer cell lines in our study, the
highly metastatic SUM-159 cell line and the tumorigenic but nonmetastatic
MCF-7 cell line. Both cell types were transfected with the gene for
green fluorescent protein (GFP) to allow 3D fluorescent imaging of
the cells as they penetrated into the collagen. Real-time tracking
of cell movement allowed us to characterize metastatic invasion under
controlled spatiotemporal conditions. By adjusting the focal plane
of the microscope, bright-field and fluorescent images (20×)
of cells on the top layer of the microwells could be recorded each
day (Figure 3a–c). Time-lapse images
of the cell invasion process were captured, and the fraction of invasive
cells was plotted. In the absence of a chemoattractant, few SUM-159
cells moved toward the top layer; instead, the cells appeared to move
randomly along the bottom of the microwells (Figure
S6). Conversely, after loading 20% FBS collagen gel on the
top layer of the microwells as a chemoattractant, we observed chemotactic
movement of SUM-159 cells toward the FBS-containing gel (Figure 3d).Thus, the metastatic cell line penetrated a collagen
matrix only in the presence of a FBS gradient, demonstrating the active
FBS-induced chemotaxis of metastatic cells. The mode of cell invasion
in the presence of a chemoattractant was then studied. We observed
most SUM-159 cells used mesenchymal-mode invasion, distinguished by
elongated cell morphology with cell polarity (Figures 3b and S7). The initial cell morphology
in the collagen gel was round, but after chemoattractant stimulation,
cells formed protrusions at their leading edges and then acquired
an elongated morphology toward the higher concentration of chemoattractant.
Their trailing edges were then retracted to allow simultaneous forward
movement (Figure S8). Some cells appeared
to use an amoeboid invasion mode characterized by cell motility through
plasma membrane blebbing.
Figure 3
Single
cancer cell invasion assay. (a) GFP image of invasive cells
on the top layer of the microwells. The focal plane of the fluorescent
microscope was adjusted to image cells located on the top layer of
the microwells. (b) The image of a partial MI-Chip using a confocal
microscope shows the cells located on the top layer of the microwells.
Scale bar: 200 μm. (c) 3D image of invasive cells on the top
layer of the microwells. A z-stack of bright-field (BF) images has
been acquired with a step size of 1 μm using a wide-field microscope.
The stack of images is reconstructed using the software provided by
the microscope manufacturer. Scale bar: 200 μm. (d–f)
Invasion capacity of a single cell derived from MCF-7 and SUM-159.
Comparison of fractions of invasive cells for MCF-7 and SUM-159 cells
(d); MCF-7 vector and MCF-7 Snail-6SA cells (e); and SUM-159 basal-like
(CD44+CD24–) and luminal-like (CD24+CD44–) cells (f).
Representative images of single SUM-159/GFP
cells on the cell invasion array 96 h after the gradient generation
are shown in Figure 3b,c. By comparing cell
numbers from the top layer and the number of single-cell microwells
after cell seeding (termed as fraction of invasive cells, Figure S9), the invasive capacity of a cancer
cell can be evaluated. At any given time, the SUM-159 cells comprised
a larger percentage of total cells in the top layer of the multiwell
array than MCF-7 cells, demonstrating that SUM-159 cells have a higher
invasion rate than MCF-7 cells (Figure 3d).
For example, after 48 h, 18.5% of SUM-159 cells were located in the
FBS-containing top layer of the microwells, but only 4.6% of MCF-7
cells had migrated toward the FBS. After 96 h, 34.2% of SUM-159 cells
were located in the top layer, and only 8.1% of MCF-7 cells had migrated
toward the FBS. We used confocal microscopy to image the full view
of the cells and found most of the invasive cancer cells showed elongated
cell morphology, and the noninvasive cells remaining on the bottom
of the microwells exhibited round or cobblestone-like morphology.Single
cancer cell invasion assay. (a) GFP image of invasive cells
on the top layer of the microwells. The focal plane of the fluorescent
microscope was adjusted to image cells located on the top layer of
the microwells. (b) The image of a partial MI-Chip using a confocal
microscope shows the cells located on the top layer of the microwells.
Scale bar: 200 μm. (c) 3D image of invasive cells on the top
layer of the microwells. A z-stack of bright-field (BF) images has
been acquired with a step size of 1 μm using a wide-field microscope.
The stack of images is reconstructed using the software provided by
the microscope manufacturer. Scale bar: 200 μm. (d–f)
Invasion capacity of a single cell derived from MCF-7 and SUM-159.
Comparison of fractions of invasive cells for MCF-7 and SUM-159 cells
(d); MCF-7 vector and MCF-7 Snail-6SA cells (e); and SUM-159 basal-like
(CD44+CD24–) and luminal-like (CD24+CD44–) cells (f).Existing evidence suggests aberrant activation of a latent
embryonic
program, the epithelial-mesenchymal transition (EMT), as a central
molecular event enhancing tumor cell invasion in response to environmental
triggers.[19] Therefore, we investigated
the invasiveness of cancer cells before and after EMT. MCF-7 cells
transfected by the snail transcription factor or with empty vector
were used in this assay. Cells transfected with Snail-6SA demonstrated
loss of the epithelial markers E-cadherin and cytokeratin and gain
of the mesenchymal marker vimentin.[20] However,
MCF-7 cells with vector alone behaved as an epithelial cancer cell
line, exhibiting cobblestone-like morphology. Comprehensive and statistical
analyses showed few MCF-7 vector-only cells demonstrated chemotactic
behavior, with only 8.4% of single MCF-7 vector-only cells located
in the top layer of microwells after 96 h. Conversely, 26.2% of MCF-7
Snail-6SA cells moved toward the chemoattractant and arrived at the
top layer of the microwells (Figure 3e).These
results indicate that after EMT, single breast cancer cell invasive
capacity was significantly enhanced. In addition to EMT, a subpopulation
(CD44+CD24–) of breast cancer cells exhibited
enhanced invasive properties, an early step necessary for metastasis.[21] We used flow cytometry to isolate basal-like
(CD44+CD24–) and luminal-like (CD24+CD44–) SUM-159 cells and then seeded them
into the device to test their invasive capacity. As shown in Figure 3F, at any given time, a higher percentage of basal-like
CD44+ SUM-159 cells, rather than luminal-like cells, occupies
the top layers of the multiwell array.
Invasion
Assay at Different Cell Densities
An invasion assay using
a wide range of cell densities of SUM-159
and MCF-7 was performed using the gradient cell seeding method (Figures 2a and S10). After cell
loading, bright-field and fluorescent images of cells located on the
top layer of the microwells were recorded daily by adjusting the focal
plane of the microscope (Figure 4a–d).The
fraction of invasive cells in each microwell was calculated by counting
cell numbers in the top layer of each microwell and dividing them
by numbers of initial cells in the microwell; the average value at
the same cell density was used to evaluate the invasive capacity of
the cancer cell. For metastatic cancer cell line SUM-159, the fraction
of invasive cells at a high cell density was greater than the fraction
of invasive cells calculated at single-cell or low-cell density at
all time points (Figure 4e). For example, after
96 h, 34% of single SUM-159 cells had migrated to the top layer of
the microwells, and 46.5% of SUM-159 high-density cells had moved
toward the FBS. As shown in Figure 4f, increased
cell density enhanced the invasion capacity of the cancer cell. For
the nonmetastatic MCF-7 cell line, increased cell density did not
affect the fraction of invasive cells significantly. We also studied
the impact of well shape to cell invasion by using two very different
shapes shown in our original chip, round and square wells. For single
or high-density cell invasion, our observed results showed very little
difference between the two shapes, completely within the error range.
Confocal microscopy was used to image the morphology of invading cancer
cells at higher cell densities. In addition to the many cells already
located in the top layer, additional cells had migrated more than
100 μm. Most invasive cancer cells displayed elongated cell
morphology. We suggest that the invading metastatic cells act in a
cooperative manner using a form of autocrine and paracrine signaling,
and increased cell density may contribute to tumor metastasis.[7,22]
Figure 4
High-density
cell invasion assay. (a) GFP image of invasive cells
on the top layer of the microwells. (b) Image of a partial MI-Chip
taken by a confocal microscope shows the cells located on the top
layer of the microwells. (c) 3D bright-field (BF) image of invasive
cells on the top layer of the microwells. Scale bar: 200 μm.
(d) Representative image taken by an optical microscope shows cells
located on the top and bottom layers of the microwells (each circle
represents a cell). Scale bar: 100 μm (e). The fractions of
invasive SUM-159 cells at at a high-cell density (H) at different
time points. (f) Comparison of fractions of invasive SUM-159 and MCF-7
cells at a gradient cell density after 96 h.
High-density
cell invasion assay. (a) GFP image of invasive cells
on the top layer of the microwells. (b) Image of a partial MI-Chip
taken by a confocal microscope shows the cells located on the top
layer of the microwells. (c) 3D bright-field (BF) image of invasive
cells on the top layer of the microwells. Scale bar: 200 μm.
(d) Representative image taken by an optical microscope shows cells
located on the top and bottom layers of the microwells (each circle
represents a cell). Scale bar: 100 μm (e). The fractions of
invasive SUM-159 cells at at a high-cell density (H) at different
time points. (f) Comparison of fractions of invasive SUM-159 and MCF-7
cells at a gradient cell density after 96 h.Inhibition of cancer cell invasion should be based on two
basic
principles: to reduce the invasion (migration) velocity at the single-cell
level and to disturb the cooperation between cancer cells and other
cell types. In this study, we tested five small-molecule compounds
that inhibit specific chemokines, growth factors, or kinases related
to breast cancer metastasis on the MI-Chip (Table
S1). Two modes of tumor cell movement are involved in invasion,
proteolysis-guided mesenchymal movement and actomyosin-driven amoeboid
movement. The inhibition of proteases, particularly MMPs, can convert
the mode of migration from the former to the latter, and inhibition
of Rho-associated kinase (ROCK) may convert the mode of migration
from the latter to the former.[23] Therefore,
we focused on MMPs and ROCK inhibitors.[23,24] The fractions
of invasive cells treated with the five inhibitors are shown in Figure 5a.
Figure 5
Effects
of invasion inhibitors and macrophage cooperation on cancer
cell migration. (a) Effects of small-molecule inhibitors on 3D cancer
cell invasion at single-cell and high-cell densities. (b) Proportion
of invasive MDA-MB-231 cells plated with TAMs at different ratios
in the presence or absence of linifanib and canertinib. (c) Proportion
of invasive TAM cells plated with MDA-MB-231 cells at different ratios.
Error bars represent the standard deviation of replicates (n = 200 microwells).
We first studied MMP activities that contribute
to potential cell
invasiveness. MMP-1 specifically degrades type 1 collagen (used in
our study), and MMP-9 cleaves type 1 collagen in its native form.
MMP-1 (1 μg/mL) and MMP-9 (0.5 μg/mL) were included in
the collagen gel, and the invasive capacity of SUM-159 cells at single-cell
and high-cell densities was tested. The presence of MMP-1 and MMP-9
increased the fraction of invasive cells at various cell densities.
We then added the MMP inhibitors GM6001 and 444278 to the gel and
found the invasive capacity of SUM-159 cells was reduced. In this
situation, MMP inhibitors may block proteolysis-guided mesenchymal
movement and cell invasion. The Rho-ROCK pathway is implicated in
Ras-mediated transformation of tumor cells to display amoeboid movement
in the 3D matrix, and we observed that treatment with a ROCK inhibitor
(Y-27632) substantially attenuated invasiveness in vitro at both single-cell and high-cell densities. It is noteworthy that
the fraction of invasive cells at a high cell density was similar
to that observed in the single-cell assay, indicating ROCK inhibition
reduces not only amoeboid movement but also cooperative interaction
among cancer cells. The maximal
level of inhibition was seen with Y-27632 and GM6001 together, in
which proteolysis-guided mesenchymal movement and actomyosin-driven
amoeboid movement were likely both inhibited. We also treated SUM-159
cells with canertinib (epithelial growth factor receptor inhibitor),
SB525334 (transforming growth factor-β inhibitor), and imatinib
mesylate (platelet-derived growth factor receptor inhibitor), which
all inhibited cell migration in a 2D assay in our lab.[25] These three inhibitors, however, did not significantly
reduce the invasive capacity of SUM-159 cells in the 3D invasion device
at either single-cell or high-cell density. Cells in vivo are situated within a complex 3D structure known as extracellular
matrix. The shape and size of cells are affected by the physical and
chemical environment of the extracellular matrix. Compared to 2D assays,
our MI-Chip enables 3D capability and may provide more accurate cancer
metastatic assays.
Reverse Gradients to Study
Cancer Cell and
Macrophage Co-Invasion
We next investigated whether directional
movement of cancer cells in the presence of macrophages was associated
with increased invasive behavior and if high TAM density corresponded
to more vigorous cancer cell invasion. The metastatic MDA-MB-231 breast
cancer cell line was used for this assay. The TAM cells were generated
from monocyte-derived macrophages cultured in medium containing the
supernatant of cancer cell culture medium with macrophage colony-stimulating
factor (M-CSF, 100 ng/mL)[26] for the coinvasion
assay. Stimulation with M-CSF and cancer cell culture medium led to
a majority of elongated, fibroblast-like cells with enhanced adherence
properties, whereas the absence of M-CSF and cancer cell culture medium
resulted in a majority of round macrophages (Figure
S11). Opposing gradients of the two types of cells (MDA-MB-231/GFP
and TAM cells) on the same MI-Chip were generated by two consecutive
sedimentation processes in opposite directions. After 96 h, the proportion
of cells that migrated to the top layer was determined by viewing
optical sections with a fluorescent microscope (Figure S12). When cultured alone, 38.2% of MDA-MB-231 cells
invaded the top layer at 96 h, whereas in the presence of macrophages
(10% of total cells), approximately 53% of MDA-MB-231 cells invaded
the collagen and migrated to the top layer (Figures 5b and S13). An increased percentage
of macrophages resulted in an increased proportion of MDA-MB-231 cells
that migrated to the top layer; the peak value was approximately 72%
when the ratio was 1:4 (cancer cells:macrophages). Further increases
in macrophage numbers resulted in a reduction of cancer cell numbers
and a reduction in the proportion of migrated cells. Even with decreased
numbers, the proportion of migrating cancer cells was still much higher
than the proportion of cells at a low density in the absence of macrophages.Effects
of invasion inhibitors and macrophage cooperation on cancer
cell migration. (a) Effects of small-molecule inhibitors on 3D cancer
cell invasion at single-cell and high-cell densities. (b) Proportion
of invasive MDA-MB-231 cells plated with TAMs at different ratios
in the presence or absence of linifanib and canertinib. (c) Proportion
of invasive TAM cells plated with MDA-MB-231 cells at different ratios.
Error bars represent the standard deviation of replicates (n = 200 microwells).We also studied macrophage invasiveness by increasing their
density
in the MI-Chip and found no significant difference in migration (Figure 5C). Imposed gradients of epidermal
growth factor (EGF) or colony-stimulating factor-1 (CSF-1) can induce
invasion through an EGF/CSF-1 paracrine loop between cancer cells
and macrophages.[8b] We treated the cells
with linifanib (CSF-1R inhibitor) and canertinib (EGFR inhibitor)
before seeding the device for the invasion assay. The results shown
in Figure 5b indicate a disruption of this
loop by blocking EGF and CSF-1 receptor signaling was sufficient to
inhibit tumor cell migration and invasion. In clinical studies, macrophage
density at the tumor site correlates with different stages of tumor
growth.[8a] Our results show that, even at
a low density, TAMs could promote invasion of breast carcinoma cells.
These results suggest the prevention of cancer metastasis at an early
stage may be achieved by inhibiting cooperation between macrophages
and cancer cells.
Discussion
The major
cause of death in cancerpatients with solid tumors is
metastatic disease resulting from the shedding of tumor cells that
subsequently migrate to anatomically distant sites. Tumor cell invasion
is conventionally understood as the migration and invasion of individual
cells or cell clusters that detach from the primary tumor.[3,27] However, cancer therapeutics targeting adhesion receptors or proteases
to inhibit cell invasion and metastasis have yet to demonstrate effectiveness
in clinical trials. Invasion mechanisms of cancer cells are still
unclear, although cell reprogramming may be involved, allowing cells
to maintain invasive properties via morphological and functional de-differentiation.
For example, the mode of invasion may transition from mesenchymal
movement to amoeboid movement. Therefore, the implementation of an
effective assay to quantify and evaluate the invasive capacities of
cancer cells may significantly aid in the development of novel cancer
therapeutics.In this study, we verified the capability of the
MI-Chip for studying
cancer metastasis by performing real-time 3D cell invasion assays
using breast cancer cell lines at different cell densities. By calculating
and analyzing fractions of invasive cells in each MI-Chip microwell,
we quantified the invasive capacity of breast cancer cells, either
alone or with tumor-associated
macrophage cells over a wide range of cell densities that may correspond
to different stages of malignancy. The small sample size (<1000
cells) used with the MI-Chip allows future analysis of the metastatic
potential of primary or rare cells. By utilizing inhibitors of CSF-1
and EGF receptor signaling on two cell movement modes, we found that
reducing the invasion (migration) velocity and blocking the partnership
between cancer cells and immune cells may provide an effective method
to reduce cell invasion and metastasis. The throughput can easily
be extended to 80,000 or more, which is efficient to set up experiments
in a high-throughput way. The cancer metastatic cascade involves cancer
cells invading from primary tumor to circulating system, flowing within
blood or lymph system, binding to second organ, and developing. Given
such a complexity of the entire metastatic process, one device cannot
fulfill all requirements. We focus on the 3D invasion assay to mimic
the cells invading from primary tumor to blood vessels. This metastatic
step is still relatively “static”. In summary, this
device provides a high-throughput platform for biologists and clinicians
to better perform assays that evaluate cancer cell behaviors related
to metastasis.
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