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are joint heads of the Institute’s ACRF Stem Cells and Cancer

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Melbourne breast cancer researchers have discovered a new type of immune cell that helps to keep breast tissue healthy by regulating a vital process within mammary ducts – the sites where milk is produced and transported, but also where most breast cancers arise.

Using advanced three-dimensional (3D) imaging techniques, the team observed how the immune cells monitor for threats in the mammary ducts and help to maintain tissue health by ‘eating’ up dying milk-producing cells needing to be cleared away once lactation stops.

The preclinical research was led by Walter and Eliza Hall Institute researchers , and , along with who is now based at the Princess Máxima Center for Pediatric Oncology, Netherlands. It was published today in the journal Nature Cell Biology.

At a glance

• A new population of specialised immune cells that maintain the health of breast ducts have been discovered using advanced high-resolution 3D imaging techniques.
• The cells, called ductal macrophages, eat up dying milk-producing cells that need to be cleared away after milk production stops.
• Understanding how these immune cells function in healthy development could lead to important new insights for treating breast cancer.

Maintaining breast tissue health

The mammary gland is a dynamic organ that undergoes dramatic remodelling throughout life. The branching ducts bloom to form milk-producing ‘factories’ in lactation, which must be eliminated once lactation stops. Mammary ducts are of particular interest to researchers because this site is prone to cancer development.

While exploring mammary ducts using high-resolution imaging techniques, Dr Dawson said the researchers were surprised to discover a new immune cell type, and its specific role in maintaining healthy, intact breast tissue.

“We discovered an entirely new population of specialised immune cells, which we named ductal macrophages, squeezed in between two layers of the mammary duct wall.”

“We were excited to find that these cells play an essential role at a pivotal point in mammary gland function called involution when lactation stops, milk-producing cells die and breast tissue needs to remodel back to its original state,” he said.

“We watched incredulously as the star-shaped ductal macrophages probed with their arms and ate away at dying cells. The clearing action performed by ductal macrophages helps redundant milk-producing structures to collapse, allowing them to successfully return to a resting state,” Dr Dawson said.

When the researchers later removed ductal macrophages from the mammary ducts they discovered that no other immune cells were able to swiftly carry out this essential process.

Understanding mammary biology

Most organs in the body including the brain, liver, lung, skin and intestine have their own population of macrophages – a name of Greek origin that means ‘big eater’. These cells play important roles in regulating infection, inflammation and organ function within their sites of residence.

Professor Visvader said discovering mammary duct-specific macrophages was a remarkable step forward in understanding how the immune system interacted with the ductal network and impacted upon mammary gland development.

“As breast cancer researchers, there is a need to understand which cells are doing what, so that we can identify how these intricate cellular processes become dysregulated, such as in the case of breast cancers,” she said.

Exploring a cancer connection

More than 19,000 Australians are diagnosed with breast cancer every year. It is the most common cancer in Australian women.

Dr Dawson said that going forward, the team hoped to explore the function of ductal macrophages at different stages of mammary gland development, such as the transitions into adulthood and pregnancy.

“We also want investigate the role that these duct-specific immune cells play in helping cancer to grow and spread.”

“Ductal macrophages are spread throughout the mammary ducts. As cancer grows, these macrophages also increase in number. We suspect that there’s the potential for ductal macrophages to inadvertently dampen the body’s immune response, which would have dangerous implications for the growth and spread of cancer in these already prone sites,” Dr Dawson said.

Professor Visvader said the team’s ultimate goal was to understand these cells enough to manipulate them.

“Given that tumour macrophages likely promote growth of the tumour, blocking their activity could serve as a treatment strategy for breast cancer,” she said.

The research was supported by the ³Ô¹ÏÍøÕ¾ Health and Medical Research Council, the , the Australian Cancer Research Foundation, The Qualtrough Cancer Research Fund, Cure Cancer Australia and the Victorian Government.