Differential gene expression analysis of palbociclib-resistant TNBC via RNA-seq

Lilibeth Lanceta1, Nadiia Lypova1, Conor O'Neill2

  • 1Department of Medicine, School of Medicine, University of Louisville, Louisville, KY, 40202, USA.

Abstract

Insights

Triple-negative breast cancer (TNBC) cells develop resistance to palbociclib, a cyclin-dependent kinases 4 and 6 (CDK4/6) inhibitor. This resistance is linked to significant alterations in lipid metabolism, particularly cholesterol and fatty acid biosynthesis.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genomics

Background:

  • Triple-negative breast cancer (TNBC) lacks targeted therapies, posing a clinical challenge.
  • Cyclin-dependent kinases 4 and 6 (CDK4/6) inhibitors show promise for TNBC, but acquired resistance limits efficacy.
  • Understanding resistance mechanisms is vital for developing effective combination therapies.

Purpose of the Study:

  • Identify differentially expressed genes (DEGs) associated with acquired resistance to palbociclib in estrogen receptor-negative (ER-) breast cancer cells.
  • Investigate the molecular pathways involved in palbociclib resistance.
  • Explore the role of lipid metabolism in acquired resistance to CDK4/6 inhibition.

Main Methods:

  • Utilized next-generation transcriptomic sequencing (RNA-seq) to compare palbociclib-sensitive and resistant ER- MDA-MB-231 breast cancer cell lines.
  • Performed differential gene expression analysis to identify significant transcriptomic changes.
  • Conducted pathway analysis using Gene Ontology (GO), KEGG, and Ingenuity Pathway Analysis (IPA) databases.

Main Results:

  • Identified 2247 up-regulated and 1427 down-regulated transcripts in resistant cells compared to sensitive cells.
  • Pathway analysis revealed significant alterations in PI3K/AKT, PTEN, and mTOR signaling pathways.
  • Ingenuity Pathway Analysis (IPA) indicated a strong association between palbociclib resistance and altered cholesterol and fatty acid biosynthesis, suggesting lipid metabolic reprogramming.

Conclusions:

  • Acquired resistance to palbociclib in TNBC is associated with significant alterations in lipid metabolism.
  • Lipid metabolic rewiring may be a key mechanism driving resistance to CDK4/6 inhibitors in TNBC.
  • Further research is warranted to explore targeting lipid metabolism for overcoming therapy resistance in TNBC.