Highly expressed SERCA2 triggers tumor cell autophagy and is a druggable vulnerability in triple-negative breast

Minmin Fan1,2, Jian Gao1, Lin Zhou1

  • 1State Key Laboratory of Pharmaceutical Biotechnology, Nanjing Drum Tower Hospital, School of Life Sciences, Nanjing University, Nanjing 210023, China.

Insights

Triple negative breast cancer (TNBC) cells use SERCA2 to promote growth and chemoresistance via autophagy. Targeting SERCA2 with RL71 induces cell death, offering a new therapeutic strategy for TNBC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Chemoresistance is a significant challenge in treating triple-negative breast cancer (TNBC).
  • Identifying new therapeutic targets is crucial for effective TNBC treatment.
  • SERCA2 expression is linked to TNBC progression.

Purpose of the Study:

  • To investigate the role of SERCA2 in TNBC progression and chemoresistance.
  • To elucidate the mechanism by which SERCA2 influences autophagy in TNBC.
  • To evaluate SERCA2 as a potential therapeutic target for TNBC.

Main Methods:

  • Correlation analysis of SERCA2 expression with TNBC patient data.
  • Investigation of SERCA2-LC3B interaction and its role in autophagy.
  • Assessment of RL71 effects on SERCA2-targeting and autophagic cell death in vitro and in vivo.

Main Results:

  • SERCA2 expression correlates with TNBC progression, enhancing proliferation, migration, and chemoresistance.
  • SERCA2 interacts with LC3B, promoting WIPI2-independent autophagosome formation and autophagy.
  • Autophagy-mediated SERCA2 degradation triggers a Ca2+/CaMKK/CREB-1 feedback loop.
  • The small molecule RL71 enhances SERCA2-LC3B interaction, inducing excessive autophagic cell death.
  • Increased SERCA2 expression sensitizes TNBC cells to RL71-induced autophagic cell death.

Conclusions:

  • TNBC cells utilize high autophagy activity, driven by SERCA2, to achieve chemoresistance.
  • Increased SERCA2 expression represents a druggable vulnerability in TNBC.
  • Targeting SERCA2 with RL71 offers a promising therapeutic strategy for TNBC treatment.

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