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Targeted Intervention of NF2-YAP Signaling Axis in CD24-Overexpressing Cells Contributes to Encouraging Therapeutic
Lingmi Hou1,2, Lulan Pu1,3, Yu Chen1,3
1Department of Academician (expert) Workstation, Biological Targeting Laboratory of Breast Cancer, Breast and Thyroid Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, People's Republic of China.
Abstract:
Triple-negative breast cancer (TNBC) cells have not been usefully classified, and no targeted therapeutic plans are currently available, resulting in a high recurrence rate and metastasis potential. In this research, CD24high cells accounted for the vast majority of TNBC cells, and they were insensitive to Taxol but sensitive to ferroptosis agonists and effectively escaped phagocytosis by tumor-associated macrophages. Furthermore, the NF2-YAP signaling axis modulated the expression of ferroptosis suppressor protein 1 (FSP1) and CD24 in CD24high cells, with subsequent ferroptotic regulation and macrophage phagocytosis. In addition, a precision targeted therapy system was designed based on the pH level and glutathione response, and it can be effectively used to target CD24high cells to induce lysosomal escape and drug burst release through CO2 production, resulting in enhanced ferroptosis and macrophage phagocytosis through FSP1 and CD24 inhibition mediated by the NF2-YAP signaling axis. This system achieved dual antitumor effects, ultimately promoting cell death and thus inhibiting TNBC tumor growth, with some tumors even disappearing. The composite nanoprecision treatment system reported in this paper is a potential strategic tool for future use in the treatment of TNBC.
Insights
Triple-negative breast cancer (TNBC) cells are classified by CD24high expression. A novel therapy targets these cells, enhancing ferroptosis and macrophage phagocytosis to inhibit tumor growth.
Area of Science:
- Oncology
- Cancer Biology
- Nanomedicine
Background:
- Triple-negative breast cancer (TNBC) lacks effective classification and targeted therapies, leading to high recurrence and metastasis.
- CD24high cells constitute the majority of TNBC, exhibiting resistance to conventional chemotherapy (Taxol) but sensitivity to ferroptosis.
- These CD24high cells evade phagocytosis by tumor-associated macrophages, contributing to tumor progression.
Purpose of the Study:
- To investigate the role of the NF2-YAP signaling axis in CD24high TNBC cells.
- To develop a precision targeted therapy system for CD24high TNBC cells.
- To enhance ferroptosis and macrophage phagocytosis for improved TNBC treatment.
Main Methods:
- Characterization of CD24high TNBC cells and their sensitivity to ferroptosis agonists.
- Analysis of the NF2-YAP signaling pathway's role in regulating FSP1 and CD24 expression.
- Design and evaluation of a pH- and glutathione-responsive nanoprecision treatment system targeting CD24high cells.
Main Results:
- The NF2-YAP signaling axis was identified as a modulator of FSP1 and CD24 expression in CD24high cells, influencing ferroptosis and macrophage phagocytosis.
- The developed nanoprecision system effectively targeted CD24high cells, inducing lysosomal escape and drug release via CO2 production.
- This targeted system enhanced ferroptosis and macrophage phagocytosis by inhibiting FSP1 and CD24, leading to significant TNBC tumor inhibition.
Conclusions:
- The NF2-YAP signaling axis is a critical regulator in CD24high TNBC, impacting ferroptosis and immune evasion.
- A novel nanoprecision treatment system demonstrates efficacy in targeting CD24high TNBC cells.
- This therapeutic strategy offers a promising approach for treating TNBC by inducing dual antitumor effects.
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