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Published on: May 27, 2021
MYC pathway activation in triple-negative breast cancer is synthetic lethal with CDK inhibition
Dai Horiuchi1, Leonard Kusdra, Noelle E Huskey
1Department of Medicine, University of California, San Francisco, San Francisco, CA 94143, USA.
Abstract:
Estrogen, progesterone, and HER2 receptor-negative triple-negative breast cancers encompass the most clinically challenging subtype for which targeted therapeutics are lacking. We find that triple-negative tumors exhibit elevated MYC expression, as well as altered expression of MYC regulatory genes, resulting in increased activity of the MYC pathway. In primary breast tumors, MYC signaling did not predict response to neoadjuvant chemotherapy but was associated with poor prognosis. We exploit the increased MYC expression found in triple-negative breast cancers by using a synthetic-lethal approach dependent on cyclin-dependent kinase (CDK) inhibition. CDK inhibition effectively induced tumor regression in triple-negative tumor xenografts. The proapoptotic BCL-2 family member BIM is up-regulated after CDK inhibition and contributes to this synthetic-lethal mechanism. These results indicate that aggressive breast tumors with elevated MYC are uniquely sensitive to CDK inhibitors.
Insights
Triple-negative breast cancers show high MYC pathway activity, driving poor prognosis. Targeting this with cyclin-dependent kinase (CDK) inhibitors induces tumor regression, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Triple-negative breast cancer (TNBC) lacks targeted therapies and presents a clinical challenge.
- Elevated MYC expression and pathway activity are characteristic of TNBC.
- MYC signaling correlates with poor prognosis in primary breast tumors.
Purpose of the Study:
- To investigate the role of MYC in TNBC.
- To explore therapeutic strategies targeting MYC-driven TNBC.
- To evaluate the efficacy of cyclin-dependent kinase (CDK) inhibitors in TNBC.
Main Methods:
- Analysis of MYC expression and regulatory genes in TNBC.
- Assessment of MYC signaling in relation to chemotherapy response and prognosis.
- Utilizing a synthetic-lethal approach with CDK inhibition in TNBC xenografts.
- Investigating the role of BIM in CDK inhibitor-induced apoptosis.
Main Results:
- TNBC tumors exhibit significantly elevated MYC expression and pathway activity.
- MYC signaling did not predict chemotherapy response but was linked to poor prognosis.
- CDK inhibition led to substantial tumor regression in TNBC xenografts.
- Upregulation of BIM by CDK inhibition contributes to the synthetic-lethal effect.
Conclusions:
- Elevated MYC is a key vulnerability in TNBC.
- CDK inhibitors represent a promising synthetic-lethal strategy for MYC-driven TNBC.
- Targeting MYC with CDK inhibitors offers a novel therapeutic avenue for aggressive breast cancers.
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