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Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Targeting DNA Polymerase Epsilon Leads to Tumor Clearance and Activation of an NF-κB-mediated inflammatory response
Elizabeth F Sher1,2, Kenji M Fujihara1,2, Anthony Tao1,2
1Department of Pathology, NYU Grossman School of Medicine, New York, USA.
Abstract:
Breast cancer remains the second leading cause of cancer-related mortality among women, with triple-negative breast cancer (TNBC) exhibiting a particularly poor five-year prognosis1. Here, we demonstrate that among genetic and pharmacological perturbations targeting DNA replication, suppression of DNA polymerase epsilon (POLE) in TNBC, induces a potent, TNBC-specific gene expression signature enriched in inflammatory cytokines that are transcriptional targets of NF-κB. TNBC cells exhibit markedly higher levels of DNA damage and canonical NF-κB activation compared to luminal breast cancer cells. Notably, NF-κB activation in this context depends on the canonical component RELA, but not the non-canonical component RELB. Mechanistically, ATM, STING, and RIG-I each contribute to NF-κB activation following POLE suppression. In vivo, POLE suppression in a murine TNBC model leads to cancer cell-intrinsic elimination of tumor burden and increased immune cell infiltration. Together, these findings support a model in which replication stress from POLE inhibition triggers robust NF-κB-mediated inflammation and immune microenvironment remodeling in TNBC and can independently trigger tumor eradication. These results suggest a potential therapeutic avenue for targeting POLE in TNBC.
Insights
Targeting DNA polymerase epsilon (POLE) in triple-negative breast cancer (TNBC) triggers an inflammatory response, leading to tumor eradication and improved immune cell infiltration. This suggests POLE as a potential therapeutic target for TNBC.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Triple-negative breast cancer (TNBC) has a poor prognosis.
- DNA replication is a critical process in cancer cell proliferation.
- Understanding TNBC-specific vulnerabilities is crucial for developing new therapies.
Purpose of the Study:
- To investigate the effects of suppressing DNA polymerase epsilon (POLE) in TNBC.
- To elucidate the molecular mechanisms linking POLE suppression to TNBC-specific responses.
- To evaluate the therapeutic potential of POLE inhibition in TNBC.
Main Methods:
- Genetic and pharmacological inhibition of POLE in TNBC cell lines and a murine TNBC model.
- Analysis of gene expression signatures, focusing on NF-κB pathway activation.
- Assessment of DNA damage levels and immune cell infiltration.
Main Results:
- POLE suppression in TNBC induces a unique gene expression signature enriched in NF-κB-dependent inflammatory cytokines.
- TNBC cells show higher DNA damage and NF-κB activation compared to luminal breast cancer cells.
- ATM, STING, and RIG-I signaling pathways contribute to NF-κB activation upon POLE suppression.
- In vivo, POLE suppression leads to tumor eradication and increased immune cell infiltration in a TNBC model.
Conclusions:
- Replication stress induced by POLE inhibition triggers robust NF-κB-mediated inflammation and immune remodeling in TNBC.
- POLE suppression can independently lead to tumor eradication in TNBC.
- Targeting POLE represents a promising therapeutic strategy for TNBC.
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