Abstract:
Breast cancer is the mostly affecting women and is the most common cause of
women death globally. In Asia, Pakistan is considered as having very high breast cancer
incidence rate which is increasing every year by 19.33%. Numerous studies proposed
oncogenic viruses can cause breast cancer, but the proposal is still debatable. Research
from past decade has linked viral infection to breast cancer development. This study
was aimed to identify the prevalence of endogenouse MMTV sequences and investigate
potential pathogenesis of exogenous MMTV virus with host restriction factor (BST-2)
in breast cancer development and progression. To identify MMTV prevalence,
qualitative PCR technique was used, and DNA samples of breast cancer tissues were
screened for MMTV prevalence using specific detection primers. Our results conclude
that of 29.3% of breast cancer samples (n=250) were positive for the presence of
MMTV sequences with no detection of MMTV in healthy control samples. Also, the
statistical analysis showed no association of MMTV prevalence with the breast cancer
disease outcomes except for age and grade of breast cancer patients. The restriction
factor BST-2/tetherin plays a critical role in preventing the release of MMTV progeny
virions from infected cells and in promoting viral clearance through activation of signal
transduction pathways. Although BST-2-mediated effect limits cell-free virus infection
and spread, what happens to the infected cells ladened with unreleased virions is yet to
be determined in breast cancer. To further investigate that BST-2-tethered MMTV
virus particles may change molecular signature of infected cells that results in cell-to
cell viral spread. Using acute retrovirus infection model and various cell lines
(NMuMG, 4T1, HMLE and MDA-231), it showed that titer of extracellular MMTV virus significantly increases while intracellular viral load decreases in BST-2
suppressed cells. Despite equivalent starting cell numbers, BST-2-expressing MMTV
infected cells exhibit increased proteolytic and non-proteolytic cell motility. The motile
MMTV infected cells contain high levels of viral nucleic acids, BST-2, and
metalloproteases. Interestingly, increased cell motility of BST-2-expressing cells
correlates with increased infection of target cells in a trans-infection model of virus
transmission as well as high activity of metalloproteases. Our findings suggest that in
MMTV infection, depends on BST-2 expression to alter the anti-MMTV effect of BST
2 through NF-κB activation that leads to increased MMP-9 secretion. It is concluded
that MMTV infected BST-2 expressing cancer cells promote metastasis by enhancing
the ability of virus-ladened cells to migrate, carve through extracellular membranes,
and infect a population of target cells at distal sites by colony formation and resistance
to anoikis. The direct impact of this study will be on women suffering from breast
cancer. Spreading awareness via public health sectors regarding Mouse Mammary
Tumor Virus screening and link to breast cancer, will aid in the preventive measures against breast cancer.