Activity of BET-proteolysis targeting chimeric (PROTAC) compounds in triple negative breast cancer

María Del Mar Noblejas-López1,2, Cristina Nieto-Jimenez1,2, Miguel Burgos1

  • 1Translational Research Unit, Albacete University Hospital, C/ Francisco Javier de Moya sn, 02006, Albacete, Spain.

Abstract

Insights

Novel BET-PROTACs, MZ1 and ARV-825, demonstrate significant anti-tumor activity against triple-negative breast cancer (TNBC) and ovarian cancer cells, including drug-resistant models. These compounds effectively degrade BRD4 protein, offering a promising therapeutic strategy for TNBC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Triple-negative breast cancer (TNBC) presents a significant unmet medical need due to its aggressive nature and lack of targeted therapies.
  • Proteolysis targeting chimeras (PROTACs) represent a novel therapeutic modality that hijacks the cell's ubiquitin-proteasome system to degrade target proteins.
  • BET proteins are epigenetic regulators implicated in various cancers, making them attractive therapeutic targets.

Purpose of the Study:

  • To investigate the anti-tumor efficacy of two novel BET-PROTACs, MZ1 and ARV-825, in TNBC, ovarian cancer, and BET inhibitor-resistant models.
  • To elucidate the mechanism of action of these BET-PROTACs in cancer cells.
  • To evaluate the in vivo efficacy of BET-PROTACs in a resistant TNBC xenograft model.

Main Methods:

  • Utilized multiple human cancer cell lines including TNBC (BT549, MDA-MB-231) and ovarian cancer (OVCAR3, SKOV3), along with a JQ1-resistant TNBC line (MDA-MB-231R).
  • Assessed anti-proliferative effects using MTT assays, colony-forming assays, and 3D matrigel cultures.
  • Investigated molecular mechanisms via flow cytometry for cell cycle analysis and apoptosis, and western blotting for protein degradation (BRD4).
  • Conducted in vivo studies using BALB/c nude mice xenografted with MDA-MB-231R cells.

Main Results:

  • MZ1 and ARV-825 effectively reduced BRD4 protein levels in both sensitive and resistant TNBC cells.
  • Both BET-PROTACs exhibited significant anti-proliferative activity across TNBC and ovarian cancer cell lines, including the resistant model.
  • MZ1 induced G2/M cell cycle arrest and promoted caspase-dependent apoptosis in sensitive and resistant cells.
  • In vivo administration of MZ1 suppressed tumor growth in a JQ1-resistant xenograft model, correlating with reduced BRD4 expression.

Conclusions:

  • BET-PROTACs demonstrate potent anti-tumor activity against both drug-sensitive and drug-resistant TNBC models.
  • These findings support the clinical development of BET-PROTACs as a therapeutic option for TNBC patients, including those who have developed resistance to conventional BET inhibitors.
  • The study highlights the potential of PROTAC technology in overcoming therapeutic resistance in challenging cancers.

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