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.

BMC Cancer
|January 26, 2019
PubMed
Abstract

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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