Retinoic Acid Sensitivity of Triple-Negative Breast Cancer Cells Characterized by Constitutive Activation of the

Gabriela Paroni1, Adriana Zanetti1, Maria Monica Barzago1

  • 1Laboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, Italy.

Cancers
|October 21, 2020
PubMed

Insights

All-trans retinoic acid (ATRA) shows anti-tumor effects in triple-negative breast cancer (TNBC) cells with NOTCH1 activation. Combining ATRA with gamma-secretase inhibitors offers a promising therapeutic strategy for this TNBC subtype.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Triple-negative breast cancer (TNBC) is an aggressive subtype lacking targeted therapies.
  • Genetic aberrations in NOTCH1 signaling are observed in a subset of TNBC.
  • All-trans retinoic acid (ATRA) has shown potential anti-proliferative effects.

Purpose of the Study:

  • To investigate the sensitivity of TNBC cell lines to all-trans retinoic acid (ATRA).
  • To explore the role of NOTCH1 activation in ATRA sensitivity.
  • To evaluate combination therapies of ATRA with gamma-secretase inhibitors.

Main Methods:

  • Profiling of 18 TNBC cell lines for ATRA sensitivity.
  • Genetic analysis of NOTCH1 pathway components.
  • In vitro and in vivo studies of ATRA and gamma-secretase inhibitor combinations (DAPT, PF-03084014).
  • RNA-sequencing to analyze gene expression changes.

Main Results:

  • Three TNBC cell lines (HCC-1599, MB-157, MDA-MB-157) sensitive to ATRA exhibited NOTCH1 genetic aberrations and constitutive N1ICD activation.
  • N1ICD conferred sensitivity to both ATRA and gamma-secretase inhibitors.
  • Combinations of ATRA and gamma-secretase inhibitors demonstrated additive/synergistic anti-tumor effects.
  • ATRA inhibited cell growth via RARα, upregulating RARβ, a key mediator of its anti-proliferative activity.

Conclusions:

  • ATRA exhibits significant anti-tumor activity specifically in TNBC cells with constitutive NOTCH1 activation.
  • Combined ATRA and gamma-secretase inhibitor therapy is a viable strategy for treating this TNBC subtype.
  • Results support the initiation of clinical trials for this targeted combination therapy.

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