Abstract 829: Phthalate exposure results in circadian rhythm-induced BBB dysfunction increasing the risk for breast cancer brain metastasis

Abstract Phthalates, classified as plasticizers, represent a group of chemicals pervasive in the general U.S. population, with notably higher levels in non-Hispanic Blacks compared to non-Hispanic Whites. These persistent organic pollutants (POPs) have been identified for their impact on the circadian rhythms of the brain and vascular system. Several studies indicate that phthalates can elevate neuroinflammation and reduce levels of the junctional protein ZO-1 in the hypothalamus, home to the master circadian clock known as the suprachiasmatic nucleus (SCN). The SCN regulates cellular and tissue circadian rhythms, including tight junction proteins essential for the blood-brain barrier's (BBB) main barrier function. Interestingly, experimental studies reveal that prolonged chronic circadian rhythm disruption (CRD) in mice leads to increased breast cancer metastasis. However, the effects of phthalates on CRD concerning brain cancer and metastasis remain poorly understood. Given their significant prevalence and biological impact, we hypothesize that phthalate exposure induces CRD through hypothalamic dysregulation, resulting in BBB dysfunction and an elevated risk of brain metastasis. Results. We developed an in vitro BBB model using endothelial cells and exposed them to an environmentally relevant mixture of five phthalates simulating chronic low-grade exposure. Analysis showed dysregulation of critical clock genes (Bmal1 and Clock), along with a substantial decrease in BBB tight junction proteins (claudin-5 and occludin) at the protein and mRNA levels. The tumor trans-endothelial migration assay using breast adenocarcinoma cells along with endothelial cells demonstrated an increased metastatic potential following phthalate exposure. Conclusion. These findings offer crucial insights into the molecular mechanisms underlying phthalate exposure, suggesting potential targets for future brain metastasis treatments. Additionally, they hold implications for the future regulation and management of phthalate usage and policy. This work was supported by the University of Miami U-LINK Resilience Challenge grant. Citation Format: Destiny Tiburcio, Sarah Adolphe, Ijeoma B. Akpu, Timea Teglas, Oandy Naranjo, Sophia H. George, Michal J. Toborek. Phthalate exposure results in circadian rhythm-induced BBB dysfunction increasing the risk for breast cancer brain metastasis [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 829.