Abstract. Human peritoneal mesothelial cells (HPMCs) in intact mesothelium have been demonstrated to protect against tumor peritoneal metastasis. We have previously reported that gastric cancer cells can induce peritoneal apoptosis, lead to damage of peritoneum integrity, and therefore promote peritoneal metastasis. In this study, we investigated the effects of TGF-ß1 on tumor-mesothelial interaction. Briefly, the levels of various soluble factors, in particular TGF-ß1, were measured. HMrSV5 cells, a human peritoneal mesothelial cell line, were co-incubated with TGF-ß1, gastric cancer cells, or gastric cancer cells and TGF-ß1 receptor inhibitor SB431542. The expressions of smad 2/3 and phosphorylated smad 2/3, indicator of TGF-ß/Smads pathway activation, were evaluated. Then the morphological changes of HPMCs were observed. The cell damage was quantitatively determined by fluorescent microscopy and flow cytometry. Tumormesothelial cell adhesion was also examined. Results showed a significant elevation of TGF-ß1 expression, which is companied by dramatically increased phosphorylated-smad 2/3 levels, after mesothelial cell co-culture with the gastric cancer cell line. In addition, mesothelial cells exposed to gastric cancer cells or TGF-ß1 became exfoliated and exhibited signs of injury, while blocking TGF-ß1 can partially inhibit these effects. These results indicate that soluble factors, such as TGF-ß1, produced in autocrine/ paracrine manner in the peritoneal cavity, affect the morphology and function of mesothelial cells so that the resulting environment becomes favorable for peritoneal metastases.
IntroductionPeritoneal carcinomatosis remains a major obstacle that severely limits the further improvement of gastric cancer patients' prognosis after surgery (1). Peritoneal carcinomatosis is a peritoneal metastatic cascade that is composed of a series of events. It usually occurs at the late stage of tumor development and significantly contributes to gastric cancerrelated mortality. The mechanisms of peritoneal metastasis of diffusely infiltrating carcinoma are not yet clearly understood.Over 100 years ago, Paget et al proposed a 'seed and soil' theory: metastasis only occurs when tumor cells (seeds) survive and grow in a favorable organ/tissue microenvironment (soil) (2). It is conceivable that peritoneal carcinomatosis occurs as the peritoneal stroma environment promotes tumor cells proliferation by providing various growth factors and chemokines, thus promotes tumor metastasis. On the contrary, the healthy, intact mesothelial cells prevent cancer cells from infiltrating into the sub-mesothelial connective tissue by forming a layer of peritoneum barrier. Yashiro et al (1) have previously demonstrated that the layer of confluent, intact mesothelial cells hindered cancer cell invasion to the abdominal cavity. However, once the integrity of such barrier is disrupted, metastasis may occur because peritoneum provides a favorable environment for gastric cancer cells to grow. For example, Kiyasu et al (3) reported th...