Unveiling Epigenetic Vulnerabilities in Triple-Negative Breast Cancer through 3D Organoid Drug Screening

Xinxin Rao1,2,3, Zhibin Qiao1,2,3, Yang Yang1,2,3

  • 1Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China.

PubMed

Insights

Patient-derived triple-negative breast cancer (TNBC) organoids precisely screened epigenetic drugs. Four compounds showed potent anti-tumor activity, offering new therapeutic options for TNBC.

Area of Science:

  • Oncology
  • Genetics
  • Pharmacology

Background:

  • Triple-negative breast cancer (TNBC) is an aggressive subtype lacking targeted therapies.
  • Epigenetic alterations are implicated in TNBC development and treatment resistance.
  • Patient-derived organoids offer a promising platform for personalized drug screening.

Purpose of the Study:

  • To identify novel epigenetic compounds with anti-tumor activity against TNBC.
  • To evaluate the precision of 3D organoid models for high-throughput drug screening.
  • To compare the efficacy of identified compounds with standard chemotherapy.

Main Methods:

  • Establishment of two patient-derived TNBC organoid models.
  • High-throughput screening of 169 epigenetic compounds using organoids and cell lines.
  • Secondary screening of top-performing compounds for anti-tumor efficacy.

Main Results:

  • Organoid-based drug screening demonstrated higher precision in response assessment than cell-based models.
  • Four epigenetic compounds (panobinostat, pacritinib, TAK-901, JIB-04) exhibited significant anti-tumor activity.
  • These compounds targeted histone deacetylase, JAK/STAT, histone demethylase, and aurora kinase pathways.

Conclusions:

  • Patient-derived TNBC organoids are valuable tools for advancing drug discovery.
  • Novel epigenetic drugs show potential as effective therapeutic agents for TNBC.
  • Targeting epigenetic pathways offers a promising strategy for TNBC treatment.

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