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.

Cancers
|January 21, 2023
PubMed

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.