Neddylation Inactivation Facilitates FOXO3a Nuclear Export to Suppress Estrogen Receptor Transcription and Improve

Xiaoqing Jia1,2,3, Chunjie Li2,3, Lihui Li3

  • 1Department of Breast Surgery, Key Laboratory of Breast Cancer in Shanghai, Fudan University Shanghai Cancer Center, Shanghai, China.

Abstract

Insights

This study reveals that higher neddylation pathway activity in breast tumors correlates with poorer prognosis and reduced estrogen receptor-alpha (ERα) expression. Inhibiting neddylation with MLN4924 suppressed ER-positive breast cancer growth, enhancing fulvestrant sensitivity.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • The neddylation pathway's role in breast cancer and estrogen receptor (ER) regulation is not well understood.
  • Estrogen receptor-positive (ER+) breast cancer is a major subtype, and understanding its regulation is crucial for effective treatment.

Purpose of the Study:

  • To investigate the function of the neddylation pathway in breast tumors.
  • To identify the role of neddylation in regulating ER expression.
  • To explore the mechanisms underlying neddylation's influence on ER-positive breast cancer.

Main Methods:

  • Examined expression of neddylation proteins (NAE, nedd8) in human breast tissues.
  • Assessed ER-α expression and breast cancer growth in vitro and in vivo using NAE inhibitor MLN4924.
  • Utilized 18F-FES-PET/CT, immunoblotting, chromatin immunoprecipitation, luciferase reporter assays, and CRISPR-Cas9 to elucidate regulatory mechanisms.
  • Evaluated the synergistic effect of MLN4924 and fulvestrant in an ER-positive breast cancer mouse model.

Main Results:

  • Higher NAE1 and nedd8 expression correlated with ER-positive status and poorer prognosis.
  • MLN4924 treatment significantly downregulated ER-α expression in vitro and in vivo.
  • MLN4924 affected SGK degradation, FOXO3a nuclear export, and binding to the ESR1 promoter.
  • MLN4924, alone or with fulvestrant, significantly suppressed ER-positive breast cancer growth.

Conclusions:

  • Neddylation is activated in breast tumor tissues, offering a novel target.
  • A new mechanism for ER-α regulation by neddylation was identified.
  • Neddylation inhibition presents a potential strategy to enhance fulvestrant sensitivity in ER-positive breast cancer.

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