Targeting DNA methylation for treating triple-negative breast cancer

Jia Yu1, Jacqueline Zayas2, Bo Qin1,3

  • 1Department of Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN 55905, USA.

Pharmacogenomics
|November 23, 2019
PubMed

Insights

Triple-negative breast cancer (TNBC) lacks targeted therapies. DNA methyltransferase inhibitors show promise by reactivating tumor suppressor genes, offering a potential new treatment avenue for this aggressive cancer.

Area of Science:

  • Oncology
  • Epigenetics
  • Molecular Biology

Background:

  • Triple-negative breast cancer (TNBC) represents 15-20% of invasive breast cancers, characterized by aggressive histology and poor prognosis.
  • Unlike other breast cancer subtypes, TNBC lacks US FDA-approved targeted therapies, necessitating novel treatment strategies.
  • Aberrant DNA methylation is a key epigenetic mechanism in cancer, often silencing tumor suppressor genes.

Purpose of the Study:

  • To explore the potential of DNA methyltransferase inhibitors as a targeted therapy for triple-negative breast cancer.
  • To investigate the reactivation of silenced tumor suppressor genes by DNA methyltransferase inhibitors in the context of TNBC.

Main Methods:

  • Review of existing literature on DNA methylation, DNA methyltransferase inhibitors, and their effects in hematologic and solid tumors.
  • Analysis of the mechanism of action of DNA methyltransferase inhibitors in reactivating tumor suppressor genes.
  • Focus on the application and potential therapeutic benefits of these inhibitors in triple-negative breast cancer.

Main Results:

  • DNA methyltransferase inhibitors have demonstrated therapeutic effects in hematologic malignancies by reactivating silenced tumor suppressor genes.
  • The antitumor effects of DNA methyltransferase inhibitors are being explored in solid tumors, including TNBC.
  • Reactivation of tumor suppressor genes by these inhibitors can lead to tumor growth arrest.

Conclusions:

  • DNA methyltransferase inhibitors represent a promising therapeutic strategy for triple-negative breast cancer due to the lack of current targeted treatments.
  • Targeting aberrant DNA methylation offers a novel approach to overcome the aggressive nature and poor outcomes associated with TNBC.
  • Further research into DNA methyltransferase inhibitors could lead to the development of effective therapies for TNBC patients.