- Open Access
Tumor-derived exosomes promote the in vitro osteotropism of melanoma cells by activating the SDF-1/CXCR4/CXCR7 axis
Journal of Translational Medicine volume 17, Article number: 230 (2019)
Bone metastases occur rarely in patients suffering from malignant melanoma, although their onset severely worsens both prognosis and quality of life. Extracellular vesicles (EVs) including exosomes (Exos) are active players in melanoma progression involved in the formation of the pre-metastatic niche.
Trans-well assays explored the basal migratory and invasive potential of four melanoma cell lines and investigated their different propensity to be attracted toward the bone. Exosomes were purified from cell supernatants by ultracentrifugation and explored in their ability to influence the bone tropism of melanoma cells. The molecular machinery activated during this process was investigated by RT-PCR, droplet digital-PCR, flow-cytometry and Western blot, while loss of function studies with dedicated siRNAs defined the single contribute of CXCR4 and CXCR7 molecules.
Melanoma cells revealed a variable propensity to be attracted toward bone fragments. Gene profiling of both osteotropic and not-osteotropic cells did not show a different expression of those genes notoriously correlated to chemotaxis and bone metastasis. However, bone conditioned medium significantly increased CXCR4, CXCR7 and PTHrP expression solely to osteotropic cells, while their Exos were able to revert the original poor bone tropism of not-osteotropic cells through CXCR7 up-regulation. Silencing experiments also demonstrated that membrane expression of CXCR7 is required by melanoma cells to promote their chemotaxis toward SDF-1 gradients.
Our data correlated the osteotropism of melanoma cells to the activation of the SDF-1/CXCR4/CXCR7 axis following the exposition of tumor cells to bone-derived soluble factors. Also, we demonstrated in vitro that tumor-derived Exos can reprogram the innate osteotropism of melanoma cells by up-regulating membrane CXCR7. These results may have a potential translation to future identification of druggable targets for the treatment of skeletal metastases from malignant melanoma.
Bone metastases occur approximately in 15% of patients with cutaneous melanoma leading to typical skeletal-related events (SRE) that worsen prognosis and quality of life  and although recent strategies improved the morbidity and delayed the SRE development, the survival of these patients is severely affected .
Metastases of the skeleton arise from a stepwise process that induces cancer cells to acquire an invasive behaviour, including their detachment from primary tumor, spreading throughout the blood stream, housing within the bone niche and growing . Previous studies demonstrated that pro-angiogenic cytokines, growth factors and extracellular vesicles (EVs) including exosomes (Exos) are released by melanoma cells to prepare a favourable soil for their outgrowth at pre-determined sites . To this, the transforming growth factor-β (TGF-β), the parathyroid hormone-related peptide (PTHrP), the receptor activator of nuclear factor kappa-B ligand (RANKL) as well as the interleukin (IL)-6 have been proven to be variably enrolled in favouring the tumor cell seeding within the pre-metastatic niche as well as metastasis development [5,6,7,8]. Additionally, other studies  emphasize the role of the bone microenvironment in which the stromal cell-derived factor (SDF)-1, a chemoattractant released by mesenchymal cells, recruits circulating cancer cells, particularly from epithelial tumors like breast and prostate cancers, bearing CXCR4 (C-X-C chemokine receptor type 4).
Exosomes are endosomal-derived nanovesicles produced by normal and malignant cells involved in the intercellular communications whose efficiency depends on their molecular cargos of soluble factors, proteins and nucleic acids . Exosomes are increased in sera of patients with melanoma and have recently emerged as active players of tumor progression in relation to their involvement in the metastatic machinery by activating the epithelial-to-mesenchymal transition (EMT), favouring the immune evasion and driving the formation of the pre-metastatic niche [11,12,13]. Notwithstanding recent data support the involvement of tumor-derived Exos in the metastatic colonization of the skeleton in lung cancer , their contribution in influencing a similar behaviour in melanoma cells remains indeed poorly investigated.
Here, we explored the potential role of tumor-derived Exos in influencing the migration and invasiveness of melanoma cells toward the bone. In parallel, we attempted to address the molecular mechanisms required for the activation of these functional properties by focusing on the SDF-1/CXCR4/CXCR7 signaling.
Cell lines and bone specimens
Melanoma (SK-Mel28, WM266, LCP and LCM) and breast cancer (MDA-MB231) cell lines (ATCC, Rockville, MD, USA) were cultured in Exo-free complete medium. Overnight starvation with FBS-depleted medium was used to synchronize the cell cycle before each experiment. Scraps of cancellous bones were recovered from 5 healthy subjects suffering of post-traumatic orthopaedic surgery and used to generate small bone fragments of 3–5 mm3, or cultured for 24 h with free-culture medium to achieve bone conditioned medium (BCM) .
Exosome purification and characterization
Exosomes were purified by ultracentrifugation of supernatants from 48-h cultured melanoma cells . Briefly, dead cells, debris, protein aggregates and microvesicles were removed by both centrifugation and mechanical filtration using Millipore filter of 0.22 µm diameter. Supernatants were then twice centrifuged at 100,000×g for 70 min at 4 °C to obtain Exos that were stored at − 80 °C in PBS aliquots of 100 µl. A limited number of samples were randomly selected to verify the size distribution and concentration of vesicles by using the NanoSight NS300 instrument (Malvern Instruments, Malvern, UK), while the transmission electron microscopy (TEM) defined the morphology of vesicles. After the measurement of protein amount using the Bradford protein assay (Bio-Rad), Exo preparations from each sample were verified by measuring the expression of CD63, CD81 (eBioscence) and CD9 (BD Pharmigen) by flow-cytometry  with dedicated mouse anti-human monoclonal antibodies (MoAbs). For this purpose, 30 µg of Exos were previously conjugated with 4 µm diameter aldehyde/sulfate latex beads (Invitrogen, Carlsbad, CA) , while mouse IgG1 was the isotypic control. Moreover, to further validate the purity of Exo preparations, western blots (WB) were performed to measure the levels of CD81, TSG101, calnexin (CANX) and bovin serum albumin (BSA) in accordance to Minimal Information for Studies of Extracellular Vesicles (MISEV) guidelines .
The ability of melanoma cells to incorporate Exos was also investigated by confocal microscopy (Nikon Instr., Lewisville, TX). Briefly, 1 × 104 melanoma cells were cultured for 4 h with 50 µg/ml of Exos previously bound to a red lipophilic fluorescent dye (PKH26; Sigma-Aldrich, St Louis, MO, USA) . Then, cells were stained with FITC-conjugated phalloidin (Invitrogen), while nuclei counterstained with DAPI (4′,6-diamidino-2-phenylindole; Sigma Aldrich).
Migration and invasion assay
Trans-well plates of 8 µm diameter (Corning Incorporated, NY) were used to investigate the migratory behaviour of melanoma cells, while invasiveness was assessed by the BioCoat Matrigel cell culture chambers (Becton–Dickinson Bioscience, MA). MDA-MB231 cells were the positive control in relation to their metastatic bone tropism . For both migration and invasion assays, 1 × 104 cells were seeded onto the upper chamber in presence of RPMI supplemented with 1% FBS. The lower chamber was filled with 10% FBS or bone fragment as chemoattractant, while 1% FBS was the negative control. Then, cells adherent on the upper surface of the membrane were removed at different time points (24 and 48 h), while those trapped in the underside of the insert were fixed with 4% paraformaldehyde, stained with DAPI and visualised under a UV microscope (Leica, Heidelberg, Germany). DAPI+ cells were counted in ten random fields of 0.2 mm2 at 40× magnification.
Further experiments explored the Exo role in influencing the osteotropic attitude of melanoma cells. To this, both migration and invasion assays were completed as previously described although the lower chamber was filled with Exos (50 µg/ml) derived from autologous (a-Exos) or heterologous melanoma cells (h-Exos). Each experiment was completed in triplicate.
Gene expression analyses
The basal expression of 27 genes mainly implicated in cell migration and bone tropism were investigated by real-time (RT)-PCR in unstimulated melanoma cells using a 96-well custom plate (BioRad). GAPDH was the housekeeping gene to calculate the 2−Δct. In addition, the potential effect on gene expression levels after 6-h of melanoma cell stimulation by BCM, Exos or both, was explored by QX200 droplet digital (dd)-PCR. Data were analyzed by the QuantaSoft software (BioRad). Genes and relative primers used for RNA amplification are listed in Additional file 1: Table S1. Experiments were completed in biological triplicate and results were expressed in terms of fold change using GAPDH as the housekeeping gene.
CXCR4 and CXCR7 expression analyses
Based on the results of dd-PCR, membrane and intracellular expression of CXCR4 and CXCR7 by melanoma cells were investigated by flow cytometry using dedicated mouse anti-human MoAbs (Abcam), while the mean fluorescence intensity (MFI) ratio was calculated with respect to IgG1 isotypic control. Both membrane and cytoplasmic protein fractions from melanoma cells were obtained using the Mem-PERM Plus Kit (Thermo Scientific) and the relative CXCR4 and CXCR7 levels measured by WB. Either pan-cadherin or alpha-tubulin (Abcam) were used as intra-assay control for membrane and intracellular measurements, respectively, as described . Protein expression was calculated in terms of optical density (O.D.) by ImageQuantTL (GE Healthcare, UK), while differences between stimulated (BCM or Exos) and unstimulated cells were expressed in terms of ratio . Additionally, CXCR4 and CXCR7 levels on melanoma-derived Exos were measured by flow-cytometry as previously described.
Loss of function study
Further experiments assessed the contribute of either CXCR4 or CXCR7 in conditioning the osteotropism of melanoma cells. Therefore, their expression was restrained by small interfering RNAs (siRNAs) using the following primers: 5′-GGCAGUCCAUGUCAUCUACTT-3′ and 5′-GUAGAUGACAUGGACUGCCTT-3′ for CXCR4; 5′-GGAUGACACUAAUUGUUAGTT-3′ and 5′-CUAACAAUUAGUGUCAUCCTT-3′ for CXCR7 (Life Technologies, CA, USA). Briefly, 1 × 106 LCP and SK-Mel28 cells were treated for 48 h with 3.75 µl/ml of Lipofectamine 3000 Reagent (Invitrogen, CA, USA) to induce transient transfection in presence of anti-CXCR4 (30 nmol/l) or anti-CXCR7 (60 nmol/l) siRNAs. Cells treated with 3.75 µl/ml of Lipofectamine 3000 reagent or scramble probes (Ambion) were the controls.
Since both CXCR4 and CXCR7 share the SDF-1 ligand, silenced melanoma cells were explored in their propensity to migrate and invade toward human-recombinant SDF-1 (R&D Systems, MN, USA) either in presence or absence of Exos. The optimal concentration of SDF-1 used in these experiments, namely 100 ng/ml, was similar to that detected in BCM by ELISA (96.4 ± 17.2 ng/ml).
Data were analysed by the Mann–Whitney test for not-parametric distributions, while One-way ANOVA was used to analyse the differences between basal levels of CXCR4 and CXCR7 by melanoma cells. Data were was considered statistically significant with a p < 0.05.
Melanoma cells differently migrate toward the bone
The first set of experiments evaluated the migration tendency of melanoma cell lines. As shown in Fig. 1a, c, melanoma cells stimulated for 24-h with 10% FBS increased their basic migratory propensity with respect to unstimulated cells (p < 0.01 in all instances) and this occurred in a fashion almost similar to MDA-MB231. Both SK-Mel28 and WM-266 cells showed the highest migratory potential (39.6 ± 9.0 and 31 ± 7.5 cells/0.2 mm2) as compared to LCP and LCM (14.8 ± 1.9 and 17 ± 6.8 cells/0.2 mm2, respectively). However, the migratory capacity of LCP cells also increased once exposed to the stimuli of bone fragments (24.3 ± 4.4 cells/0.2 mm2; p < 0.01), as for MDA-MB231 cells (46.2 ± 3.6 cells/0.2 mm2; p < 0.01). By contrast, bone fragments exerted only a modest effect on LCM, WM-266 and SK-Mel28. Similar results were obtained by measuring the invasiveness in the same melanoma populations (Fig. 1b, c), as well as in cells stimulated for 48-h (data not shown). In relation to these preliminary findings and for the next experiments, LCP cells were arbitrarily defined as ‘osteotropic’, whereas WM-266 and SK-Mel28 as ‘not-osteotropic’. Moreover, 24-h stimulation was arbitrarily defined as the optimal time point for the next trans-well assays.
Exosomes influence the migratory behaviour of melanoma cells
Next, we investigated the potential influence of Exos on both migration and invasiveness of melanoma cells. Exosomes were purified from supernatants of WM-266, SK-Mel28 and LCP melanoma cells at a mean concentration of 1.6 × 1010 vesicles/ml, 1.1 × 1011 vesicles/ml and 1.9 × 1011 vesicles/ml, respectively. Figure 2 illustrates specific characteristics of Exos, including the 30–150 nm diameter revealed in more than 80% of vesicles (panel a), the typical cup-shaped morphology by TEM (panel b), and the presence of CD81, CD63 or CD9 tetraspanins (panel c). Western blot analyses (Fig. 2d) demonstrated that Exo preparations were positive for typical markers of EVs (CD81 and TSG101), while excluded the possible contamination by large-EVs (> 200 nm) or non-EV structures, such as protein aggregates, since all the samples resulted negative for both CANX and BSA as compared to complete control medium. Finally, Fig. 2e evidences the uptake of red-fluorescent labeled Exos by SK-Mel28 cells whose cytoplasm was engulfed of clusters formed by h-Exo from LCP.
We then explored the effect of stimulation with both Exos and bone fragments on the migration and invasiveness of not-osteotropic cells, namely SK-Mel28 and WM-266. As shown in Fig. 3a, both a-Exos and h-Exos from non-osteotropic cells poorly improved the migration of SK-Mel28 (19.5 ± 7.8 and 23.2 ± 4.1 cells/0.2 mm2, respectively) and WM-266 cells (10.8 ± 3.2 and 16.2 ± 4.8 cells/0.2 mm2) as compared to controls (SK-Mel28: 18.2 ± 4.8 cells/0.2 mm2; WM-266: 13.3 ± 2.4 cells/0.2 mm2; p = ns in both instances). By contrast, the migration was significantly increased in the presence of h-Exos from osteotropic LCP (SK-Mel28: 38.4 ± 5.3 cells/0.2 mm2; WM-266: 27.1 ± 5.2 cells/0.2 mm2; p < 0.05), although this effect was abrogated by the removal of bone fragment (SK-Mel28: 20.9 ± 6.1 cells/0.2 mm2; WM-266: 15.5 ± 2.6 cells/0.2 mm2). Similar results occurred by exploring the invasive behaviour of SK-Mel28 and WM-266 (Fig. 3b). Taken together, these data suggested a potential role of Exos from melanoma cells in conferring osteotropic function in heterologous cells.
Basal gene expression profile of melanoma cells does not correlate with osteotropic propensity
To identify possible deregulated genes reflecting the osteotropic propensity of melanoma cells, we compared the transcriptional profiles of osteotropic LCP to not-osteotropic SK-Mel28 and WM-266 cells. Therefore, gene expression analyses investigated the expression of several genes potentially implicated in cell migration and chemotaxis.
As showed in Fig. 4, genes regulating the EMT-machinery, including N-Cadherin (N-CAD), SNAIL, ZEB and TWIST1, were found variably up-regulated in both osteotropic and not-osteotropic cells with the exclusion of E-CAD. The mRNA basal levels of N-CAD (p < 0.05), ZEB1 (p < 0.001), MMP1 (p < 0.05) and MMP2 (p < 0.001) were significantly increased in not-osteotropic cells with respect to osteotropic LCP. However, the other genes resulted poorly expressed in explored cell lines.
These findings demonstrate that both osteotropic and not-osteotropic cells showed at baseline a similar EMT signature, poorly correlated with the bone tropism.
Exosomes from osteotropic cells induce CXCR7 up-regulation in not-osteotropic melanoma cells
Since the baseline EMT gene expression profile was not correlated with the osteotropic behaviour of LCP, SK-Mel28 and WM-266, we hypothesized that a major effect may occur within the bone microenvironment. To verify this, we measured the expression of the same genes following the stimulation of melanoma cells with BCM. As shown in Fig. 5a, osteotropic LCP underwent a significant up-regulation from baseline of CXCR7 (2.9 ± 0.6-fold increase; p < 0.001), CXCR4 (2.3 ± 0.5-fold increase; p < 0.01) and PTH-rP (2.2 ± 0.7-fold increase; p < 0.05), while MMP1 and TGF-β1 were slightly increased (≈ 1.5-fold increase; p < 0.05). By contrast, the transcriptional profile of not-osteotropic SK-Mel28 and WM-266 cells remained almost unchanged following the BCM stimulation, except for a minimal increment of CXCR7 (≈ 1.5-fold increase; p = ns) for SK-Mel28. Similar experiments explored the effects induced by h-Exos from osteotropic LCP on SK-Mel28 and WM-266 cells (Fig. 5b). As shown, the stimulation with h-Exos dramatically increased the expression of CXCR7, as compared to unstimulated cells, both in SK-Mel28 (3.3 ± 0.8-fold increase; p < 0.05) and WM-266 cells (3.1 ± 1.3-fold increase; p < 0.01). On the contrary, no transcriptional modifications were observed in not-osteotropic WM-266 cells stimulated with a-Exos, thus suggesting that CXCR7 up-regulation was putatively responsible of the osteotropic behavioral changes induced by LCP-derived Exos. To validate these results, we further investigated the effects of BCM or h-Exos stimulation on protein levels of both CXCR4 and CXCR7 in melanoma cells.
To this purpose, we analyzed by flow-cytometry both membrane and intracellular levels of CXCR4 and CXCR7 in either stimulated or unstimulated cells. As shown in Table 1, LCP and both SK-Mel28 and WM-266 similarly expressed membrane (6.5%, 10.1% and 8.4%, respectively) and intracellular (88%, 84.6% and 87.1%) levels of CXCR4. By contrast, the levels of both membrane and intracellular CXCR7 by LCP (17.5% and 94.7%, respectively) were higher with respect to both SK-Mel28 (10.4% and 82.5%) and WM-266 cells (9.4% and 79.5%). As shown in Fig. 6a, following the stimulation with BCM, the percentage of LCP and SK-Mel28 expressing either membrane or intracellular CXCR4 remained unchanged with respect to unstimulated cells in a fashion almost similar to CXCR7. The stimulation of WM266 produced similar results. However, the MFI ratio relative to membrane CXCR7 by LCP cells significantly increased (13.6 ± 1.2 vs 8.3 ± 0.9; p < 0.05) after the stimulation with BCM, while remained unchanged in SK-Mel28 (7.6 ± 0.9 vs 7.5 ± 1.3) and WM-266 (data not shown). By contrast, the stimulation of SK-Mel28 cells with h-Exos from osteotropic LCP up-regulated the membrane levels of CXCR7 as compared to unstimulated cells (30.5% vs 10.4%; p < 0.01), while the intracellular expression was unaffected (87.1% vs 82.5%). In addition, the MFI ratio relative to membrane expression of CXCR7 was also enhanced in SK-Mel28 cells by the stimulation with h-Exos with respect to baseline (12.3 ± 1.0 vs 7.7 ± 1.8; p < 0.05). Similar results were observed for WM-266 cells stimulated with h-Exos from LCP (data not shown). Consistent with gene expression analyses, levels of CXCR4 by not-osteotropic cells were not influenced by LCP-derived Exos in a fashion similar to those of both CXCR4 and CXCR7 by LCP stimulated with h-Exos from SK-Mel28.
To verify these data, WB experiments were completed on the membrane and cytosolic fractions of SK-Mel28. As shown in Fig. 6b, c, the stimulation with h-Exos from LCP induced a significant up-regulation of membrane CXCR7 expression (1.53 ± 0.22-fold increase; p < 0.05), while the cytoplasmic fraction was apparently not influenced (1.06 ± 0.1-fold increase; p = ns). Additionally, no modification of CXCR4 expression was revealed in either membrane or cytoplasmic fractions of stimulated SK-Mel28 as compared to unstimulated cells (1.1 ± 0.07 and 0.88 ± 0.18-fold increase, respectively).
Levels of CXCR4 and CXCR7 were then measured by flow cytometry in Exos from osteotropic LCP. As shown in Fig. 6d, both chemokine receptors were not revealed in these Exos, thus excluding a direct Exo-mediated transfer of these molecules onto the plasma membrane of SK-Mel28 as a putative mechanism involved with CXCR7 up-regulation.
Silencing of either CXCR4 or CXCR7 disables the osteotropism of melanoma cells
To investigate the functional relevance of chemokine receptors in the osteotropism of melanoma cells, silencing of either CXCR4 or CXCR7 were carried out by siRNAs. Efficient silencing of both mRNA and protein levels in LCP and SK-Mel28 cells was verified by both dd-PCR and WB. As shown in Fig. 7a, more than 50% of mRNA levels of CXCR4 and CXCR7 were restrained in both cell lines as compared with untreated cells. A similar decrease in terms of protein expression was also demonstrated. To avoid the possible contamination from other soluble factors released by bone fragments, human-recombinant SDF-1 was used as chemoattractant for migration and invasion assays (Fig. 7b, c). The effect of SDF-1 alone or in combination with h-Exos on CXCR4 and CXCR7 expression by LCP and SK-Mel28 cells was investigated by dd-PCR (Additional file 2: Figure S1) obtaining similar results to those observed by BCM stimulation. Similarly to previous experiments using bone fragments, migration of both untreated and scramble-treated LCP was significantly increased by SDF-1 as compared to unstimulated cells (13.7 ± 2.4 vs 6.1 ± 1.7 cells/0.2 mm2 and 14.9 ± 4.5 vs 5.2 ± 1.1 cells/0.2 mm2, respectively; p < 0.05) (Fig. 7b). However, the migration of cells stimulated with SDF-1 was dramatically impaired by siRNA of either CXCR4 (9.5 ± 1.9 cells/0.2 mm2) or CXCR7 (7.8 ± 2.4 cells/0.2 mm2) as compared to both untreated and scramble-treated cells (p < 0.05), while h-Exos were ineffective. Furthermore, both untreated and scramble-treated SK-Mel28 were not influenced by SDF-1 in their migratory property with respect to unstimulated cells (16.1 ± 3.5 vs 15.9 ± 2.8 cells/0.2 mm2 and 17 ± 3.7 vs 16.7 ± 3.2 cells/0.2 mm2, respectively; p = ns), and no effect was induced by SDF-1 in silenced cells (Fig. 7c). However, the concomitant stimulation of SK-Mel28 cells with SDF-1 and h-Exos from LCP significantly increased the migration of both untreated (33.6 ± 3.4 cells/0.2 mm2; p < 0.001) and scramble-treated cells (34.2 ± 4.1 cells/0.2 mm2; p < 0.001), while this effect was dampened in CXCR4 (25.4 ± 3.7 cells/0.2 mm2) and CXCR7 silenced cells (22.5 ± 2.8 cells/0.2 mm2). Similar results were obtained when LCP and SK-Mel28 cells were investigated for their invasive capacity under the same conditions.
These data proved that SDF-1 drives the chemotaxis of osteotropic melanoma cells through the CXCR4/CXCR7 axis that can be activated in not-osteotropic cells by Exos through the up-regulation of membrane CXCR7 molecules.
The events driving the metastatic organotropism of cancer cells depend on selective signaling interactions between cytokines, chemokines and relative receptors. The present study was aimed to explore the mechanisms regulating the bone tropism of melanoma cells and showed that, at least in vitro, Exos play a potential role in this process by reprogramming the osteotropism of these cells.
The machinery driving the colonization by melanoma cells of metastatic sites, including the bone, has been poorly investigated although previous studies correlated the CXCR3, CXCR4, CCR7 and CCR10 expression with the enhanced propensity to migrate to lymph nodes, lung and skin [22, 23]. Other findings, moreover, suggested that primary tumors are capable to spread molecular components to render the future metastatic organ suitable for the homing of detached cancer cells, thus early establishing a niche permissive for their survival and growth . To this regard, many tumor-derived factors, such as the vascular endothelial growth factor (VEGF), tumor necrosis factor (TNF)-α, TGF-β, lysyl oxidase (LOX), versican and EVs have been reported to be potentially involved in the formation of the pre-metastatic niche . In this context, Exos released by melanoma cells propagate pro-metastatic signals to distant recipient cells by delivering a cargo of active molecules that enhance the secretion of angiogenic factors, matrix metalloproteinases (MMPs) and immune-suppressive cytokines . Here, we demonstrated that tumor-derived Exos enhance the in vitro chemotaxis of melanoma cells toward the SDF-1, thus suggesting a possible in vivo role of these EVs in bone metastasis formation.
The skeleton is the third most frequently affected metastatic site in cancer and its colonization occurs in 15% of patients with melanoma . Concerning the molecular mechanisms, it has been suggested the role of osteopontin, a glycoprotein involved in cell adhesion and extracellular matrix remodeling, that regulates the migration of melanoma cells to the bone marrow niche [26, 27], while the high-expression of leukaemia inhibitory factor (LIF) has been recently associated with malignant osteolysis by the TGF-β pathway activation . In this context, great regard has been reserved to tumor-derived Exos in relation to their ability to break-off the virtuous cycle of bone remodeling . In fact, uptake of tumor-derived Exos by bone marrow, endothelial and mesenchymal stem cells (MSCs) has been proven and the integrins expressed by Exos apparently play a role in driving their fusion with these target cells [30,31,32,33]. Furthermore, Exos influence the expression of chemokine receptors in recipient cancer cells and reprogram their EMT machinery [34, 35].
This aspect has been explored in the present research and here we provide evidence that Exos from osteotropic melanoma cells induce, at least in vitro, chemoattraction to the bone in not-osteotropic cells. To identify the pivotal events enrolled in these properties, we first investigated the baseline mRNA levels of genes involved in EMT, chemotaxis and bone metastasis development. These genes were almost similarly expressed by the osteotropic and not-osteotropic melanoma models. However, a slight up-regulation of genes implicated in EMT was revealed, while the modest increase of N-CAD, ZEB1, MMP1 and MMP2 in not-osteotropic cells was probably correlated to their high migratory and invasive properties. On the other hand, we explored a limited set of genes potentially involved in bone tropism and it is possible that our cellular models are not constitutively activated in osteotropism. Therefore, we reasoned that osteotropic and not-osteotropic cells could be differently activated to this function by the stimulation of soluble factors mostly produced by bone fragments. This was further confirmed since osteotropic LCP stimulated by BCM up-regulated both CXCR4 and CXCR7 as well as MMP1, PTH-rP and TGF-β, while the gene profile was unchanged in not-osteotropic SK-Mel28 and WM-266.
Although the EMT process is a major determinant of melanoma metastasis leading cancer cells to detach from the primary tumor and spread toward distant sites throughout the bloodstream , our data suggest that further events in response to stimuli from bone microenvironment are required to activate their homing to the bone niche. This model confirms previous studies revealing that the exposure of cancer cells to osteoblast conditioned medium can increase the expression of dysadherin and CCL2, thus positively influencing their migratory properties . However, it is conceivable that only those cells endowed with an innate osteotropic behaviour can be activated by the signals from bone marrow accessory cells and thus, a minority of melanoma cell sub-populations are able to originate bone metastases. In this complex context, although their role in malignant osteoclastogenesis is unclear, Exos may participate to the bone metastatic process favoring the interplay among heterogeneous cancer cells in the tumor microenvironment. Here, we investigated Exos in influencing the in vitro osteotropism of melanoma cells and found that they enhance their attraction to bone fragments. Gene and protein expression profile of melanoma cells showed the up-regulation of CXCR7 as a mechanism apparently critical for this process. Thus, it is possible that osteotropic melanoma cells reprogram the phenotype of not-osteotropic cells through CXCR7 up-regulation induced by exosomal transfer of active cargos resulting in activation of the chemotactic machinery of migration/invasion toward signals originated within the bone marrow niche.
Both CXCR7 and CXCR4 are seven-transmembrane G-protein coupled receptors with selective binding with SDF-1, whose affinity for CXCR7 is tenfold higher than for CXCR4 . Despite SDF-1-driven intracellular signals via CXCR4 have been widely demonstrated in the regulation of cancer cell homing to the bone , the role of CXCR7 is still debated. The absence of a typical G-protein-mediated response following CXCR7 binding to SDF-1 suggested a role as a modulator of CXCR4 signaling, thus acting as decoy receptor or scavenger for SDF-1 sequestration . However, it has been recently demonstrated that CXCR7 triggers the MAPK cascade via β-arrestins2/Erk1 , whose activation is implicated in the migration of melanoma cells . Data from our functional experiments using anti-CXCR7 siRNAs suggest that tumor-derived Exos reprogram in vitro the osteotropic behaviour of melanoma cells induced by SDF-1 through membrane CXCR7 up-regulation. In addition, by silencing the CXCR4 receptor we also demonstrated that CXCR4 and CXCR7 co-expression by melanoma cells drive their SDF-1-mediated chemotaxis independently from Exo stimulation. In this context, CXCR7 is apparently necessary to hold melanoma cells susceptible to SDF-1/CXCR4 signaling by working as SDF-1 neutralizer, thus keeping its gradient functionally active nearby the cell surface [43,44,45]. Consistent with this hypothesis, we observed an increased expression of membrane CXCR7 in osteotropic LCP cells following their stimulation with BCM while a similar enrichment was demonstrated by stimulating not-osteotropic SK-Mel28 and WM-266 cells with LCP-derived Exos. Since Exos from LCP were largely clustered in the cytoplasm of recipient not-osteotropic cells and resulted negative for CXCR4 and CXCR7 expression, we reasoned that membrane CXCR7 up-regulation was related to a defined gene activation program rather than to a protein transfer. These findings were also strengthened by siRNA experiments.
In our in vitro model, melanoma cells are endowed with different bone tropism, mostly depending on SDF-1/CXCR4/CXCR7 axis activation in response to bone microenvironment stimulation. As represented in Fig. 8, we suggest that innate propensity of melanoma cells to migrate and invade toward the SDF-1 gradient depends on the up-regulation of membrane CXCR7 following their exposition to bone-derived soluble factors. Notwithstanding the mechanisms driving CXCR7 rearrangements under Exo stimulation have not been investigated in the present research, extensive proteomics and RNA profiling of melanoma-derived Exos have previously identified transcription factors and miRNAs that regulate cell adhesion, motility and invasiveness [46, 47]. Therefore, additional efforts are required to define those factors putatively implicated in the CXCR7 modulation that are produced by bone accessory cells or delivered by Exos. Thus, definite in vivo studies to address these findings are needed for the identification of alternative strategies and druggable targets for the treatment and prevention of melanoma bone metastasis.
Availability of data and materials
All data generated or analyzed during this study are included in this published article and its Additional files.
bone conditioned medium
bovine serum albumin
C-C chemokine ligand
C-C chemokine receptor
C-X-C chemokine receptor
fetal bovine serum
leukaemia inhibitory factor
mean fluorescence intensity
mesenchymal stem cells
parathyroid hormone-related peptide
nuclear factor kappa-B ligand
stromal derived factor
transmission electron microscopy
transforming growth factor
tumor necrosis factor
vascular endothelial growth factor
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The work was funded by a grant from the Italian Association for Cancer Research (IG Grant 17536) and from the Apulia Region (‘Oncogenomic Project).
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Additional file 2: Figure S2. Effects of SDF-1 stimulation on CXCR4/CXCR7 expression. LCP and SK-Mel28 cells were analyzed by dd-PCR to investigate the effects of 6-h stimulation with recombinant SDF-1 (100 ng/ml) and h-Exos (50 µg/ml) on CXCR4/CXCR7 expression. The stimulation of osteotropic LCP with SDF-1 (white bars) produced a significant increase of both CXCR4 (2.03 ± 0.4-fold change) and CXCR7 (3.4 ± 0.5-fold change) mRNA levels. Similar results were obtained with the addition of h-Exo (black filled bars) from SK-Mel28 cells. On the other hand, CXCR4 and CXCR7 levels were mostly unchanged following stimulation of not-osteotropic SK-Mel28 cells with SDF-1 (0.93 ± 0.1 and 1.27 ± 0.3 fold change, respectively), while CXCR7 only resulted significantly increased (3.5 ± 0.2-fold change) in the presence of SDF-1 and h-Exos from osteotropic LCP. Bars are mean ± SEM. *p < 0.05; **p < 0.01; ***p < 0.001.
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Mannavola, F., Tucci, M., Felici, C. et al. Tumor-derived exosomes promote the in vitro osteotropism of melanoma cells by activating the SDF-1/CXCR4/CXCR7 axis. J Transl Med 17, 230 (2019). https://doi.org/10.1186/s12967-019-1982-4
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