Identified the novel resistant biomarkers for taxane-based therapy for triple-negative breast cancer

Ching-Wen Chou1,2, Yu-Min Huang3,4, Yu-Jia Chang1,5,6

  • 1Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan, ROC.

Insights

Identifying key genes for paclitaxel resistance in triple-negative breast cancer (TNBC) is crucial. This study found specific genes, like PDGFA and COL4A6, linked to treatment response and patient survival in basal-like TNBC.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • Triple-negative breast cancer (TNBC) presents significant clinical challenges, with taxane-based chemotherapy as a standard treatment.
  • Understanding the mechanisms of taxane resistance is critical for improving clinical outcomes in breast cancer patients.
  • Basal-like TNBC subtypes require specific therapeutic strategies to overcome treatment resistance.

Purpose of the Study:

  • To identify key genes associated with paclitaxel resistance in basal-like TNBC.
  • To explore the prognostic value of identified genes in relation to patient survival.
  • To propose candidate target genes for enhancing taxane-based therapy efficacy in TNBC.

Main Methods:

  • Utilized Gene Expression Omnibus (GEO) data to model paclitaxel resistance in TNBC cell lines (SUM149, MDA-MB-468).
  • Analyzed differentially expressed genes (DEGs) and constructed protein-protein interaction networks to identify hub genes.
  • Correlated gene expression with clinical response to neoadjuvant paclitaxel therapy and assessed prognostic value using Kaplan-Meier analysis.

Main Results:

  • Identified 71 common upregulated and 11 downregulated DEGs related to paclitaxel resistance.
  • Discovered nine hub genes involved in critical signaling pathways, with PDGFA (upregulated) and COL4A6 (downregulated) linked to therapy insensitivity.
  • High PDGFA and LAMB3 expression correlated with poor recurrence-free survival; low FYB, IL18R1, and RASGRP1 indicated poorer relapse-free survival.

Conclusions:

  • PDGFA and COL4A6 are significantly associated with response to paclitaxel-based neoadjuvant therapy in basal-like TNBC.
  • Several identified hub genes, including PDGFA, LAMB3, FYB, IL18R1, and RASGRP1, demonstrate prognostic value for patient survival.
  • PDGFA, COL4A6, LPAR1, FYB, COL4A5, and RASGRP1 are proposed as potential therapeutic targets for taxane-based treatments in basal-like TNBC.