High-Throughput Empirical and Virtual Screening to Discover Novel Inhibitors of Polyploid Giant Cancer Cells in

Yushu Ma1,2, Chien-Hung Shih1, Jinxiong Cheng1,3

  • 1UPMC Hillman Cancer Center, University of Pittsburgh, 5115 Centre Ave, Pittsburgh, PA 15232, USA.

Insights

Researchers developed a novel screening method to identify drugs targeting therapy-resistant polyploid giant cancer cells (PGCCs) in breast cancer. Machine learning further predicted and validated new PGCC inhibitors, offering hope for improved cancer treatments.

Area of Science:

  • Cancer Biology
  • Drug Discovery
  • Computational Biology

Background:

  • Therapy resistance in breast cancer is linked to polyploid giant cancer cells (PGCCs), which survive standard treatments and cause relapse.
  • Limited high-throughput methods exist to assess PGCC viability, hindering the development of targeted therapies.
  • PGCCs are characterized by whole-genome doubling, enlarged nuclei, and dormant states under therapeutic stress.

Purpose of the Study:

  • To develop and implement a high-throughput single-cell morphological analysis workflow to identify compounds targeting PGCCs.
  • To screen FDA-approved drugs and discover novel anti-PGCC agents.
  • To build and validate a machine learning model for *in silico* prediction of anti-PGCC efficacy.

Main Methods:

  • Developed a high-throughput single-cell morphological analysis workflow to differentiate compound effects on PGCCs vs. non-PGCCs.
  • Screened 2,726 FDA Phase 1-approved drugs, followed by RNA-Seq analysis of promising candidates.
  • Trained a machine learning model using chemical fingerprints and compound descriptions to predict anti-PGCC efficacy.

Main Results:

  • Identified proteasome inhibitors, FOXM1, CHK, and macrocyclic lactones as promising anti-PGCC candidates.
  • Pyronaridine (a macrocyclic lactone) showed potential via AXL inhibition.
  • Machine learning model accurately predicted efficacy, leading to experimental validation of two novel PGCC inhibitors.

Conclusions:

  • A synergistic approach combining high-throughput empirical screening and machine learning accelerates the discovery of therapies targeting PGCCs.
  • Novel PGCC inhibitors were identified and validated, offering potential new treatments for therapy-resistant breast cancer.
  • This strategy can be applied to discover drugs targeting other resistant cancer cell populations.

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