PIM1 kinase inhibition as a targeted therapy against triple-negative breast tumors with elevated MYC expression

Dai Horiuchi1,2,3,4, Roman Camarda1, Alicia Y Zhou1

  • 1Department of Cell and Tissue Biology, University of California, San Francisco (UCSF), San Francisco, California, USA.

Nature Medicine
|November 8, 2016
PubMed

Insights

Triple-negative breast cancer (TNBC) has poor outcomes due to a lack of targeted therapies. Researchers found that inhibiting PIM1 kinase, which is elevated in TNBC, halts tumor growth by targeting MYC signaling.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Triple-negative breast cancer (TNBC) lacks targeted therapies and has the poorest prognosis among breast cancer subtypes.
  • MYC signaling is disproportionately higher in TNBC compared to receptor-positive tumors, presenting a potential therapeutic vulnerability.
  • Directly inhibiting MYC's oncogenic activity has been a significant challenge in cancer treatment.

Purpose of the Study:

  • To identify novel therapeutic targets for triple-negative breast cancer.
  • To investigate the role of MYC signaling in TNBC pathogenesis.
  • To evaluate PIM1 kinase as a potential therapeutic target in TNBC.

Main Methods:

  • Conducted a shRNA screen targeting the kinome to identify genes synthetically lethal with MYC.
  • Assessed PIM1 expression levels in human TNBC tumors and correlated them with patient prognosis.
  • Tested small-molecule PIM kinase inhibitors in patient-derived tumor xenograft (PDX) and MYC-driven transgenic mouse models of breast cancer.

Main Results:

  • Identified a synthetic lethal interaction between PIM1 kinase and MYC.
  • Found that PIM1 expression is elevated in TNBC and associated with poor prognosis.
  • Demonstrated that PIM kinase inhibitors effectively halt TNBC tumor growth in preclinical models by inhibiting MYC transcriptional activity and restoring p27 function.

Conclusions:

  • PIM1 kinase represents a promising therapeutic target for triple-negative breast cancer.
  • PIM kinase inhibitors show potential for treating TNBC with elevated MYC expression.
  • Clinical evaluation of PIM kinase inhibitors in patients with TNBC is warranted.

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