Novel combinatorial autophagy inhibition therapy for triple negative breast cancers
Yomna S Abd El-Aziz1, Taymin du Toit-Thompson2, Matthew J McKay3
1Northern Clinical School, Faculty of Medicine and Health, University of Sydney, Australia; Kolling Institute of Medical Research, University of Sydney, Australia; Oral Pathology Department, Faculty of Dentistry, Tanta University, Tanta, Egypt.
Background:
Triple negative breast cancer (TNBC) has the worst prognosis among breast cancer subtypes. It is characterized by lack of estrogen, progesterone and human epidermal growth factor 2 receptors, and thus, have limited therapeutic options. Autophagy has been found to be correlated with poor prognosis and aggressive behaviour in TNBC. This study aimed to target autophagy in TNBC via a novel approach to inhibit TNBC progression.
Methods:
Immunoblotting and confocal microscopy were carried out to examine the effect of tumor microenvironmental stressors on autophagy. Cellular proliferation and migration assays were used to test the effect of different autophagy inhibitors and standard chemotherapy alone or in combination. In vivo xenograft mouse model was utilized to assess the effect of autophagy inhibitors alone or in combination with Paclitaxel. High resolution mass spectrometry based proteomic analysis was performed to explore the mechanisms behind chemoresistance in TNBC. Lastly, immunohistochemistry was done to assess the correlation between autophagy related proteins and clinical characteristics in TNBC tissue specimens.
Results:
Metabolic stressors were found to induce autophagy in TNBC cell lines. Autophagy initiation inhibitors, SAR405 and MRT68921, showed marked synergy in their anti-proliferative activity in both chemosensitive and chemoresistant TNBC cell models. Paradoxically, positive expression of autophagosome marker LC3 was shown to be associated with better overall survival of TNBC patients.
Conclusion:
In this study, a novel combination between different autophagy inhibitors was identified which inhibited tumor cell proliferation in both chemosensitive and chemoresistant TNBC cells and could result in development of a novel treatment modality against TNBC.
Insights
Targeting autophagy with novel drug combinations shows promise for treating triple negative breast cancer (TNBC). This approach inhibits tumor cell proliferation in both sensitive and resistant TNBC models, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Cancer Biology
- Molecular Medicine
Background:
- Triple negative breast cancer (TNBC) presents a poor prognosis due to limited treatment options.
- Autophagy is linked to aggressive TNBC behavior and poor patient outcomes.
- This study investigates targeting autophagy as a novel strategy to combat TNBC progression.
Purpose of the Study:
- To explore the role of autophagy in TNBC progression.
- To evaluate novel autophagy inhibitors for TNBC treatment.
- To identify synergistic combinations of autophagy inhibitors.
Main Methods:
- Examined autophagy induction by microenvironmental stressors using immunoblotting and microscopy.
- Assessed proliferation and migration effects of autophagy inhibitors and chemotherapy.
- Utilized in vivo xenograft models and proteomic analysis to study chemoresistance mechanisms.
Main Results:
- Metabolic stressors induce autophagy in TNBC cell lines.
- Autophagy inhibitors SAR405 and MRT68921 demonstrated synergistic anti-proliferative effects.
- Contrary to expectations, LC3 expression correlated with better TNBC patient survival.
Conclusions:
- A novel combination of autophagy inhibitors effectively inhibits TNBC cell proliferation.
- This combination shows potential as a new treatment modality for TNBC.
- Further research into autophagy modulation could lead to improved TNBC therapies.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Tumor Immunotherapy
Inhibition of Cdk Activity
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
The Intrinsic Apoptotic Pathway


