Necrosis is a characteristic feature of advanced solid tumors. Released necrotic factors, also referred to as damage associated molecular patterns (DAMPs), are known to critically impact the tumor microenvironment by enhancing angiogenesis or influencing the immune response. We have recently shown that DAMPs can act as chemoattractants and activators of granulocytes. We demonstrate that necrotic material from both normal and tumor cells promotes proliferation and trafficking of human mesenchymal stem cells (MSCs). We characterize the protein high mobility group box 1 (HMGB1) as a crucial member of DAMPs within necrotic material. In addition, we show that DAMPs interfere with expression of indoleamine 2, 3-dioxygenase (IDO) in MSCs. The biological activity of necrotic material toward MSCs is abolished once these DAMPs are oxidized. MSCs found within tumor tissue can act as immunoregulatory cells and are able to promote tumor metastasis, thus playing a crucial role within the tumor microenvironment. Here, we reveal DAMPs to be crucial factors in the setting of MSC biology within the tumor microenvironment. The tumor microenvironment is characterized by reducing and hypoxic conditions that protect DAMPs from oxidation. Based on our results, oxidizing conditions should be considered for therapeutic approaches that target the tumor microenvironment.Key words: Chemotaxis . Damage associated molecular patterns . Mesenchymal stem cells . Proliferation .
Supporting Information available online See accompanying Commentary by Pistoia and Raffaghello
IntroductionRegardless of the origin and site of neoplastic cells, necrotic cell death is a characteristic feature of advanced solid tumor mainly due to three conditions: (i) inadequate nutrition supply to tumor cells as a consequence of imbalance between tumor growth and angiogenesis, (ii) the host's cytotoxic immune response to the tumor, and (iii) downregulation of programmed (apoptotic) cell death by the tumor itself. Released factors following necrotic cell death are also referred to as damage associated molecular patterns (DAMPs). DAMPs can critically impact the tumor microenvironment by enhancing angiogenesis or influencing [5,6]. MSCs are pluripotent progenitor cells that contribute to the maintenance and regeneration of a variety of connective tissues, including bone, adipose, cartilage, and muscle [7]. Although MSCs reside predominantly in the bone marrow, they are also distributed throughout many other tissues, where they are thought to serve as local sources of dormant stem cells [8]. The contributions of MSCs to tissue formation become apparent in cases of tissue remodelling after injury or chronic inflammation. These conditions are typically accompanied by mobilization of multipotent MSCs from bone marrow and their subsequent recruitment to the site of damage [8]. MSCs have been shown to contribute to the formation of fibrous scars after injury [9]. Systemically transferred MSCs have been described to migrate into colon carcinomas [10]. In the setting of wound he...