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The Correlation Between PARP1 and BRCA1 in AR Positive Triple-negative Breast Cancer
Jiayan Luo1, Juan Jin1, Fang Yang1
1Department of Medical Oncology, Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China.
Abstract:
Triple-negative breast cancer (TNBC) lacks estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER-2) expression and thus cannot benefit from conventional hormonal or anti-HER2 targeted therapies. Anti-androgen therapy has shown a certain effect on androgen receptor (AR) positive TNBC. The emerging researches have proved that poly (ADP-ribose) polymerase (PARP) inhibitor is effective in BRCA1-deficient breast cancers. We demonstrated that combination of AR antagonist (bicalutamide) and PARP inhibitor (ABT-888) could inhibit cell viability and induce cell apoptosis significantly whatever in vitro or in vivo setting in AR-positive TNBC. Previous studies have proved that both BRCA1 and PARP1 have close connections with AR in prostate cancer. We explored the correlation among AR, PARP1 and BRCA1 in TNBC for the first time. After BRCA1 overexpression, the expression of AR and PARP1 were decreased in mRNA and protein levels. Additionally, AR positively regulated PARP1 while PARP1 also up-regulated AR expression in vitro. We also confirmed BRCA1 expression was negatively correlated with AR and PARP1 in TNBC patients using a tissue microarray with TNBC patient samples. These results suggest that the combination of bicalutamide and PARP inhibitor may be a potential strategy for TNBC patients and merits further evaluation.
Insights
Combining androgen receptor (AR) antagonist bicalutamide with poly (ADP-ribose) polymerase (PARP) inhibitor ABT-888 shows promise for treating androgen receptor-positive triple-negative breast cancer (TNBC). This combination effectively reduced cancer cell viability and induced apoptosis in preclinical studies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Triple-negative breast cancer (TNBC) lacks targeted therapies due to absent estrogen receptor (ER), progesterone receptor (PR), and HER-2 expression.
- Androgen receptor (AR)-positive TNBC may respond to anti-androgen therapy, while poly (ADP-ribose) polymerase (PARP) inhibitors show efficacy in BRCA1-deficient cancers.
Purpose of the Study:
- To investigate the potential of combining an AR antagonist (bicalutamide) with a PARP inhibitor (ABT-888) for AR-positive TNBC treatment.
- To explore the novel correlations among AR, PARP1, and BRCA1 in TNBC.
Main Methods:
- In vitro and in vivo experiments were conducted to assess the efficacy of bicalutamide and ABT-888 combination therapy.
- Correlation studies involving AR, PARP1, and BRCA1 were performed using cell lines and a tissue microarray of TNBC patient samples.
Main Results:
- The combination of bicalutamide and ABT-888 significantly inhibited cell viability and induced apoptosis in AR-positive TNBC models.
- BRCA1 overexpression led to decreased AR and PARP1 expression.
- AR positively regulated PARP1, and PARP1 up-regulated AR expression in vitro.
- BRCA1 expression was negatively correlated with AR and PARP1 in TNBC patient tissues.
Conclusions:
- Combination therapy with bicalutamide and a PARP inhibitor represents a potential therapeutic strategy for AR-positive TNBC.
- Further clinical evaluation is warranted to validate this promising treatment approach for TNBC patients.
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