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Cell-of-Origin Targeted Drug Repurposing for Triple-Negative and Inflammatory Breast Carcinoma with HDAC and HSP90
Udayan Bhattacharya1, Mohammad Kamran1, Maroua Manai2
1Weill Cornell Medicine, Department of Pathology and Laboratory Medicine, New York, NY 10065, USA.
Abstract:
We recently identified a cell-of-origin-specific mRNA signature associated with metastasis and poor outcome in triple-negative carcinoma (TNBC). This TNBC cell-of-origin signature is associated with the over-expression of histone deacetylases and zinc finger protein HDAC1, HDAC7, and ZNF92, respectively. Based on this signature, we discovered that the combination of three drugs (an HDAC inhibitor, an anti-helminthic Niclosamide, and an antibiotic Tanespimycin that inhibits HSP90) synergistically reduces the proliferation of the twelve tested TNBC cell lines. Additionally, we discovered that four out of five inflammatory breast carcinoma cell lines are sensitive to this combination. Significantly, the concentration of the drugs that are used in these experiments are within or below clinically achievable dose, and the synergistic activity only emerged when all three drugs were combined. Our results suggest that HDAC and HSP90 inhibitors combined with the tapeworm drug Niclosamide can achieve remarkably synergistic inhibition of TNBC and IBC. Since Niclosamide, HDAC, and HSP90 inhibitors were approved for clinical use for other cancer types, it may be possible to repurpose their combination for TNBC and IBC.
Insights
A novel drug combination including an HDAC inhibitor, Niclosamide, and an HSP90 inhibitor shows synergistic efficacy against triple-negative breast cancer (TNBC) and inflammatory breast cancer (IBC) cell lines.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Triple-negative breast cancer (TNBC) is characterized by poor prognosis and metastasis.
- A specific cell-of-origin mRNA signature linked to TNBC progression involves overexpression of HDAC1, HDAC7, and ZNF92.
- Histone deacetylases (HDACs) and heat shock protein 90 (HSP90) are implicated in cancer development.
Purpose of the Study:
- To identify a therapeutic strategy targeting the TNBC cell-of-origin signature.
- To evaluate the synergistic effect of combining an HDAC inhibitor, Niclosamide, and an HSP90 inhibitor on TNBC and inflammatory breast carcinoma (IBC) cell lines.
Main Methods:
- Identification of a TNBC cell-of-origin mRNA signature.
- Treatment of TNBC and IBC cell lines with a combination of an HDAC inhibitor, Niclosamide, and Tanespimycin (HSP90 inhibitor).
- Assessment of drug concentrations for clinical relevance.
Main Results:
- The drug combination synergistically reduced proliferation in twelve tested TNBC cell lines.
- Four out of five IBC cell lines demonstrated sensitivity to the combination therapy.
- Effective drug concentrations were within or below clinically achievable doses.
Conclusions:
- The combination of HDAC inhibitors, Niclosamide, and HSP90 inhibitors exhibits significant synergistic activity against TNBC and IBC.
- Repurposing these clinically approved drugs may offer a novel therapeutic approach for TNBC and IBC treatment.
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