Human breast organ culture studies

Effects of estradiol and medroxyprogesterone acetate on morphology, proliferation and apoptosis of human breast tissue in organ cultures

Background

Human breast tissue undergoes phases of proliferation, differentiation and regression regulated by changes of the levels of circulating sex hormones during the menstrual cycle or aging. Ovarian hormones also likely play a key role in the etiology and biology of breast cancer. Reports concerning the proliferative effects of steroid hormones on the normal epithelium of human breast have been conflicting. Some studies have shown that steroid hormones may predispose breast epithelial cells to malignant changes by stimulating their proliferation, which is known to be regulated tightly by stromal cells.

The aim of this study was to investigate the effects of 17β-estradiol and medroxyprogesterone acetate on proliferation, apoptosis, expression of differentiation markers and steroid hormone receptors in breast epithelium using an in vitro model of freshly isolated human breast tissue, in which a proper interaction of breast epithelium and stroma has been maintained.

Methods

Human breast tissues were obtained from women undergoing surgery for breast tumours. Peritumoral tissues were excised and explants were cultured for 3 weeks in medium supplemented with E₂ or MPA or with E₂+MPA. Endpoints included histopathological, histomorphometric and immunohistochemical assessment of the breast explants.

Results

Culture of breast explants for 14 or 21 days with steroid hormones increased proliferative activity and the thickness of acinar and ductal epithelium. E₂-treatment led to hyperplastic epithelial morphology, MPA to hypersecretory single-layered epithelium and E₂+MPA to multilayered but organised epithelium.

The proliferative response to E₂ in comparison to control (p < 0.001) was more pronounced than to MPA (p < 0.05) or E₂+MPA (p < 0.05) at 7 and 14 days for Ki-67 and PCNA. E₂ treatment also decreased the proportion of apoptotic cells after 7 (p < 0.01) and 14 (p < 0.01) days. In addition, the relative number of ERα, ERβ and PR positive epithelial cells was decreased by all hormonal treatments.

Conclusion

Organ culture system provides a model for studying the direct effects of steroid hormones and their analogues on postmenopausal human breast tissue.

Addition of E₂ or MPA or E₂+MPA to breast explants caused characteristic changes in morphology, stimulated epithelial proliferation, lowered apoptosis ratio and decreased the relative number of epithelial cells expressing ERα, ERβ and PR.

Human breast epithelial xenografts: an immunocytochemical and ultrastructural study of differentiation and lactogenic response

Fragments of ductal and lobular epithelium ('organoids') produced by collagenase digestion of reduction-mammoplasty specimens were injected into athymic 'nude' mice. These heterospecific tissues were accepted without rejection, and the presence of xenografts was confirmed by cytology, immunocytochemistry and chromatin staining. Lactation, as confirmed by immunocytochemical and ultrastructural criteria, was observed in the grafted human epithelium during murine pregnancy at both intra- and extra-mammary sites.

Effects of peptides and steroid hormones on cell kinetic parameters of normal human breast tissue in organ culture

Several studies have shown the importance of different hormones in the regulation of mammary tissue growth. The use of organ culture techniques has shown tremendous value for the knowledge of cell proliferation in human breast tissue. Therefore, the purpose of these studies was to analyze the length of the cell cycle, DNA-labeling index, mitotic index, and growth fraction under the effects of insulin, hydrocortisone, and 17-beta estradiol in 5-d organ culture. Normal tissues obtained from patients who underwent breast surgery for benign lesions were individually cultured at 37 degrees C (95% air: 5% CO2 in Medium 199). Autoradiographic studies indicated that the hormones shortened the length of cell cycle of normal breast tissue in 5-d organ cultures. From the growth fraction studies we concluded that the hormones may have stimulated the cells to reenter the cell cycle from Go because these values were increased by the hormones used. Estrogen can alter the S phase duration with a consequent increase in the rate of DNA synthesis which may explain the high DNA-labeling index observed in the present studies.

Maintenance of normal human breast organoids within rat mammary fat pads in organ culture

Normal human breast organoids, derived by collagenase digestion of reduction mammaplasty tissue specimens, have been cultured in vitro for up to 28 days after injection into organ cultures of virgin rat mammary fat pads. The culture medium was serum-free Waymouth's MB 752/1 with hormonal additives. The rat mammary tissue responded well to growth-promoting and lactogenic stimuli in the culture medium, in agreement with previous investigations. Using immunohistochemistry casein was identified in rat epithelia exposed to lactogenic medium. Human organoids in culture remained viable but did not show hormone-responsiveness. Electron microscopy confirmed the presence of both luminal epithelial cells and myoepithelial cells. The serum-free culture of normal human breast organoids in a three-dimensional matrix provides a system in which to study factors controlling growth and differentiation.