CNSC-38. CHARACTERIZATION OF THE FUNCTIONAL RELEVANCE OF INTRA- AND INTERTUMORAL NETWORKS IN PRIMARY BREAST CANCER

Abstract Despite intensive efforts to improve current therapeutical strategies, breast cancer continues to be a life-shortening diagnosis for a significant number of affected women. Considering that the innervation density of breast cancers negatively correlates with the prognosis, the emerging field of Cancer Neuroscience, which deals with the reciprocal interactions between the nervous system and cancer cells, represents an attractive novel research direction. In fact, studies on breast cancer brain metastases have proven that the metastatic cells receive growth stimuli by hijacking healthy glutamatergic synapses. Beyond being capable of forming direct glutamatergic cancer-neuron synapses, primary brain tumor cells also connect to a multicellular intercommunicating network that contributes to therapy resistance. Whether similar mechanisms also apply to tumors outside the brain – accountable for the majority of cancer cases – remains unknown. Here, we aim at unraveling the functional role of intratumoral networks and the influence of (potential) direct primary breast cancer cell-neuron interactions. We hypothesize that purinergic signaling as a universal synaptic signaling mechanism enhances tumor growth. Through the application of ex vivo whole-organ tissue-clearing and nerve-labeling approaches, we noticed prevalent sensory and sympathetic innervation in the healthy and diseased murine mammary gland. Furthermore, we measured tumor cell proliferation rates in an in vitro model of primary murine sensory DRG-neurons co-cultured with breast cancer stem cells and compared these to monoculture controls. By implanting a mammary imaging window over the growing primary tumor, we longitudinally track the calcium activity of breast cancer cells in their natural microenvironment in the living mouse. We thereby are able to record co-activity of neighboring cells indicative of intratumoral network communication in primary breast cancers. Overall, our data support the existence of functional intra- and intertumoral breast cancer cell networks as an alternative therapeutical target. Future work needs to concentrate on unequivocally detecting direct neuron-cancer cell contacts.