Proteogenomic Landscape of Breast Ductal Carcinoma Reveals Tumor Progression Characteristics and Therapeutic Targets

  • 0State Key Laboratory of Genetic Engineering, School of Life Sciences, Human Phenome Institute, Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, 200433, China.

Summary

This summary is machine-generated.

This study deciphers breast ductal carcinoma (BRDC) progression using multi-omics, revealing key molecular events like TP53 mutations driving early stages and immune evasion mechanisms in later phases. AKR1C1 emerges as a therapeutic target.

Area Of Science

  • Oncology
  • Genomics
  • Proteomics

Background

  • Understanding breast ductal carcinoma (BRDC) progression is crucial for developing targeted therapies.
  • The temporal sequence of biological events in BRDC remains poorly defined.
  • Multi-omics approaches offer a powerful tool to unravel complex disease pathways.

Purpose Of The Study

  • To elucidate the linear, multi-step progression of BRDC using comprehensive proteogenomic analysis.
  • To identify key molecular drivers and therapeutic targets at different stages of BRDC.
  • To provide insights into potential therapeutic strategies for BRDC treatment.

Main Methods

  • Comprehensive proteogenomic analysis of 224 samples from 168 patients with malignant and benign breast diseases.
  • Integration of multi-omics data to map molecular changes during BRDC progression.
  • In vitro validation of identified therapeutic targets and inhibitors.

Main Results

  • Identified a linear progression model for BRDC.
  • TP53 mutation-associated ESR1 overexpression drives transition from ductal hyperplasia (DH) to ductal carcinoma in situ (DCIS).
  • 6q21 amplification-associated NR3C1 overexpression facilitates immune evasion in pure DCIS.
  • The TIAM1-AR-AKR1C1 axis promotes invasion and migration in DCIS adjacent to invasive cancer (DCIS_adjIDC).
  • AKR1C1 identified as a potential therapeutic target, with aspirin and dydrogesterone showing inhibitory effects.

Conclusions

  • Proteogenomic analysis provides a detailed map of BRDC progression.
  • Specific molecular events and pathways are critical at different stages of BRDC.
  • AKR1C1 represents a promising therapeutic target for BRDC, with potential for drug intervention.