Inhibition of HSP90 sensitizes a novel Raf/ERK dual inhibitor CY-9d in triple-negative breast cancer cells

Yujuan Chen1, Xiaoyun Wang1, Chuan Cao2

  • 1State Key Laboratory of Biotherapy and Department of Breast Surgery, West China Hospital, West China Medical School, Sichuan University and Collaborative Innovation Center for Biotherapy, Chengdu 610041, China.

Oncotarget
|December 22, 2017
PubMed

Insights

Triple-negative breast cancer (TNBC) shows resistance to Raf/ERK inhibitors. Combining HSP90 and Raf/ERK inhibitors overcomes this resistance, enhancing apoptosis and suppressing tumor growth with low toxicity.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • The mitogen-activated protein kinase (MAPK) pathway, involving Raf and extracellular signal-regulated kinases (ERK), is crucial in breast cancer apoptosis resistance.
  • The Raf/ERK dual inhibitor CY-9d exhibits limited efficacy in triple-negative breast cancer (TNBC) compared to ER/PR-positive cells.

Purpose of the Study:

  • To investigate the mechanisms underlying CY-9d resistance in TNBC.
  • To identify potential therapeutic strategies to enhance CY-9d efficacy in TNBC.

Main Methods:

  • Quantitative proteomic iTRAQ analysis and bioinformatics to identify differentially expressed proteins.
  • Western blotting and RNA interference to elucidate protein interactions and signaling pathways.
  • In vitro and in vivo studies evaluating drug efficacy, apoptosis induction, and toxicity.

Main Results:

  • HSP90 identified as a key mediator in the Raf/ERK pathway in TNBC.
  • Downregulated IQGAP1 was found to promote HSP90-mediated bypass signaling, contributing to drug resistance.
  • Combination therapy with HSP90 and CY-9d inhibitors demonstrated synergistic therapeutic effects and apoptosis induction in TNBC cells.
  • CY-9d suppressed tumor growth and induced mitochondrial apoptosis in vivo with minimal toxicity.

Conclusions:

  • HSP90 acts as a bypass mediator in the Raf/MEK/ERK cascade in TNBC, contributing to resistance against Raf/ERK inhibitors.
  • Combined inhibition of HSP90 and Raf/ERK pathways presents a promising therapeutic strategy for TNBC.
  • This combination therapy enhances tumor growth suppression, downstream pathway blockade, and apoptosis induction in TNBC.