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.
Abstract:
Triple-negative breast cancer (TNBC) is a heterogeneous disease that lacks effective therapeutic options. In this study, we profile eighteen TNBC cell lines for their sensitivity to the anti-proliferative action of all-trans retinoic acid (ATRA). The only three cell lines (HCC-1599, MB-157 and MDA-MB-157) endowed with ATRA-sensitivity are characterized by genetic aberrations of the NOTCH1-gene, causing constitutive activation of the NOTCH1 γ-secretase product, N1ICD. N1ICD renders HCC-1599, MB-157 and MDA-MB-157 cells sensitive not only to ATRA, but also to γ-secretase inhibitors (DAPT; PF-03084014). Combinations of ATRA and γ-secretase inhibitors produce additive/synergistic effects in vitro and in vivo. RNA-sequencing studies of HCC-1599 and MB-157 cells exposed to ATRA and DAPT and ATRA+DAPT demonstrate that the two compounds act on common gene sets, some of which belong to the NOTCH1 pathway. ATRA inhibits the growth of HCC-1599, MB-157 and MDA-MB-157 cells via RARα, which up-regulates several retinoid target-genes, including RARβ. RARβ is a key determinant of ATRA anti-proliferative activity, as its silencing suppresses the effects exerted by the retinoid. In conclusion, we demonstrate that ATRA exerts a significant anti-tumor action only in TNBC cells showing constitutive NOTCH1 activation. Our results support the design of clinical trials involving combinations between ATRA and γ-secretase inhibitors for the treatment of this TNBC subtype.
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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