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Updated: Aug 9, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Targeting oncogenes to improve breast cancer chemotherapy
Laura A Christensen1, Rick A Finch, Adam J Booker
1Department of Carcinogenesis, University of Texas M.D. Anderson Cancer Center, Science Park-Research Division, Smithville, Texas 78957, USA.
Abstract:
Despite recent advances in treatment, breast cancer remains a serious health threat for women. Traditional chemotherapies are limited by a lack of specificity for tumor cells and the cell cycle dependence of many chemotherapeutic agents. Here we report a novel strategy to help overcome these limitations. Using triplex-forming oligonucleotides (TFOs) to direct DNA damage site-specifically to oncogenes overexpressed in human breast cancer cells, we show that the effectiveness of the anticancer nucleoside analogue gemcitabine can be improved significantly. TFOs targeted to the promoter region of c-myc directly inhibited gene expression by approximately 40%. When used in combination, specific TFOs increased the incorporation of gemcitabine at the targeted site approximately 4-fold, presumably due to induction of replication-independent DNA synthesis. Cells treated with TFOs and gemcitabine in combination showed a reduction in both cell survival and capacity for anchorage-independent growth (approximately 19% of untreated cells). This combination affected the tumorigenic potential of these cancer cells to a significantly greater extent than either treatment alone. This novel strategy may be used to increase the range of effectiveness of antitumor nucleosides in any tumor which overexpresses a targetable oncogene. Multifaceted chemotherapeutic approaches such as this, coupled with triplex-directed gene targeting, may lead to more than incremental improvements in nonsurgical treatment of breast tumors.
Insights
This study introduces a new breast cancer treatment combining triplex-forming oligonucleotides (TFOs) with gemcitabine. This novel approach enhances gemcitabine
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Breast cancer remains a significant health concern, with current chemotherapies facing limitations in specificity and cell cycle dependency.
- Traditional treatments often lack targeted delivery to tumor cells, leading to systemic side effects and reduced efficacy.
- Overexpression of oncogenes like c-myc is a hallmark of many aggressive breast cancers.
Purpose of the Study:
- To develop a novel strategy for enhancing the efficacy of breast cancer chemotherapy.
- To investigate the synergistic effects of triplex-forming oligonucleotides (TFOs) and gemcitabine in targeting oncogenes.
- To assess the impact of this combination therapy on cancer cell survival and tumorigenic potential.
Main Methods:
- Utilized triplex-forming oligonucleotides (TFOs) designed to target and bind specific DNA sequences within oncogenes (e.g., c-myc promoter region).
- Administered gemcitabine, an anticancer nucleoside analogue, in combination with TFOs to human breast cancer cells.
- Measured gene expression inhibition, gemcitabine incorporation at targeted DNA sites, cell survival, and anchorage-independent growth.
Main Results:
- TFOs targeting the c-myc promoter inhibited gene expression by approximately 40%.
- Combination therapy with TFOs and gemcitabine increased gemcitabine incorporation at targeted sites by about 4-fold.
- Combined treatment significantly reduced breast cancer cell survival and anchorage-independent growth, impacting tumorigenic potential more than monotherapy.
Conclusions:
- This novel strategy of using TFOs for site-specific DNA damage enhances the effectiveness of chemotherapeutic nucleoside analogues like gemcitabine.
- The approach shows promise for treating breast tumors by targeting overexpressed oncogenes, potentially improving outcomes beyond incremental gains.
- Multifaceted chemotherapeutic strategies combining gene targeting with conventional agents offer a promising avenue for advancing nonsurgical breast cancer treatment.
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