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Updated: Jan 30, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Overcoming acquired resistance to HSP90 inhibition by targeting JAK-STAT signalling in triple-negative breast cancer
Nuramalina H Mumin1, Neele Drobnitzky1, Agata Patel1
1Department of Oncology, University of Oxford, Oxford, UK.
Background:
Due to the lack of effective therapies and poor prognosis in TNBC (triple-negative breast cancer) patients, there is a strong need to develop effective novel targeted therapies for this subtype of breast cancer. Inhibition of heat shock protein 90 (HSP90), a conserved molecular chaperone that is involved in the regulation of oncogenic client proteins, has shown to be a promising therapeutic approach for TNBC. However, both intrinsic and acquired resistance to HSP90 inhibitors (HSP90i) limits their effectiveness in cancer patients.
Methods:
We developed models of acquired resistance to HSP90i by prolonged exposure of TNBC cells to HSP90i (ganetespib) in vitro. Whole transcriptome profiling and a 328-compound bioactive small molecule screen were performed on these cells to identify the molecular basis of acquired resistance to HSP90i and potential therapeutic approaches to overcome resistance.
Results:
Among a panel of seven TNBC cell lines, the most sensitive cell line (Hs578T) to HSP90i was selected as an in vitro model to investigate acquired resistance to HSP90i. Two independent HSP90i-resistant clones were successfully isolated which both showed absence of client proteins degradation, apoptosis induction and G2/M cell cycle arrest after treatment with HSP90i. Gene expression profiling and pathway enrichment analysis demonstrate significant activation of the survival JAK-STAT signalling pathway in both HSP90i-resistant clones, possibly through IL6 autocrine signalling. A bioactive small molecule screen also demonstrated that the HSP90i-resistant clones showed selective sensitivity to JAK2 inhibition. Inhibition of JAK and HSP90 caused higher induction of apoptosis, despite prior acquired resistance to HSP90i.
Conclusions:
Acquired resistance to HSP90i in TNBC cells is associated with an upregulated JAK-STAT signalling pathway. A combined inhibition of the JAK-STAT signalling pathway and HSP90 could overcome this resistance. The benefits of the combined therapy could be explored further for the development of effective targeted therapy in TNBC patients.
Insights
Triple-negative breast cancer (TNBC) cells resistant to HSP90 inhibitors (HSP90i) show an activated JAK-STAT pathway. Combining JAK and HSP90 inhibition overcomes this resistance, offering a new targeted therapy approach for TNBC.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Triple-negative breast cancer (TNBC) lacks effective therapies, necessitating novel targeted treatments.
- Heat shock protein 90 (HSP90) inhibition is a promising strategy for TNBC, but resistance limits efficacy.
- Understanding resistance mechanisms is crucial for developing effective HSP90 inhibitor (HSP90i) therapies.
Purpose of the Study:
- To investigate the molecular basis of acquired resistance to HSP90 inhibitors in TNBC.
- To identify potential therapeutic strategies to overcome HSP90i resistance in TNBC.
Main Methods:
- Developed in vitro models of acquired resistance to HSP90i (ganetespib) using TNBC cells.
- Utilized whole transcriptome profiling and a bioactive small molecule screen to analyze resistant cells.
- Assessed the impact of combined JAK and HSP90 inhibition on apoptosis induction.
Main Results:
- Acquired resistance to HSP90i was associated with the absence of client protein degradation and cell cycle arrest.
- Resistant TNBC cells exhibited significant upregulation of the JAK-STAT signaling pathway, potentially via IL6 autocrine signaling.
- Resistant cells showed selective sensitivity to JAK2 inhibition; combined JAK and HSP90 inhibition induced higher apoptosis.
Conclusions:
- Upregulated JAK-STAT signaling is a key mechanism of acquired resistance to HSP90i in TNBC.
- Combined inhibition of JAK-STAT signaling and HSP90 effectively overcomes acquired resistance.
- This combination therapy holds promise for developing novel targeted treatments for TNBC patients.
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