2/🧵#ILC cells establish themselves at the ductal tips #microenvironment and form grape-like structures reminiscent of #TDLUs of the human breast.
3/🧵We show that in these models, the tumor cells grow slowly, invade forming hILC histologies, and metastasize in a similar way as they do in patients in clinical relevant organs including ovaries, brain-meninges, adrenal gland, GI tract, liver, and lung.
4/🧵Importantly, stimulation with #E2 by means of a subcutaneous increased #PR indicating that the #ER/PR axis is well preserved.
5/🧵ILC cells spread intraepithelially mirroring the #pagetoid growth characteristic of #lobular carcinomas.
6/🧵Pure PDX derived #ILC cells were sampled and compared with pure #NST-IDC cells and RNAseq. revealed genes involved in #ECM production and organization were highly enriched in RNA from #ILC.
7/🧵ECM remodeling signature identified in the PDXs is also found in TCGA ILC datasets. Remarkably, #LOXL1, responsible for cross-linking of collagens and elastin #ELN, is strongly expressed in #CDH1 neg. #ILC cells.
8/🧵Inhibition/silencing of #LOXL1 results in disrupted collagen fibers, decreased #ER signaling activity, decreased tumor cell proliferation, progression, and metastasis in the intraductal ILC models, and opens up new avenues for #ILC therapy.
11/🧵Special thanks to all patients and their families in #Lausanne for donating #ILC samples, bringing greater benefits to patients. This work is dedicated to Emanuela (Nela) Busz. Her advocacy voice in Europe helped other patients with lobular breast cancer. Rest in strength.
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