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Cell Line-Specific Network Models of ER+ Breast Cancer Identify Potential PI3Kα Inhibitor Resistance Mechanisms and
Jorge Gómez Tejeda Zañudo1,2, Pingping Mao2, Clara Alcon3
1Eli and Edythe L. Broad Institute of MIT and Harvard, Cambridge, Massachusetts. jgtz@broadinsitute.org jmontero@ibecbarcelona.eu rza1@psu.edu nikhil_wagle@dfci.harvard.edu.
Network models identified effective drug combinations for PI3Kα-mutant breast cancer, revealing FOXO3 downregulation as a resistance mechanism. This approach aids in overcoming cancer drug resistance.
Area of Science:
- Oncology
- Computational Biology
- Pharmacology
Background:
- Targeted therapies like alpelisib are crucial for invasive solid tumors, but therapeutic resistance remains a significant challenge.
- Estrogen receptor-positive (ER+), PIK3CA-mutant breast cancer often develops resistance to PI3Kα inhibitors.
- Identifying novel resistance mechanisms and effective drug combinations is essential for durable tumor control.
Purpose of the Study:
- To utilize a network-based mathematical model to identify drug combinations and sensitivity regulators for alpelisib in ER+ PIK3CA-mutant breast cancer.
- To experimentally validate model predictions regarding alpelisib efficacy and resistance mechanisms.
- To develop cell line-specific network models for predicting differential drug responses.
Main Methods:
- Development and application of a network-based mathematical model to analyze PI3Kα signaling pathways.
- Experimental validation of predicted drug combinations (alpelisib with BH3 mimetics) in ER+ breast cancer cell lines.
- Investigation of FOXO3 downregulation as a potential resistance mechanism and analysis of BCL2 family member expression.
Main Results:
- The model accurately predicted the combination of alpelisib with BH3 mimetics (e.g., MCL1 inhibitors) as efficacious.
- FOXO3 downregulation was identified as a novel mechanism reducing sensitivity to alpelisib.
- Cell line-specific sensitivity to alpelisib and BH3 mimetic combinations correlated with BCL2 family member expression.
Conclusions:
- Network-based mathematical models are valuable tools for identifying cancer drug resistance mechanisms and predicting effective therapeutic strategies.
- The study highlights the potential of combining alpelisib with BH3 mimetics for ER+ PIK3CA-mutant breast cancer.
- Understanding oncogenic signaling networks and validating model predictions experimentally can overcome challenges in targeted cancer therapy.
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