Decoding gene regulatory circuitry underlying TNBC chemoresistance reveals biomarkers for therapy response and
Ryan Lusby1, Ziyi Zhang1, Arun Mahesh1,2
1Wellcome-Wolfson Institute for Experimental Medicine, School of Medicine, Dentistry & Biomedical Science, Queens University, Belfast, BT9 7BL, UK.
Abstract:
Triple-negative breast cancer (TNBC) is the most aggressive breast cancer subtype characterised by extensive intratumoral heterogeneity, high rates of metastasis and chemoresistance, leading to poor clinical outcomes. Despite progress, the mechanistic basis of chemotherapy resistance in TNBC patients remains poorly understood. Here, leveraging single-cell transcriptome datasets of matched longitudinal TNBC chemoresponsive and chemoresistant patient cohorts, we unravel distinct cell subpopulations intricately associated with chemoresistance and the signature genes defining these populations. Notably, using genome-wide mapping of the H3K27ac mark, we show that the expression of these chemoresistance genes is driven via a set of TNBC super-enhancers and associated transcription factor networks across TNBC subtypes. Furthermore, genetic screens reveal that a subset of these transcription factors is essential for the survival of TNBC cells, and their loss increases sensitivity to chemotherapeutic agents. Overall, our study has revealed epigenetic and transcription factor networks underlying chemoresistance and suggests novel avenues to stratify and improve the treatment of patients with a high risk of developing resistance.
Insights
Triple-negative breast cancer (TNBC) resistance is driven by specific cell subpopulations and epigenetic networks. Targeting key transcription factors offers new strategies to improve chemotherapy effectiveness in TNBC patients.
Area of Science:
- Oncology
- Genomics
- Epigenetics
Background:
- Triple-negative breast cancer (TNBC) is an aggressive subtype with poor outcomes due to high metastasis and chemoresistance.
- The underlying mechanisms of chemotherapy resistance in TNBC remain largely unknown.
- Understanding these mechanisms is crucial for developing effective treatment strategies.
Purpose of the Study:
- To identify cell subpopulations and molecular drivers associated with chemoresistance in TNBC.
- To elucidate the epigenetic regulation, specifically H3K27ac modifications, governing chemoresistance gene expression.
- To explore therapeutic targets within transcription factor networks crucial for TNBC survival and chemosensitivity.
Main Methods:
- Analysis of single-cell transcriptome datasets from longitudinal TNBC patient cohorts (chemoresponsive and chemoresistant).
- Genome-wide mapping of H3K27ac to identify super-enhancers and regulatory networks.
- Functional genetic screens to assess the role of identified transcription factors in TNBC cell survival and drug sensitivity.
Main Results:
- Distinct cell subpopulations and their signature genes linked to TNBC chemoresistance were identified.
- Chemoresistance gene expression is regulated by TNBC super-enhancers and associated transcription factor networks.
- A subset of these transcription factors is essential for TNBC cell survival and their inhibition sensitizes cells to chemotherapy.
Conclusions:
- Epigenetic and transcription factor networks play a critical role in TNBC chemoresistance.
- Targeting these networks presents a promising strategy for overcoming treatment resistance.
- This study provides insights for stratifying TNBC patients and developing novel therapeutic approaches.
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