Motori, Elisa | Kreuzaler, Peter - A 06 (TP)

Neuro-Metabolic Priming in Breast Cancer: Uncovering Innervation-Induced Mechanisms of Brain Metastatic Competence

Dr. Elisa Motori
Dr. Elisa Motori

Institute for Biochemistry

CMMC - PI - A 06 (TP)
CMMC - PI - assoc. JRG 10

Institute for Biochemistry

Zülpicher Str. 47

50674 Cologne

Dr. Peter Kreuzaler
Dr. Peter Kreuzaler

Institute for Metabolomics in Ageing

CMMC - PI - A 06 (TP)

Institute for Metabolomics in Ageing

Robert-Koch-Str. 10

50931 Cologne

Introduction

Breast cancer mortality is entirely caused by metastatic spread from the primary site, and amongst all common sites of dissemination, the brain offers the worst prognosis. Furthermore, brain metastases often present with long latency. A better understanding of the events that dictate this particular tropism for better screening and intervention thus represents a significant clinical need.

​Metastatic spread from breast cancer to the brain is an established phenomenon, and tumor innervation at the secondary site is recognized as a critical event in enabling brain metastasis. However, it remains unclear what molecular and metabolic features specifically prime breast cancer cells for colonization of the brain versus other common metastatic sites such as the lung. This project tests the hypothesis that neural inputs in primary tumors drive metabolic adaptations priming cells for brain colonization - linking innervation to metastatic fitness for new prognostic markers and targets.

Clinical Relevance

Breast cancer mortality results from metastatic spread, with brain lesions showing the worst prognosis. Understanding these early neuro-metabolic mechanisms could uncover novel biomarkers and therapeutic targets to improve outcomes.

Approach

  • CATCH barcoding in orthotopic mouse models to trace brain-, lung-, and bone-tropic clones
  • Spatial metabolomics (MSI/CLEIM) and omics to profile metabolic/synaptic signatures
  • CRISPR screens and pharmacological perturbations for functional validation
  • Co-cultures and imaging (STED/CLEM) to map tumor-neuron interactions in vitro/in vivo

Selected Publications

  • Umkehrer, C. et al. Isolating live cell clones from barcoded populations using CRISPRa-inducible reporters. Nat. Biotechnol. 39, 174–178 (2021)
  • Sakthivelu, V. et al. Functional synapses between neurons and small cell lung cancer. Nature 646(8087):1243-1253 (2025)
  • Venkateswaran, S. V. et al. A multimodal imaging pipeline to decipher cell-specific metabolic functions and tissue microenvironment dynamics. Nat. Protoc. 20, 1678–1699 (2025)

Synergies and Benefits of Tandem Project

This collaboration unites Elisa Motori’s expertise in brain and mitochondrial metabolism, and cancer neuroscience with Peter Kreuzaler's strengths in breast cancer heterogeneity, clonal evolution, and high-resolution spatial metabolomics. Together, they merge neuroscience, metabolism, imaging, and omics to identify vulnerabilities in brain-tropic clones, discover biomarkers for early detection validate targets for preventing brain metastasis thus enabling novel therapies.

Lab Websites

For more information, please visit Motori Lab or Kreuzaler Lab

2026

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