Investigation of Cancer Cell Extravasation Through mRNA Analysis of Organ-specific Endothelial Cells and Microfluidics

Sponsor
Istituto Ortopedico Galeazzi (Other)
Overall Status
Completed
CT.gov ID
NCT04047459
Collaborator
(none)
31
1
23.8
1.3

Study Details

Study Description

Brief Summary

The project aims at unraveling the role of organ-specific endothelia mediating the preferential metastasisation of breast cancer cells to bone by using a multi-faceted approach, integrating microfluidics and transcriptomic profiling. Based on a recently study published by the investigators [Jeon et al., PNAS 2015], it can be hypothesized that phenotypic differences at the level of organ-specific endothelial cells are able to drive the preferential extravasation of breast cancer cells to specific sites. Hence, the transcriptional profile of primary organ-specific endothelial cells derived from healthy patients (i.e. non-affected by breast cancer) will be analyzed to identify phenotypic differences between organ-specific populations of endothelial cells. These analyses will allow to identify potential target genes involved in the organ-specific extravasation of cancer cells (i.e. genes differentially expressed by endothelia of preferential and non-preferential metastasisation sites). The selected genes will be silenced and the effect of gene silencing will be evaluated through microfluidic in vitro organ-specific 3D models designed to study cancer cell extravasation.

Condition or Disease Intervention/Treatment Phase
  • Other: Tissue samples collection and cells isolation

Detailed Description

In particular, the main aim of the study will be to highlight differences between bone and skeletal muscle microenvironments, which are respectively preferential and non-preferential metastasisation sites for breast cancer cells, in order to identify specific pathways driving breast cancer cells extravasation. To this purpose, differences in the transcriptional profile of ECs derived from bone and muscle endothelium will be investigated. These analyses will be used to select target genes differentially expressed by bone- and muscle-specific ECs. Then, ECs obtained from bone and muscle endothelium will be respectively used to mimic bone and muscle microvessel environments in microfluidic in vitro 3D models allowing for the study of breast cancer cell extravasation. The genes selected according to the results of the transcriptomic analysis (e.g. genes expressed in ECs derived from bone endothelium, but not expressed in ECs derived from muscle endothelium) will be silenced and the effect of gene silencing will be evaluated monitoring breast cancer cell extravasation in order to verify the involvement of the selected genes in this process.

Study Design

Study Type:
Observational
Actual Enrollment :
31 participants
Observational Model:
Other
Time Perspective:
Prospective
Official Title:
Identification of Novel Genes Involved in Cancer Cell Extravasation by Transcriptional Profiling of Primary Organ-specific Endothelial Cells and in Vitro 3D Models
Actual Study Start Date :
Jun 6, 2016
Actual Primary Completion Date :
May 31, 2018
Actual Study Completion Date :
May 31, 2018

Arms and Interventions

Arm Intervention/Treatment
Patient undergoing prosthetic surgery

Patients undergoing surgery for the insertion of a hip prosthesis or a cruciate ligament reconstruction will be included. On those patients tissue samples collection and cells isolation will be performed

Other: Tissue samples collection and cells isolation
During surgery, leftover samples of bone (femoral head/ trabecular bone tissue) and muscle will be collected. Then they will be sent to the laboratory where isolation of cells will be performed.

Outcome Measures

Primary Outcome Measures

  1. Genes differentially expressed by bone and muscle ECs [31/05/2018]

    Differential expression of genes will be determined by transcriptomic analysis of mRNA (with genome-wide mRNA array tools) derived from bone and muscle ECs

Secondary Outcome Measures

  1. Differences in adhesive properties of bone and muscle ECs [31/05/2018]

    Bone and muscle derived ECs will be compared in terms of immunofluorescent staining for adhesion molecules (ICAM-1, E-selectin)

  2. Differences in cell adhesion between bone and muscle ECs [31/05/2018]

    Bone and muscle derived ECs will be compared in terms of number of cells adhered (neutrophils, ...)

  3. Differences in angiogenic potential between bone and muscle ECs [31/05/2018]

    Bone and muscle derived ECs will be compared in terms of angiogenic sprouting, by analyzing immunofluorescence images

  4. Selection of potential target genes involved in breast cancer metastasis [31/05/2018]

    Differentially expressed genes potentially involved in breast cancer cells extravasation and metastasis formation

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • age between 18-65 years

  • patients undergoing cruciate ligament surgery or hip arthroplasty

  • subscription of informed consent

Exclusion Criteria:
  • HIV, HCV, HBV, TPHA viral

Contacts and Locations

Locations

Site City State Country Postal Code
1 IRCCS Galeazzi Orthopedic Hospital Milan Italy 20161

Sponsors and Collaborators

  • Istituto Ortopedico Galeazzi

Investigators

  • Principal Investigator: Matteo Moretti, PhD, IRCCS Istituto Ortopedico Galeazzi

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Istituto Ortopedico Galeazzi
ClinicalTrials.gov Identifier:
NCT04047459
Other Study ID Numbers:
  • BRCP USA
First Posted:
Aug 6, 2019
Last Update Posted:
Aug 6, 2019
Last Verified:
Aug 1, 2019
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Istituto Ortopedico Galeazzi

Study Results

No Results Posted as of Aug 6, 2019