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.

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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