LINC01235 Promotes Clonal Evolution through DNA Replication Licensing-Induced Chromosomal Instability in Breast

Qi Zhang1,2, Xuliren Wang1,2, Zhibo Shao1,2

  • 1Department of Breast Surgery, Key Laboratory of Breast Cancer in Shanghai, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.

Insights

A novel long non-coding RNA, LINC01235, drives resistance to HER2-targeted therapies in breast cancer by promoting genomic instability. Targeting LINC01235 or ATR offers a promising strategy to overcome treatment resistance.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • HER2-positive breast cancer treatment resistance remains a significant clinical challenge, often driven by tumor heterogeneity and the evolution of resistant clones.
  • Identifying targetable drivers of resistance to HER2-targeted therapies like trastuzumab and T-DXd is crucial for improving patient outcomes.

Purpose of the Study:

  • To uncover potential targetable drivers of anti-HER2 treatment resistance in HER2-positive breast cancer.
  • To investigate the role of LINC01235 in mediating resistance mechanisms and explore therapeutic strategies targeting it.

Main Methods:

  • Utilized neoadjuvant-targeted therapy cohorts and a patient-derived organoid in vitro treatment model.
  • Investigated the molecular mechanisms by which LINC01235 influences DNA replication, genomic stability, and gene expression.
  • Explored therapeutic strategies targeting LINC01235 and associated pathways.

Main Results:

  • LINC01235 was found to significantly enhance DNA replication licensing and chromosomal instability, promoting clonal expansion and resistance to HER2-targeted therapies.
  • LINC01235 regulates global epigenetic modifications (H3K27ac, H3K9ac, H3K36me3), promotes H2A.Z expression, and increases DNA accessibility for licensing factors.
  • XRCC5 was identified as a key component in LINC01235-mediated replication licensing and genomic stability.
  • Therapeutic strategies targeting LINC01235 (e.g., antisense oligonucleotides) and ATR inhibitors showed promise in overcoming treatment resistance.

Conclusions:

  • LINC01235 plays a pivotal role in driving resistance mechanisms in HER2-positive breast cancer.
  • Targeting LINC01235 represents a novel therapeutic avenue to improve treatment efficacy and overcome resistance in HER2-positive breast cancer.

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