Breast cancer is one of the most malignant cancers among women [1]. Breast cancer makes up the highest portion of all cancer cases in 2020, accounting for 11.7%, as reported by the World Health Organization. Breast cancer is categorized into different subtypes based on the expression levels of progesterone receptor (PR), human epidermal growth factor 2 receptor (HER2), and estrogen receptor (ER). Triple-negative breast cancer (TNBC) is a subset of breast carcinoma that represents approximately 15–20% of all breast cancer that is not positive for the expression (or very low expressed) of PR, ER, and HER2 genes. TNBC tumors possess a high histologic grade and a higher percentage of early relapses that are frequently diagnosed at an advanced stage [2]. In contrast to receptor-positive tumors, TNBC tumors are considered more aggressive and incapable of treatment. Patients with TNBC who developed distant metastases had a low overall survival rate of around eighteen months [3]. Breast tumor mortality is often caused by its ability to spread to other parts of the body, known as metastasis. This process consists of various stages including (i) tumor cells’ transformation by degradation of extracellular matrix (ECM), (ii) intravasation that is denoted by tumor cells’ migration to vessels, (iii) extravasation, and (iv) proliferation in the target organ [4], during which cancerous cells spread from the primary tumor site to other parts of the body via the lymphatic system, bloodstream, or direct extension. This is due to the poor prognosis and lack of success with traditional forms of treatment such as chemotherapy. Chemotherapy is the only accepted treatment; however, the patient’s life span is short. Moreover, it harbors noticeable toxicity. Therefore, discovering a new TNBC treatment strategy is critical to increasing life expectancy [5, 6]. Biomarker-targeted therapies are among the new treatments that prevent the growth or spread of cancer cells while preserving normal cells.
Cell adhesion molecules (CAMs) are considered crucial to preserving tissue structure and function. CAMs participate as a binding agent in which they mediate cell-to-cell or cell-to-extracellular matrix (ECM) binding [7]. Among them, intercellular adhesion molecule-1 (ICAM-1), a transmembrane glycoprotein of the immunoglobulin (Ig)-like superfamily, demonstrates overexpression in highly metastatic cancers [8] such as TNBC, around 8 to 25 fold higher [9]. It has been claimed that ICAM-1 lead to the interaction between leukocytes and endothelium, which facilitates tumor cells’ extravasation [10, 11].
Matrix metalloproteinases (MMPs), other biomarkers of invasive cancers, are from the zinc-dependent endopeptidases involved in tissue remodeling, and cancer development. MMPs elevate the cancer invasion rate by reducing cell adhesion through the degradation of the ECM which acts as a physical barrier to tumor metastasis [12]. As reported in several studies, MMP-2 and MMP-9 are significantly increased in various metastatic cancers, leading to the eradication of basement membrane (BM) and ECM and, in turn, cancer metastasis [13–15].
Selenium (Se), is a trace element that plays a crucial role in living organisms. Among different forms of Se, red elemental selenium (Se0), which is known as selenium nanoparticle (SeNP) has greatly attracted attention due to its therapeutic advantages, including anti-cancer, antioxidant, anti-inflammatory and antimicrobial effects. Moreover, nanosized Se is more bioavailable, affordable, and less toxic compared with other selenium-containing compounds [16]. SeNPs can be synthesized through different methods, including physical, chemical, and biological. Chemical synthesis is mostly a common and rapid method. In contrast, microbes and plants are used for the biological synthesis of SeNPs [17]. Reports suggested that oral administrations of SeNP in affected mice by metastatic breast tumors enhanced their immune response and reduced metastasis to the liver [18, 19].
On the other hand, natural components have become more interesting, as they are cost-effective, and harbor lower toxicity. Ursolic acid (UA) is a pentacyclic triterpenoid compound of many plants and has received attention for its specific therapeutic applications, including anti-apoptotic, antioxidant, anti-inflammatory, and anti-carcinogenic effects. UA regulates multiple targets including nuclear factor κB (NF-κB), serine/threonine-protein kinase B (AKT), and signal transducer and activator of transcription 3 (STAT3), which all are associated with cancer progression [20]. Suppression of MMP-9 and ICAM-1 after UA treatment of colorectal cancer revealed the potential anti-angiogenesis and anti-metastatic effects of UA [20]. Furthermore, it has been shown that the application of 5–20 µM UA can induce apoptosis in malignant cells by activating caspase-3 in a dose- and time-dependent manner [21].
In this study, we aimed to examine the potential synergistic effect of Ursolic acid in combination with SeNPs on the reduction of invasion rate of MDA-MB 231 cells as a highly invasive breast cancer cell line and a good model of TNBC (ER−, PR−, HER2). To evaluate this hypothesis, the expression levels of MMP2, MMP9, and ICAM-1 were investigated by quantitative real-time PCR.