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.

NPJ Precision Oncology
|March 13, 2024
PubMed

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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