Development of a RSK Inhibitor as a Novel Therapy for Triple-Negative Breast Cancer

Katarzyna A Ludwik1, J Preston Campbell1, Mingzong Li2

  • 1Department of Pathology, Microbiology & Immunology, Vanderbilt University, Nashville, Tennessee.

Insights

Targeting p90 ribosomal S6 kinase (RSK) with a novel inhibitor effectively reduced metastasis in triple-negative breast cancer (TNBC) models. This approach offers a promising new therapeutic strategy for this aggressive form of breast cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Metastatic breast cancer remains incurable, necessitating novel therapeutic targets.
  • Triple-negative breast cancer (TNBC) is characterized by frequent metastasis.
  • Activated p90 ribosomal S6 kinase (RSK) is prevalent in TNBC.

Purpose of the Study:

  • To investigate the role of RSK kinases in TNBC metastasis.
  • To evaluate the efficacy of a novel RSK inhibitor (SL0101 analogue) in preclinical TNBC models.

Main Methods:

  • Pharmacologic and genetic inhibition of RSK1/2 in TNBC.
  • Kinase profiling to confirm RSK1/2 as primary targets of the novel inhibitor.
  • In vivo studies assessing the inhibitor's effect on metastatic foci establishment.
  • Evaluation of AKT pathway activation following RSK1/2 inhibition.

Main Results:

  • Direct inhibition of RSK1/2 significantly contributed to reducing TNBC metastasis in vivo.
  • The novel SL0101 analogue selectively targeted RSK1 and RSK2.
  • The RSK inhibitor demonstrated efficacy comparable to the MEK inhibitor trametinib in reducing metastasis.
  • RSK1/2 inhibition did not lead to AKT activation, avoiding a known limitation of MEK inhibitors.

Conclusions:

  • RSK is a critical driver of the metastatic process in TNBC.
  • The novel SL0101 analogue targeting RSK1/2 provides preclinical proof-of-concept for TNBC therapy.
  • Targeting RSK represents a potential therapeutic strategy to overcome limitations of current treatments.