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Updated: Feb 12, 2026

Building Up a High-throughput Screening Platform to Assess the Heterogeneity of HER2 Gene Amplification in Breast Cancers
Published on: December 5, 2017
PAI-1 induces Src inhibitor resistance via CCL5 in HER2-positive breast cancer cells
Hehui Fang1, Juan Jin1, Doudou Huang1
1Department of Medical Oncology, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Abstract:
Tyrosine kinase Src is overexpressed and activated in various tumors, including breast cancer, and is supposed to promote cancer formation and development. Src inhibitors have been developed recently and have shown efficacy in breast cancer as a single agent or in combination with anti-HER2 antibodies or chemotherapy. Unfortunately, the potency of Src inhibitor is limited by the development of drug resistance. In our study, we established an Src inhibitor saracatinib-resistant breast cancer cell line (SKBR-3/SI) for the first time and by evaluating mRNA expression profile, we found that plasminogen activator inhibitor-1 (PAI-1) was upregulated in saracatinib-resistant cells compared to the parent cells. Further study demonstrated that PAI-1 might induce saracatinib resistance in breast cancer cells by increasing the secretion of chemokine (C-C motif) ligand 5 (CCL5). Functional assays showed that PAI-1 and CCL5 overexpression promoted cell proliferation and migration in breast cancer cells, while inhibition of PAI-1 and CCL5 decreased cell proliferation and migration in saracatinib-resistant cells. We also showed that targeting PAI-1 or CCL5 could reverse saracatinib resistance, which deserves more attention in clinical settings.
Insights
We identified plasminogen activator inhibitor-1 (PAI-1) and chemokine (C-C motif) ligand 5 (CCL5) as key drivers of resistance to the Src inhibitor saracatinib in breast cancer. Targeting PAI-1 or CCL5 can overcome this resistance, offering new therapeutic strategies.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Tyrosine kinase Src is implicated in breast cancer progression.
- Src inhibitors show promise but face drug resistance challenges.
- Saracatinib is an Src inhibitor used in breast cancer treatment.
Purpose of the Study:
- To investigate the mechanisms of resistance to the Src inhibitor saracatinib in breast cancer.
- To identify novel therapeutic targets for overcoming saracatinib resistance.
Main Methods:
- Established a saracatinib-resistant breast cancer cell line (SKBR-3/SI).
- Analyzed mRNA expression profiles to identify differentially expressed genes.
- Utilized functional assays to assess the roles of PAI-1 and CCL5 in cell proliferation and migration.
- Investigated the potential of targeting PAI-1 and CCL5 to reverse drug resistance.
Main Results:
- Plasminogen activator inhibitor-1 (PAI-1) was significantly upregulated in resistant cells.
- PAI-1 overexpression correlated with increased secretion of chemokine (C-C motif) ligand 5 (CCL5).
- PAI-1 and CCL5 promoted breast cancer cell proliferation and migration.
- Inhibition of PAI-1 or CCL5 reduced proliferation and migration in resistant cells.
Conclusions:
- PAI-1 and CCL5 are crucial mediators of saracatinib resistance in breast cancer.
- Targeting PAI-1 or CCL5 can reverse saracatinib resistance.
- These findings suggest PAI-1 and CCL5 as potential therapeutic targets for overcoming resistance in clinical settings.
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