[Frontiers in Bioscience 15, 226-236, January 1, 2010]

Role of myoepithelial cells in breast tumor progression

Puspa Raj Pandey1, Jamila Saidou1, Kounosuke Watabe1

1Department of Medical Microbiology, Immunology and Cell Biology, Southern Illinois University, School of Medicine, 751 N Rutledge St. PO Box 19626, Springfield, IL 627794-9626, USA

TABLE OF CONTENTS

1. Abstract
2. Introduction
3. Characteristics of myoepithelial cells
3.1. Structural features and identification of myoepithelial cells
3.2. Normal functions of myoepithelial cells
3.3. Myoepithelial cells are natural tumor suppressors
4. Roles of myoepithelial cells in tumor progression
4.1. Role of myoepithelial cells in the alteration of microenvironment and tumor progression
4.1.1. Proteolytic enzymes theory
4.1.2. Focal myoepithelial cell layer disruption (FMCLD) theory
5. Clinical implications o f myoepithelial cells
6. Discussion and conclusion
7. References

1. ABSTRACT

Myoepithelial cells form a semi-continuous protective sheet separating the human breast epithelium and the surrounding stroma. They suppress stromal invasion of tumor cells by the secretion of various anti-angiogenic and anti-invasive factors. The disruption of this cell layer results in the release of the growth factors, angiogenic factors, and reactive oxygen species causing an alteration in the microenvironment. This helps in the proliferation of surrounding cells and increases the invasiveness of tumor cells. Two theories are proposed for the mechanism of tumor epithelial cells progression from in situ to invasive stage. According to the first theory, tumor cell invasion is triggered by the overproduction of proteolytic enzymes by myoepithelial cells and surrounding tumor cells. The second theory states that tumor invasion is a multistep process, the interactions between damaged myoepithelial cells and the immunoreactive cells trigger the release of basement membrane degrading enzymes causing tumor progression. Further studies in understanding of molecular mechanism of myoepithelial cell functions in tumor suppression may lead to the identification of novel therapeutic targets for breast cancer.