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.

Scientific Reports
|November 29, 2025
PubMed

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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