- Ruan, Xianhui;
- Yan, Wei;
- Cao, Minghui;
- Daza, Ray Anthony M;
- Fong, Miranda Y;
- Yang, Kaifu;
- Wu, Jun;
- Liu, Xuxiang;
- Palomares, Melanie;
- Wu, Xiwei;
- Li, Arthur;
- Chen, Yuan;
- Jandial, Rahul;
- Spitzer, Nicholas C;
- Hevner, Robert F;
- Wang, Shizhen Emily
Breast cancer metastasis to the brain is a clinical challenge rising in prevalence. However, the underlying mechanisms, especially how cancer cells adapt a distant brain niche to facilitate colonization, remain poorly understood. A unique metabolic feature of the brain is the coupling between neurons and astrocytes through glutamate, glutamine, and lactate. Here we show that extracellular vesicles from breast cancer cells with a high potential to develop brain metastases carry high levels of miR-199b-5p, which shows higher levels in the blood of breast cancer patients with brain metastases comparing to those with metastatic cancer in other organs. miR-199b-5p targets solute carrier transporters (SLC1A2/EAAT2 in astrocytes and SLC38A2/SNAT2 and SLC16A7/MCT2 in neurons) to hijack the neuron-astrocyte metabolic coupling, leading to extracellular retention of these metabolites and promoting cancer cell growth. Our findings reveal a mechanism through which cancer cells of a non-brain origin reprogram neural metabolism to fuel brain metastases.