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Crosstalk between PKCα and Notch-4 in endocrine-resistant breast cancer cells
1Cardinal Bernardin Cancer Center and Department of Pathology, Loyola University Chicago, Maywood, IL, USA.
Abstract:
The Notch pathway is functionally important in breast cancer. Notch-1 has been reported to maintain an estrogen-independent phenotype in estrogen receptor α (ERα)+ breast cancer cells. Notch-4 expression correlates with Ki67. Notch-4 also plays a key role in breast cancer stem-like cells. Estrogen-independent breast cancer cell lines have higher Notch activity than estrogen-dependent lines. Protein kinase Cα (PKCα) overexpression is common in endocrine-resistant breast cancers and promotes tamoxifen (TAM)-resistant growth in breast cancer cell lines. We tested whether PKCα overexpression affects Notch activity and whether Notch signaling contributes to endocrine resistance in PKCα-overexpressing breast cancer cells.Analysis of published microarray data from ERα+ breast carcinomas shows that PKCα expression correlates strongly with Notch-4. Real-time reverse transcription PCR and immunohistochemistry on archival specimens confirmed this finding. In a PKCα-overexpressing, TAM-resistant T47D model, PKCα selectively increases Notch-4, but not Notch-1, expression in vitro and in vivo. This effect is mediated by activator protein-1 (AP-1) occupancy of the Notch-4 promoter. Notch-4 knockdown inhibits estrogen-independent growth of PKCα-overexpressing T47D cells, whereas Notch-4IC expression stimulates it. Gene expression profiling shows that multiple genes and pathways associated with endocrine resistance are induced in Notch-4IC- and PKCα-expressing T47D cells. In PKCα-overexpressing T47D xenografts, an orally active γ-secretase inhibitor at clinically relevant doses significantly decreased estrogen-independent tumor growth, alone and in combination with TAM. In conclusion, PKCα overexpression induces Notch-4 through AP-1. Notch-4 promotes estrogen-independent, TAM-resistant growth and activates multiple pathways connected with endocrine resistance and chemoresistance. Notch inhibitors should be clinically evaluated in PKCα- and Notch-4-overexpressing, endocrine-resistant breast cancers.
Insights
Protein kinase Cα (PKCα) overexpression drives tamoxifen-resistant breast cancer by increasing Notch-4 signaling. Inhibiting Notch pathway shows promise for treating endocrine-resistant breast cancers.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- The Notch pathway is crucial in breast cancer, influencing estrogen independence and stem-like cell properties.
- Protein kinase Cα (PKCα) overexpression is linked to endocrine-resistant breast cancers and tamoxifen resistance.
- Estrogen receptor α (ERα)+ breast cancer cells with estrogen-independent phenotypes exhibit higher Notch activity.
Purpose of the Study:
- To investigate if PKCα overexpression impacts Notch activity.
- To determine if Notch signaling contributes to endocrine resistance in PKCα-overexpressing breast cancer cells.
Main Methods:
- Analysis of published microarray data and archival breast carcinoma specimens.
- Real-time reverse transcription PCR and immunohistochemistry.
- In vitro and in vivo studies using tamoxifen-resistant T47D cell models and xenografts.
- Notch-4 knockdown and Notch-4 intracellular domain (Notch-4IC) expression experiments.
- Gene expression profiling and treatment with a γ-secretase inhibitor.
Main Results:
- PKCα expression correlates with Notch-4 in ERα+ breast carcinomas.
- PKCα overexpression selectively increases Notch-4 expression via activator protein-1 (AP-1) in tamoxifen-resistant cells.
- Notch-4 promotes estrogen-independent, tamoxifen-resistant growth and induces pathways associated with endocrine and chemoresistance.
- A γ-secretase inhibitor reduced tumor growth in PKCα-overexpressing xenografts, alone and with tamoxifen.
Conclusions:
- PKCα overexpression induces Notch-4, which drives endocrine-resistant breast cancer growth.
- Notch-4 activates multiple resistance pathways, suggesting it as a therapeutic target.
- Notch inhibitors warrant clinical evaluation for endocrine-resistant breast cancers with high PKCα and Notch-4 expression.
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