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Updated: Jun 23, 2026

Live Imaging to Study Microtubule Dynamic Instability in Taxane-resistant Breast Cancers
Published on: February 20, 2017
Chromosomal instability determines taxane response
Charles Swanton1, Barbara Nicke, Marion Schuett
1Cancer Research UK, London Research Institute, London WC2A 3PX, United Kingdom.
Abstract:
Microtubule-stabilizing (MTS) agents, such as taxanes, are important chemotherapeutics with a poorly understood mechanism of action. We identified a set of genes repressed in multiple cell lines in response to MTS agents and observed that these genes are overexpressed in tumors exhibiting chromosomal instability (CIN). Silencing 22/50 of these genes, many of which are involved in DNA repair, caused cancer cell death, suggesting that these genes are involved in the survival of aneuploid cells. Overexpression of these "CIN-survival" genes is associated with poor outcome in estrogen receptor-positive breast cancer and occurs frequently in basal-like and Her2-positive cases. In diploid cells, but not in chromosomally unstable cells, paclitaxel causes repression of CIN-survival genes, followed by cell death. In the OV01 ovarian cancer clinical trial, a high level of CIN was associated with taxane resistance but carboplatin sensitivity, indicating that CIN may determine MTS response in vivo. Thus, pretherapeutic assessment of CIN may optimize treatment stratification and clinical trial design using these agents.
Insights
Microtubule-stabilizing agents
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Microtubule-stabilizing (MTS) agents, like taxanes, are crucial chemotherapeutics, but their precise mechanism remains unclear.
- Genes repressed by MTS agents are overexpressed in tumors with chromosomal instability (CIN).
Purpose of the Study:
- To investigate the role of specific genes in cancer cell survival and response to MTS agents.
- To explore the link between chromosomal instability (CIN) and therapeutic outcomes.
Main Methods:
- Gene expression analysis in cell lines treated with MTS agents.
- Gene silencing experiments to assess the impact on cancer cell viability.
- Correlation analysis of gene expression, CIN, and clinical outcomes in breast and ovarian cancer patients.
Main Results:
- A set of 50 "CIN-survival" genes were identified, with 22 involved in DNA repair.
- Silencing these genes led to cancer cell death, indicating their role in aneuploid cell survival.
- Overexpression of CIN-survival genes correlates with poor prognosis in estrogen receptor-positive breast cancer and is frequent in basal-like and Her2-positive subtypes.
- Paclitaxel repressed CIN-survival genes in diploid cells, causing cell death, but not in chromosomally unstable cells.
- High CIN levels in ovarian cancer patients predicted resistance to taxanes but sensitivity to carboplatin.
Conclusions:
- CIN-survival genes are critical for aneuploid cancer cell survival and are implicated in MTS agent resistance.
- Chromosomal instability (CIN) is a key determinant of response to microtubule-stabilizing agents in vivo.
- Pretherapeutic assessment of CIN could refine treatment strategies and clinical trial design for MTS agents.
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