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ATM kinase sustains HER2 tumorigenicity in breast cancer
Venturina Stagni1, Isabella Manni2, Veronica Oropallo1
11] Laboratory of Cell Signaling, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Santa Lucia, 00179 Rome, Italy [2] Department of Biology, University of Rome 'Tor Vergata', 00133 Rome, Italy.
Abstract:
ATM kinase preserves genomic stability by acting as a tumour suppressor. However, its identification as a component of several signalling networks suggests a dualism for ATM in cancer. Here we report that ATM expression and activity promotes HER2-dependent tumorigenicity in vitro and in vivo. We reveal a correlation between ATM activation and the reduced time to recurrence in patients diagnosed with invasive HER2-positive breast cancer. Furthermore, we identify ATM as a novel modulator of HER2 protein stability that acts by promoting a complex of HER2 with the chaperone HSP90, therefore preventing HER2 ubiquitination and degradation. As a consequence, ATM sustains AKT activation downstream of HER2 and may modulate the response to therapeutic approaches, suggesting that the status of ATM activity may be informative for the treatment and prognosis of HER2-positive tumours. Our findings provide evidence for ATM's tumorigenic potential revising the canonical role of ATM as a pure tumour suppressor.
Insights
ATM kinase, typically a tumor suppressor, promotes HER2-positive breast cancer growth and recurrence by stabilizing HER2 protein. This challenges its traditional role and suggests ATM activity impacts treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- ATM kinase is recognized for its role in maintaining genomic stability and acting as a tumor suppressor.
- Emerging evidence suggests ATM participates in signaling networks, hinting at a more complex, potentially dual role in cancer.
- The specific role of ATM in HER2-positive breast cancer, particularly its impact on tumorigenicity and patient outcomes, requires further elucidation.
Purpose of the Study:
- To investigate the role of ATM expression and activity in HER2-dependent tumorigenicity.
- To explore the correlation between ATM activation and clinical outcomes in patients with HER2-positive breast cancer.
- To identify the molecular mechanisms by which ATM influences HER2 signaling and protein stability.
Main Methods:
- In vitro and in vivo experiments to assess ATM's effect on HER2-dependent tumor growth.
- Analysis of patient data to correlate ATM activation with time to recurrence in HER2-positive breast cancer.
- Biochemical assays to determine ATM's interaction with HER2 and its effect on ubiquitination and degradation pathways, including its role with HSP90.
Main Results:
- ATM expression and activity were found to promote HER2-dependent tumorigenicity both in vitro and in vivo.
- A significant correlation was observed between ATM activation and a reduced time to recurrence in patients with invasive HER2-positive breast cancer.
- ATM was identified as a novel modulator of HER2 protein stability, stabilizing HER2 by complexing it with HSP90, thereby preventing its ubiquitination and degradation.
- ATM sustains AKT activation downstream of HER2, influencing key oncogenic signaling pathways.
Conclusions:
- ATM exhibits a tumorigenic role in HER2-positive breast cancer, challenging its established function as solely a tumor suppressor.
- ATM's modulation of HER2 protein stability and downstream signaling suggests it plays a critical role in HER2-driven tumorigenesis.
- ATM activity status may serve as a prognostic and predictive biomarker for HER2-positive breast cancer, potentially informing therapeutic strategies.
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