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Targeted Degradation of BET Proteins in Triple-Negative Breast Cancer
Longchuan Bai1,2, Bing Zhou1,2, Chao-Yie Yang1,2
1University of Michigan Comprehensive Cancer Center, University of Michigan, Ann Arbor, Michigan.
Abstract:
Triple-negative breast cancers (TNBC) remain clinically challenging with a lack of options for targeted therapy. In this study, we report the development of a second-generation BET protein degrader, BETd-246, which exhibits superior selectivity, potency, and antitumor activity. In human TNBC cells, BETd-246 induced degradation of BET proteins at low nanomolar concentrations within 1 hour of exposure, resulting in robust growth inhibition and apoptosis. BETd-246 was more potent and effective in TNBC cells than its parental BET inhibitor compound BETi-211. RNA-seq analysis revealed predominant downregulation of a large number of genes involved in proliferation and apoptosis in cells treated with BETd-246, as compared with BETi-211 treatment that upregulated and downregulated a similar number of genes. Functional investigations identified the MCL1 gene as a critical downstream effector for BET degraders, which synergized with small-molecule inhibitors of BCL-xL in triggering apoptosis. In multiple murine xenograft models of human breast cancer, BETd-246 and a further optimized analogue BETd-260 effectively depleted BET proteins in tumors and exhibited strong antitumor activities at well-tolerated dosing schedules. Overall, our findings show that targeting BET proteins for degradation represents an effective therapeutic strategy for TNBC treatment. Cancer Res; 77(9); 2476-87. ©2017 AACR.
Insights
A new drug, BETd-246, effectively targets and degrades BET proteins in triple-negative breast cancer (TNBC) cells. This targeted degradation shows superior potency and antitumor activity, offering a promising new therapeutic strategy for TNBC.
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Triple-negative breast cancer (TNBC) presents significant clinical challenges due to limited targeted therapy options.
- BET proteins are implicated in cancer progression and represent a potential therapeutic target.
Purpose of the Study:
- To develop and evaluate a second-generation BET protein degrader, BETd-246, for its efficacy against TNBC.
- To investigate the molecular mechanisms underlying BETd-246's antitumor activity.
Main Methods:
- Development of BETd-246, a selective BET protein degrader.
- In vitro studies using human TNBC cell lines to assess protein degradation, growth inhibition, and apoptosis.
- RNA-sequencing (RNA-seq) to analyze gene expression changes.
- In vivo studies using murine xenograft models of human breast cancer.
Main Results:
- BETd-246 induced rapid and potent degradation of BET proteins in TNBC cells at nanomolar concentrations.
- BETd-246 demonstrated superior growth inhibition and apoptosis induction compared to a parental BET inhibitor.
- RNA-seq revealed significant downregulation of proliferation-related genes and modulation of apoptosis pathways.
- The MCL1 gene was identified as a key downstream mediator, showing synergy with BCL-xL inhibitors.
- In vivo studies confirmed BETd-246 and its analogue BETd-260 achieved significant tumor regression with good tolerability.
Conclusions:
- Targeting BET proteins for degradation is a viable and effective therapeutic strategy for TNBC.
- BETd-246 exhibits potent preclinical activity and warrants further investigation for TNBC treatment.
- The identified downstream effectors provide insights into the mechanism of action for BET degraders.
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