APC selectively mediates response to chemotherapeutic agents in breast cancer

Monica K VanKlompenberg1,2, Claire O Bedalov1,3, Katia Fernandez Soto1,3

  • 1Harper Cancer Research Institute, A134 Harper Hall, 1234 Notre Dame Ave., South Bend, IN, 46617, USA.

BMC Cancer
|June 8, 2015
PubMed
Abstract

Insights

Loss of Adenomatous Polyposis Coli (APC) function in breast cancer increases resistance to chemotherapy. Inhibiting Src or JNK alongside cisplatin may overcome this resistance in APC-mutant tumors.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genetics

Background:

  • Adenomatous Polyposis Coli (APC) is a tumor suppressor frequently altered in breast cancer, but its role in tumorigenesis and therapeutic resistance is unclear.
  • APC mutations can drive aggressive tumor subtypes, such as metaplastic breast cancer, and influence genes involved in drug resistance.

Purpose of the Study:

  • To investigate the impact of APC loss-of-function on breast cancer development and chemoresistance.
  • To explore the underlying signaling pathways (e.g., FAK/Src/JNK) and therapeutic strategies for APC-mutant breast cancers.

Main Methods:

  • Utilized MMTV-PyMT;ApcMin/+ mouse models and MDA-MB-157 human metaplastic breast cancer cells.
  • Assessed gene expression (MDR1), apoptosis, proliferation, and tumor-initiating cells (ALDH assay) following chemotherapeutic treatment (cisplatin, doxorubicin, paclitaxel).
  • Investigated the effects of Src (PP2) and JNK (SP600125) inhibition on chemoresistance.

Main Results:

  • Apc loss increased multidrug resistance protein 1 (MDR1) expression and conferred resistance to cisplatin and doxorubicin-induced apoptosis in mouse models.
  • APC knockdown in human metaplastic breast cancer cells resulted in resistance to paclitaxel and cisplatin.
  • APC-mutant cells exhibited an increased population of aldehyde dehydrogenase (ALDH)-positive tumor-initiating cells.

Conclusions:

  • Loss of APC function significantly enhances chemoresistance, particularly to cisplatin-mediated apoptosis, in both mouse and human breast cancer models.
  • Combined treatment with cisplatin and Src/JNK inhibitors (PP2/SP600125) shows potential clinical benefit for APC-mutant breast cancer patients by overcoming resistance.

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