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Objectives: Human Endogenous Retroviruses (HERVs) were originally derived from germ cell infection by exogenous retroviruses and comprise around eight per cent of the human genome. HERVs are highly expressed in the placenta, where HERV-W (syncytin 1) has been demonstrated to perform a fusogenic function. Due to their retroviral origin, placental syncytin 1 has been suggested to also be involved in modulating the maternal immune system. The placenta constantly sheds microvesicles (MV) into the maternal circulation, demonstrated to cause innate immune cell activation associated with normal pregnancy. In pre-eclampsia, there is both increased placental MV shedding and a heightened pro-inflammatory immune response. It was therefore hypothesised that HERVs shed via placental MV play a role in feto-maternal immune interactions and thus may be an important factor in the pathogenesis of preeclampsia (PE). More specifically, it was hypothesised that syncytin 1-positive MV activate monocytes through toll-like receptor 4 (TLR-4). The aim of this study was to determine if syncytin 1 is released from the placenta via MV and exerts an immunological effect. Methods: HERV mRNA and protein expression was measured in placenta and the BeWo choriocarcinoma cell line by qPCR, western blotting (WB) and immunostaining. Glycosylation of syncytin 1 protein was determined by PNGase F treatment followed by WB. MV shed by first trimester, term normal and PE placental explants as well as BeWo cells were isolated by ultracentrifugation. Morphology of these microvesicles was examined by electron microscopy. Syncytin 1 protein and RNA was detected in microvesicles by WB and PCR. Activation and priming of PBMCs to respond to lipopolysaccharide (LPS) by syncytin 1-positive MV and recombinant syncytin 1 was examined through cytokine production by ELISA and multiplex. Antagonism of TLR-4 by LPS-RS was used to determine involvement of the receptor. The role of syncytin 1 in MV activation was examined by siRNA knockdown. Results: HERVs are highly expressed in placental tissue. Syncytin 1 is a glycosylated protein and its expression is altered in PE. MV shed from the BeWo choriocarcinoma cell line and from first trimester and term placental explants, express HERV protein and RNA. Syncytin 1 positive MV and recombinant syncytin protein cause activation of PBMCs. Greatest activation is stimulated by PE MV. Normal MV exhibit a neutral or suppressive effect on subsequent LPS challenge to PBMCs. PE MV exacerbate the response to LPS. Antagonism of TLR-4 on PBMCs and knockdown of syncytin 1 content in MV reduces activation by placental MV.Conclusions: The findings of this thesis suggest that syncytin 1 protein expressed by the placenta is shed into the maternal circulation via MV, and can activate immune cells through TLR-4. Syncytin 1-positive microvesicles may play a role in endotoxin tolerance of innate immune cells in pregnancy. The increased activation by PE MV implies that in addition to the increased microvesicle load in this pathology, a factor intrinsic to PE MV is responsible for increased inflammation. These studies implicate microvesicle-bound syncytin 1 in the regulation of immunotolerance during pregnancy.

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Exposure of human erythrocytes to elevated intracellular calcium causes alterations in cell shape and stimulates shedding of the cell membrane in the form of microvesicles. We hypothesized that both the shape transition and microvesiculation are influenced by microscopic membrane physical properties such as lipid order. To test this hypothesis, membrane properties were manipulated by varying the experimental temperature, membrane cholesterol content, and the internal ionic environment. Changes in membrane order were assessed using steady-state fluorescence spectroscopy with an environment-sensitive probe, laurdan. Our observations led us to the following conclusions: 1) the modest temperature dependence of membrane structure observed with laurdan is shifted to lower temperatures and becomes more cooperative upon removal of membrane cholesterol, 2) the calcium-induced shape change observed in erythrocytes requires a decrease in membrane order, 3) the influence of membrane order is not limited to shape transitions induced only by calcium, and 4) decreased order is also a permissive factor for microvesicle shedding. Our data suggest that while the mechansims that regulate the shape transition and the release of microvesicles are different, they both require a state of membrane disorder.

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The tumour-associated stroma, consisting of fibroblasts, inflammatory cells, vasculature and extracellular matrix proteins, plays a critical role in tumour growth, but how it regulates cancer cell migration and metastasis is poorly understood. The Wnt-planar cell polarity (PCP) pathway regulates convergent extension movements in vertebrate development. However, it is unclear whether this pathway also functions in cancer cell migration. In addition, the factors that mobilize long-range signalling of Wnt morphogens, which are tightly associated with the plasma membrane, have yet to be completely characterized. Here, I show that fibroblasts secrete membrane microvesicles of endocytic origin, termed exosomes, which promote tumour cell protrusive activity, motility and metastasis via the exosome component Cd81. In addition, I demonstrate that fibroblast exosomes activate autocrine Wnt-PCP signalling in breast cancer cells as detected by the association of Wnt with Fzd receptors and the asymmetric distribution of Fzd-Dvl and Vangl-Pk complexes in exosome-stimulated cancer cell protrusive structures. Moreover, I show that Pk expression in breast cancer cells is essential for fibroblast-stimulated cancer cell metastasis. Lastly, I reveal that trafficking in cancer cells promotes tethering of autocrine Wnt11 to fibroblast exosomes. These studies further our understanding of the role of the tumour-associated stroma in cancer metastasis and bring us closer to a more targeted approach for the treatment of cancer spread.

The tumour-associated stroma, consisting of fibroblasts, inflammatory cells, vasculature and extracellular matrix proteins, plays a critical role in tumour growth, but how it regulates cancer cell migration and metastasis is poorly understood. The Wnt-planar cell polarity (PCP) pathway regulates convergent extension movements in vertebrate development. However, it is unclear whether this pathway also functions in cancer cell migration. In addition, the factors that mobilize long-range signalling of Wnt morphogens, which are tightly associated with the plasma membrane, have yet to be completely characterized. Here, I show that fibroblasts secrete membrane microvesicles of endocytic origin, termed exosomes, which promote tumour cell protrusive activity, motility and metastasis via the exosome component Cd81. In addition, I demonstrate that fibroblast exosomes activate autocrine Wnt-PCP signalling in breast cancer cells as detected by the association of Wnt with Fzd receptors and the asymmetric distribution of Fzd-Dvl and Vangl-Pk complexes in exosome-stimulated cancer cell protrusive structures. Moreover, I show that Pk expression in breast cancer cells is essential for fibroblast-stimulated cancer cell metastasis. Lastly, I reveal that trafficking in cancer cells promotes tethering of autocrine Wnt11 to fibroblast exosomes. These studies further our understanding of the role of the tumour-associated stroma in cancer metastasis and bring us closer to a more targeted approach for the treatment of cancer spread.