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Ifebemtinib and paclitaxel synergistically inhibit the proliferation and metastasis of TNBC by blocking PI3K/Akt
Yong Li1, Lianfang Li1, Qixin Mao1
1Department of Breast Disease, Henan Breast Cancer Center, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, 450008, China.
Abstract:
Triple-negative breast cancer (TNBC) is a highly aggressive malignancy lacking effective therapeutic strategies, resulting in a poor patient prognosis. In this study, we investigated the efficacy and underlying molecular mechanisms of the combination of FAK inhibitor Ifebemtinib and paclitaxel in TNBC. We found that FAK were significantly upregulated in breast cancer and correlated with poor prognosis in both breast cancer and TNBC patients. In vitro, the combination of Ifebemtinib and paclitaxel synergistically suppressed proliferation and colony-formation of TNBC cells. Through inactivating CDK1, they induced cell cycle arrest at G2/M phase. By down-regulating Bcl-2 and up-regulating Bax, the combination induced triggered apoptosis. By up-regulating E-cadherin, down-regulating N-cadherin and vimentin, they inhibited migration of TNBC cells. In vivo, the combination inhibited TNBC cell proliferation and spontaneous lung metastasis. Mechanistically, on one hand, the combination synergistically inhibited phosphorylation-mediated activation of FAK. On the other hand, they downregulated LSD1, thereby relieving LSD1-mediated transcriptional repression of PIK3IP1, which is a negative regulator of the PI3K/Akt pathway, leading to accumulation of PIK3IP1. By inhibiting FAK activation and upregulating PIK3IP1, Ifebemtinib and paclitaxel blocked the PI3K/Akt pathway, effectively suppressing TNBC proliferation and metastasis. Our findings suggest that FAK may serve as a potential therapeutic target for TNBC.
Insights
Combining FAK inhibitor Ifebemtinib with paclitaxel shows promise for triple-negative breast cancer (TNBC). This combination effectively inhibits TNBC cell growth, metastasis, and induces apoptosis by targeting FAK and the PI3K/Akt pathway.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Triple-negative breast cancer (TNBC) is aggressive with limited treatment options.
- Focal Adhesion Kinase (FAK) is upregulated in breast cancer, correlating with poor prognosis.
- There is a critical need for novel therapeutic strategies targeting TNBC.
Purpose of the Study:
- To investigate the efficacy of combining FAK inhibitor Ifebemtinib with paclitaxel in TNBC.
- To elucidate the molecular mechanisms underlying the combination therapy's effects.
- To evaluate FAK as a potential therapeutic target in TNBC.
Main Methods:
- In vitro studies using TNBC cell lines to assess proliferation, colony formation, cell cycle, apoptosis, and migration.
- In vivo studies in mouse models to evaluate tumor growth and lung metastasis.
- Western blotting and gene expression analysis to investigate molecular signaling pathways (FAK, PI3K/Akt, LSD1).
Main Results:
- Ifebemtinib and paclitaxel synergistically inhibited TNBC cell proliferation, colony formation, and induced G2/M cell cycle arrest and apoptosis.
- The combination suppressed TNBC cell migration and in vivo proliferation and lung metastasis.
- Mechanistically, the combination inhibited FAK phosphorylation and upregulated PIK3IP1 by downregulating LSD1, thereby blocking the PI3K/Akt pathway.
Conclusions:
- The combination of Ifebemtinib and paclitaxel demonstrates significant anti-tumor activity against TNBC.
- Targeting FAK and modulating the PI3K/Akt pathway via PIK3IP1 upregulation are key mechanisms of action.
- FAK inhibition represents a promising therapeutic strategy for TNBC treatment.
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