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Published on: January 12, 2020
Notch pathway as candidate therapeutic target in Her2/Neu/ErbB2 receptor-negative breast tumors
Hajime Hirose1, Hideshi Ishii, Koshi Mimori
1Department of Gastrointestinal Surgery, Osaka University School of Medicine, Yamadaoka, Osaka, Japan.
Abstract:
Whereas the Her2/neu/erbB2 receptor (Her2) could be a molecular target of the receptor-positive breast cancer, the therapeutic targets of Her2-negative cancer largely remain to be established. The expression of Her2 was evaluated in 48 primary breast cancer tumors by immunohistochemistry. The identified Notch pathway was studied in genotoxin-dependent suppression of breast cancer-initiating cell growth. Immunohistochemical assessment of Her2-negative tumors revealed significant association with overexpression of Notch1 and Notch3. Knockdown of Notch pathway resulted in sensitization of breast cancer cells to deionizing radiation, leading to cell death; the effect was more significant in stem marker CD44+ than in CD44- cells, and more profound in the Her2-negative than in positive cancer cells. The present study indicates that inhibition of Notch signaling could antagonize survival signal of Her2-negative breast cancer-initiating cells carrying genomic damage, and suggests that targeted suppression of the Notch pathway may give the rationale for sensitizing Her2-negative cancer-initiating cells to a therapeutic approach.
Insights
Targeting the Notch pathway may offer a new therapeutic strategy for Her2-negative breast cancer. Inhibiting Notch signaling sensitizes cancer cells, especially those with genomic damage, to radiation therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Her2/neu/erbB2 receptor (Her2) is a target in receptor-positive breast cancer, but therapeutic targets for Her2-negative breast cancer remain largely undefined.
- The Notch pathway's role in cancer development and treatment resistance is an area of active investigation.
Purpose of the Study:
- To investigate potential therapeutic targets in Her2-negative breast cancer.
- To explore the role of the Notch pathway in Her2-negative breast cancer-initiating cell survival and response to genotoxic stress.
Main Methods:
- Immunohistochemistry was used to evaluate Her2 expression in 48 primary breast cancer tumors.
- The Notch pathway was studied in the context of genotoxin-induced suppression of breast cancer-initiating cell growth.
- Notch pathway knockdown was performed to assess its effect on breast cancer cell sensitivity to deionizing radiation.
Main Results:
- Her2-negative tumors showed a significant association with overexpression of Notch1 and Notch3.
- Knockdown of the Notch pathway sensitized breast cancer cells to deionizing radiation, inducing cell death.
- This sensitization was more pronounced in CD44+ stem cells and in Her2-negative compared to Her2-positive cancer cells.
Conclusions:
- Inhibition of Notch signaling can counteract survival signals in Her2-negative breast cancer-initiating cells with genomic damage.
- Targeted suppression of the Notch pathway presents a potential therapeutic strategy for sensitizing Her2-negative breast cancer to existing treatments.
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