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SIK2 Restricts Autophagic Flux To Support Triple-Negative Breast Cancer Survival
Kimberly E Maxfield1,2, Jennifer Macion2, Hariprasad Vankayalapati3
1Department of Pharmacology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Abstract:
Triple-negative breast cancer (TNBC) is a highly heterogeneous disease with multiple, distinct molecular subtypes that exhibit unique transcriptional programs and clinical progression trajectories. Despite knowledge of the molecular heterogeneity of the disease, most patients are limited to generic, indiscriminate treatment options: cytotoxic chemotherapy, surgery, and radiation. To identify new intervention targets in TNBC, we used large-scale, loss-of-function screening to identify molecular vulnerabilities among different oncogenomic backgrounds. This strategy returned salt inducible kinase 2 (SIK2) as essential for TNBC survival. Genetic or pharmacological inhibition of SIK2 leads to increased autophagic flux in both normal-immortalized and tumor-derived cell lines. However, this activity causes cell death selectively in breast cancer cells and is biased toward the claudin-low subtype. Depletion of ATG5, which is essential for autophagic vesicle formation, rescued the loss of viability following SIK2 inhibition. Importantly, we find that SIK2 is essential for TNBC tumor growth in vivo Taken together, these findings indicate that claudin-low tumor cells rely on SIK2 to restrain maladaptive autophagic activation. Inhibition of SIK2 therefore presents itself as an intervention opportunity to reactivate this tumor suppressor mechanism.
Insights
Triple-negative breast cancer (TNBC) cells rely on salt inducible kinase 2 (SIK2) to survive. Inhibiting SIK2 triggers cell death in specific TNBC subtypes by reactivating a tumor suppressor mechanism.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Triple-negative breast cancer (TNBC) is molecularly heterogeneous, yet treatment options remain limited to non-specific cytotoxic therapies.
- Understanding TNBC subtypes is crucial for developing targeted interventions.
Purpose of the Study:
- To identify novel therapeutic targets for TNBC by screening for molecular vulnerabilities.
- To investigate the role of salt inducible kinase 2 (SIK2) in TNBC survival and progression.
Main Methods:
- Large-scale loss-of-function screening to identify essential genes in TNBC.
- Genetic and pharmacological inhibition of SIK2 in cell lines and in vivo models.
- Analysis of autophagic flux and cell viability following SIK2 inhibition.
- Assessment of ATG5's role in SIK2 inhibition-induced cell death.
Main Results:
- Salt inducible kinase 2 (SIK2) was identified as essential for TNBC cell survival.
- SIK2 inhibition increased autophagic flux, leading to selective cell death in TNBC, particularly the claudin-low subtype.
- Depletion of ATG5 rescued cell viability, confirming the role of autophagy in SIK2 inhibition-induced death.
- SIK2 is critical for TNBC tumor growth in vivo.
Conclusions:
- Claudin-low TNBC cells depend on SIK2 to suppress excessive autophagic activation.
- SIK2 inhibition represents a potential therapeutic strategy to re-engage tumor suppressor mechanisms in TNBC.
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