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Identification of BRCA1 As a Potential Biomarker for Insulin-Like Growth Factor-1 Receptor Targeted Therapy in Breast
Tali Cohen-Sinai1,2, Zoya Cohen2, Haim Werner1,3
1Department of Human Molecular Genetics and Biochemistry, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Abstract:
The insulin-like growth factor-1 receptor (IGF1R) emerged in recent years as a promising therapeutic target in oncology. Identification of potential biomarkers capable of predicting response to IGF1R-targeted therapy is of cardinal importance. Tumor suppressor BRCA1 has important roles in multiple pathways, including gene transcription, DNA damage repair, and control of apoptosis. Early studies have identified the IGF1R gene as a downstream target for inhibitory regulation by wild-type, but not mutant, BRCA1. The aim of the present study was to evaluate the hypothesis that the mutational status of BRCA1 may influence the ability of IGF1R-directed therapies to efficiently inhibit the IGF1R axis. Using breast cancer-derived cell lines expressing a wild-type or a mutant BRCA1, we demonstrate that the capacity of MK-0646, a monoclonal antibody antagonist to the human IGF1R, to inhibit insulin-like growth factor-1-stimulated IGF1R and downstream mediators' phosphorylation was impaired in mutant BRCA1-expressing cell lines. In addition, the antibody was able to reduce proliferation of wild-type BRCA1-expressing cells but had a reduced inhibitory effect in mutant BRCA1-expressing cells. In summary, our data indicate that the mutational status of BRCA1 must be taken into account when selecting patients for IGF1R targeting protocols.
Insights
BRCA1 mutations can impair the effectiveness of insulin-like growth factor-1 receptor (IGF1R) targeted therapies. This suggests BRCA1 status is a key biomarker for patient selection in IGF1R-directed cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Biomarker Discovery
Background:
- Insulin-like growth factor-1 receptor (IGF1R) is a promising therapeutic target in cancer treatment.
- BRCA1, a tumor suppressor, regulates genes including IGF1R, with wild-type BRCA1 inhibiting IGF1R.
- Predictive biomarkers for IGF1R-targeted therapies are crucial for patient selection.
Purpose of the Study:
- To investigate if BRCA1 mutational status affects the efficacy of IGF1R-targeted therapies.
- To evaluate the influence of BRCA1 status on IGF1R signaling inhibition by an IGF1R antibody.
Main Methods:
- Utilized breast cancer cell lines with wild-type or mutant BRCA1.
- Administered MK-0646, a monoclonal antibody targeting human IGF1R.
- Assessed inhibition of IGF1R and downstream signaling phosphorylation.
- Measured cell proliferation rates.
Main Results:
- MK-0646's ability to inhibit IGF1R and downstream phosphorylation was reduced in mutant BRCA1 cells.
- The antibody showed reduced inhibition of proliferation in mutant BRCA1-expressing cells compared to wild-type.
- IGF1R inhibition by MK-0646 was less effective in the presence of BRCA1 mutations.
Conclusions:
- BRCA1 mutational status significantly impacts the response to IGF1R-targeted therapies.
- Patient selection for IGF1R-directed protocols should consider BRCA1 mutational status.
- BRCA1 status may serve as a predictive biomarker for IGF1R-targeted cancer treatments.
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