Paradoxical Roles of Peritumoral Hepatic Stellate Cells in Liver Tumorigenesis in Mice: Retarding Tumor Growth and Promoting Tumor Dissemination
ABSTRACTBackground and RationaleCancer is increasingly being viewed as an ecosystem in which tumor cells coevolve and cooperate with host cells. In liver cancer, extensive biological changes have been reported in parenchymal hepatocytes (HCs) and non-parenchymal cells (NPCs) in the peritumoral microenvironment (pTME). However, it remains controversial how individ ual pTME populations contribute to liver tumorigenesis. We aim to develop an efficient in vitro model system to dissect the intricate relationship between liver tumor and its surroundings.ResultsIn this study, we established three-dimensional spheroid cocultures of primary mouse liver cells. We show that spheroids of HCs and NPCs can be readily generated in micropatterned multiwell plates. When cocultured with liver tumor spheroids, NPC spheroids, but not HC spheroids, exhibited a potent suppression activity on tumor cell growth. However, tumor cells (T) in NPC-T culture, while enduring growth suppression, showed a significant increase in dissemination compared to that in HC-T or T-alone culture. We then showed that hepatic stellate cells (HSCs) in NPCs are a key contributor to this NPC-mediated tumor growth suppression and dissemination augmentation. We validated our results in a highly metastatic orthotopic liver cancer allograft model. We showed that tumor development in this model induced widespread activation of HSCs in the pTME, and the accumulation of peritumoral HSCs at the tumor border is associated with retarded tumor growth and enhanced tumor dissemination.ConclusionThis study reveals a paradoxical role of peritumoral HSCs in liver tumorigenesis beyond being simply pro- or anti-tumorigenic. Tumor development in mouse liver induces activation of peritumoral HSCs that effectively retard tumor growth but simultaneously promote tumor dissemination.