Related Experiment Video
Updated: Apr 6, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Targeting Insulin-Like Growth Factor Binding Protein-3 Signaling in Triple-Negative Breast Cancer
Kamila A Marzec1, Robert C Baxter1, Janet L Martin1
1Hormones and Cancer Division, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, St Leonards, NSW 2065, Australia.
Abstract:
Insulin-like growth factor binding protein-3 (IGFBP-3) is a key regulatory molecule of the IGF axis and can function in a tissue-specific way as both a tumor suppressor and promoter. Triple-negative breast cancer (TNBC) has high tumor expression of IGFBP-3 associated with markers of poor prognosis and, although accounting for 15-20% of all breast cancers, is responsible for disproportionate rates of morbidity and mortality. Because they lack estrogen and progesterone receptors and overexpression of HER2, TNBC are resistant to treatments that target these molecules, making the development of new therapies an important goal. In addition to frequent high expression of IGFBP-3, these tumors also express EGFR highly, but targeting EGFR signaling alone in TNBC has been of little success. Identification of a functional growth-stimulatory interaction between EGFR and IGFBP-3 signaling prompted investigation into cotargeting these pathways as a novel therapy for TNBC. This involves inhibition of both EGFR kinase activity and a mediator of IGFBP-3's stimulatory bioactivity, sphingosine kinase-1 (SphK1), and has shown promise in a preclinical setting. Functional interaction between EGFR and IGFBP-3 may also promote chemoresistance in TNBC, and delineating the mechanisms involved may identify additional targets for development of therapies in cancers that express both IGFBP-3 and EGFR.
Insights
Triple-negative breast cancer (TNBC) shows high IGFBP-3 and EGFR expression. Cotargeting EGFR and sphingosine kinase-1 (SphK1) shows promise as a novel therapy for TNBC, potentially overcoming treatment resistance.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Insulin-like growth factor binding protein-3 (IGFBP-3) plays a dual role in cancer, acting as both a tumor suppressor and promoter.
- Triple-negative breast cancer (TNBC) exhibits high IGFBP-3 expression, correlating with poor prognosis and resistance to standard therapies.
- TNBC lacks targeted treatment options due to the absence of estrogen/progesterone receptors and HER2 overexpression.
Purpose of the Study:
- To investigate the functional interaction between Epidermal Growth Factor Receptor (EGFR) and IGFBP-3 signaling in TNBC.
- To explore the potential of cotargeting EGFR and sphingosine kinase-1 (SphK1) as a novel therapeutic strategy for TNBC.
- To identify mechanisms underlying chemoresistance promoted by EGFR and IGFBP-3 interactions in TNBC.
Main Methods:
- Preclinical investigation of combined EGFR and SphK1 inhibition in TNBC models.
- Analysis of functional crosstalk between EGFR and IGFBP-3 signaling pathways.
- Delineation of molecular mechanisms driving chemoresistance in EGFR- and IGFBP-3-expressing cancers.
Main Results:
- A functional growth-stimulatory interaction between EGFR and IGFBP-3 signaling was identified in TNBC.
- Cotargeting EGFR kinase activity and SphK1 demonstrated preclinical promise for TNBC therapy.
- EGFR and IGFBP-3 interaction may contribute to chemoresistance in TNBC.
Conclusions:
- Combined inhibition of EGFR and SphK1 represents a promising novel therapeutic approach for TNBC.
- Understanding the EGFR-IGFBP-3 axis can reveal new therapeutic targets for TNBC and other cancers.
- Targeting the interplay between EGFR and IGFBP-3 may overcome treatment resistance in specific cancer types.
Related Concept Videos
PI3K/mTOR/AKT Signaling Pathway
Targeted Cancer Therapies
There are several types of targeted therapies against...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
TGF - β Signaling Pathway
Mitogens and the Cell Cycle

