Distant
metastases, rather than the primary
tumors from which these lesions arise, are responsible for >90% of
carcinoma-associated mortality. Many patients already harbor disseminated
tumor cells in their bloodstream, bone marrow, and distant organs when they initially present with
cancer. Hence, truly effective anti-metastatic
therapeutics must impair the proliferation and survival of already-established
metastases. Here, we assess the therapeutic potential of acutely expressing the
microRNA miR-31 in already-formed
breast cancer metastases. Activation of miR-31 in established
metastases elicits metastatic regression and prolongs survival. Remarkably, even brief induction of miR-31 in macroscopic pulmonary
metastases diminishes metastatic burden. In contrast, acute miR-31 expression fails to affect primary mammary
tumor growth. miR-31 triggers metastatic regression in the lungs by eliciting cell cycle arrest and apoptosis; these responses occur specifically in
metastases and can be explained by miR-31-mediated suppression of integrin-α5,
radixin, and RhoA. Indeed, concomitant re-expression of these three
proteins renders already-seeded pulmonary
metastases refractory to miR-31-conferred regression. Upon miR-31 activation, Akt-dependent signaling is attenuated and the proapoptotic molecule Bim is induced; these effects occur in a
metastasis-specific manner in pulmonary lesions and are abrogated by concurrent re-expression of integrin-α5,
radixin, and RhoA. Collectively, these findings raise the possibility that intervention strategies centered on restoring miR-31 function may prove clinically useful for combating metastatic disease.