Repurposing mebendazole against triple-negative breast cancer leptomeningeal disease

Adrian Rodrigues1, Sophia B Chernikova2, Yuelong Wang3

  • 1Massachusetts General Hospital.

Research Square
|February 26, 2024
PubMed
Abstract

Insights

Mebendazole (MBZ) effectively reduced triple-negative breast cancer (TNBC) leptomeningeal disease (LMD) in mice. This study supports MBZ as a potential oral therapy for TNBC brain metastases.

Area of Science:

  • Oncology
  • Pharmacology
  • Neuro-oncology

Background:

  • Triple-negative breast cancer (TNBC) is aggressive and prone to brain metastasis, leading to leptomeningeal disease (LMD).
  • LMD in TNBC patients has limited therapeutic options.
  • The anti-helminthic drug mebendazole (MBZ) was investigated for its potential efficacy against TNBC LMD.

Approach:

  • Screening of TNBC cell lines identified benzimidazoles as potential agents.
  • In vitro migration assays assessed cell migration and MBZ effects.
  • In vivo studies utilized a murine model of TNBC LMD induced by intracarotid injection of brain-tropic cells.
  • Tumor growth and survival were monitored, with MBZ administered orally.

Key Points:

  • TNBC exhibits higher migratory capacity than other breast cancer subtypes.
  • MBZ significantly inhibited the migration of TNBC cell lines.
  • MBZ treatment reduced tumor growth and extended survival in a murine model of TNBC LMD.
  • MBZ showed no effect in a non-migratory breast cancer model.

Conclusions:

  • Mebendazole (MBZ) demonstrated safety and efficacy in an animal model of TNBC leptomeningeal disease.
  • These findings align with prior research on MBZ and CNS pathology.
  • MBZ shows promise as an alternative therapeutic agent for TNBC LMD.