Cyclooxygenase-2 (COX-2) and its primary enzymatic product,
prostaglandin E2 (
PGE2), are associated with a poor prognosis in
breast cancer. In order to elucidate the factors contributing to intratumoral
PGE2 levels, we evaluated the expression of COX-2/
PGE2 pathway members MRP4, the
prostaglandin transporter PGT,
15-PGDH (
PGE2 metabolism), the
prostaglandin E receptor EP4, COX-1, and COX-2 in normal,
luminal, and basal
breast cancer cell lines. The pattern of
protein expression varied by cell line reflecting
breast cancer heterogeneity. Overall, basal cell lines expressed higher COX-2, higher MRP4, lower PGT, and lower
15-PGDH than
luminal cell lines resulting in higher
PGE2 in the extracellular environment. Genetic or pharmacologic suppression of MRP4 expression or activity in basal cell lines led to less extracellular
PGE2. The key finding is that xenografts derived from a basal
breast cancer cell line with stably suppressed MRP4 expression showed a marked decrease in spontaneous
metastasis compared to cells with unaltered MRP4 expression. Growth properties of primary
tumors were not altered by MRP4 manipulation. In addition to the well-established role of high COX-2 in promoting
metastasis, these data identify an additional mechanism to achieve high
PGE2 in the tumor microenvironment; high MRP4, low PGT, and low
15-PGDH. MRP4 should be examined further as a potential therapeutic target in basal
breast cancer.