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MAPK4 promotes triple negative breast cancer growth and reduces tumor sensitivity to PI3K blockade
Wei Wang1, Dong Han1, Qinbo Cai1
1Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, USA.
Abstract:
About 15-20% of breast cancer (BCa) is triple-negative BCa (TNBC), a devastating disease with limited therapeutic options. Aberrations in the PI3K/PTEN signaling pathway are common in TNBC. However, the therapeutic impact of PI3K inhibitors in TNBC has been limited and the mechanism(s) underlying this lack of efficacy remain elusive. Here, we demonstrate that a large subset of TNBC expresses significant levels of MAPK4, and this expression is critical for driving AKT activation independent of PI3K and promoting TNBC cell and xenograft growth. The ability of MAPK4 to bypass PI3K for AKT activation potentially provides a direct mechanism regulating tumor sensitivity to PI3K inhibition. Accordingly, repressing MAPK4 greatly sensitizes TNBC cells and xenografts to PI3K blockade. Altogether, we conclude that high MAPK4 expression defines a large subset or subtype of TNBC responsive to MAPK4 blockage. Targeting MAPK4 in this subset/subtype of TNBC both represses growth and sensitizes tumors to PI3K blockade.
Insights
High MAPK4 expression drives triple-negative breast cancer (TNBC) growth by activating AKT independently of PI3K. Targeting MAPK4 offers a new therapeutic strategy for TNBC, enhancing sensitivity to PI3K inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling Pathways
Background:
- Triple-negative breast cancer (TNBC) accounts for 15-20% of breast cancers and has limited treatment options.
- PI3K/PTEN pathway aberrations are frequent in TNBC, yet PI3K inhibitors show limited efficacy.
- The mechanisms behind the limited therapeutic impact of PI3K inhibitors in TNBC are not fully understood.
Purpose of the Study:
- To investigate the role of MAPK4 in TNBC pathogenesis.
- To explore MAPK4 as a potential therapeutic target in TNBC.
- To understand how MAPK4 influences AKT activation and sensitivity to PI3K inhibition.
Main Methods:
- Analysis of MAPK4 expression in TNBC subsets.
- Investigating the functional role of MAPK4 in TNBC cell proliferation and xenograft growth.
- Evaluating the combined effect of MAPK4 repression and PI3K inhibition on TNBC.
Main Results:
- A significant subset of TNBC expresses high levels of MAPK4.
- MAPK4 drives AKT activation independently of PI3K, promoting TNBC growth.
- Repressing MAPK4 sensitizes TNBC cells and xenografts to PI3K blockade.
Conclusions:
- High MAPK4 expression identifies a TNBC subset responsive to MAPK4 inhibition.
- Targeting MAPK4 can repress TNBC growth and sensitize tumors to PI3K inhibitors.
- MAPK4 acts as a critical regulator of AKT activation, bypassing PI3K in TNBC.
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