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The Histone Demethylase LSD1/ΚDM1A Mediates Chemoresistance in Breast Cancer via Regulation of a Stem Cell Program
John Verigos1,2, Panagiotis Karakaidos3,4, Dimitris Kordias5,6
1Institute of Molecular Biology and Biotechnology-Foundation for Research and Technology, 45110 Ioannina, Greece. ioan_ver@yahoo.gr.
Abstract:
Breast cancer is the leading cause of cancer death in the female population, despite advances in diagnosis and treatment. The highly heterogeneous nature of the disease represents a major obstacle to successful therapy and results in a significant number of patients developing drug resistance and, eventually, suffering from tumor relapse. Cancer stem cells (CSCs) are a small subset of tumor cells characterized by self-renewal, increased tumor-initiation capacity, and resistance to conventional therapies. As such, they have been implicated in the etiology of tumor recurrence and have emerged as promising targets for the development of novel therapies. Here, we show that the histone demethylase lysine-specific demethylase 1 (LSD1) plays an important role in the chemoresistance of breast cancer cells. Our data, from a series of in vitro and in vivo assays, advocate for LSD1 being critical in maintaining a pool of tumor-initiating cells that may contribute to the development of drug resistance. Combinatory administration of LSD1 inhibitors and anti-cancer drugs is more efficacious than monotherapy alone in eliminating all tumor cells in a 3D spheroid system. In conclusion, we provide compelling evidence that LSD1 is a key regulator of breast cancer stemness and a potential target for the design of future combination therapies.
Insights
Lysine-specific demethylase 1 (LSD1) is crucial for breast cancer stemness and chemoresistance. Inhibiting LSD1 alongside chemotherapy effectively eliminates cancer cells, offering a promising new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Breast cancer remains a leading cause of cancer death in women, with heterogeneity and drug resistance posing significant therapeutic challenges.
- Cancer stem cells (CSCs) are implicated in tumor recurrence and resistance to conventional treatments.
- Identifying novel therapeutic targets is critical for improving breast cancer outcomes.
Purpose of the Study:
- To investigate the role of lysine-specific demethylase 1 (LSD1) in breast cancer chemoresistance and stemness.
- To evaluate LSD1 as a potential therapeutic target for overcoming drug resistance in breast cancer.
Main Methods:
- In vitro and in vivo assays were conducted to assess LSD1's function in breast cancer cells.
- The efficacy of combining LSD1 inhibitors with conventional anti-cancer drugs was evaluated in a 3D spheroid system.
Main Results:
- LSD1 was found to be critical in maintaining the pool of tumor-initiating cells responsible for drug resistance.
- Combined administration of LSD1 inhibitors and anti-cancer drugs demonstrated superior efficacy in eliminating all tumor cells compared to monotherapy.
- LSD1 inhibition significantly impacts breast cancer stemness.
Conclusions:
- LSD1 is a key regulator of breast cancer stemness and chemoresistance.
- Targeting LSD1 presents a promising strategy for developing novel combination therapies to combat breast cancer recurrence and drug resistance.
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