Targeting PCK1 to overcome CDK4/6 inhibitor resistance for breast cancer therapy
Chen-Shiou Wu1, Hsiao-Fan Chen2, Kieu-Thanh Huynh3
1Graduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan; Cancer Biology and Precision Therapeutics Center and Research Center for Cancer Biology, China Medical University, Taichung, Taiwan; Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
Abstract:
Phosphoenolpyruvate carboxykinase 1 (PCK1) is known for its role in gluconeogenesis and the regulation of PCK1 expression was shown to associate with oncogenic activity in pancreatic and colorectal cancers. However, in different cancer types such as liver cancer, PCK1 could function as a tumor suppressor, rendering complication for targeted therapy. In this study, we used breast cancer model to delineate its involvement in malignancy, we found PCK1 associated with oncogenic function to promotes cell proliferation, enhances colony formation, and stimulates DNA synthesis in breast cancer. Mechanistically, we found that PCK1 interacts with Cyclin D3, establishing a positive correlation between PCK1 and Cyclin D3 in clinical breast cancer tissues. Cyclin D3 forms a complex with CDK4/6, implicated in the development of resistance to CDK4/6 inhibitors. We identified PCK1 as a key factor in this resistance. Through an extensive screening process, we identified everolimus and auranofin as inhibitors of PCK1. We found that these drugs, in combination with CDK4/6 inhibitors, exhibit a synergistic effect in suppressing breast cancer. These findings reveal the connection between PCK1 and CDK4/6 inhibitor resistance, offering the possibility for improved treatment options for breast cancer. Interestingly, we also found PCK1 and Cyclin D3 interaction in pancreatic cancer, similar to that in breast cancer, but not in liver cancer. Thus, the results may resolve the puzzle for the role of PCK1 in tumor-promoting or -suppressive role in different cancer types.
Insights
Phosphoenolpyruvate carboxykinase 1 (PCK1) promotes breast cancer growth and resistance to CDK4/6 inhibitors. Targeting PCK1 with everolimus or auranofin synergizes with CDK4/6 inhibitors, offering new breast cancer treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Phosphoenolpyruvate carboxykinase 1 (PCK1) has a dual role in cancer, acting as an oncogene in some cancers and a tumor suppressor in others.
- Understanding PCK1's specific role in different cancer types is crucial for developing effective targeted therapies.
Purpose of the Study:
- To investigate the role of PCK1 in breast cancer malignancy.
- To elucidate the mechanism by which PCK1 contributes to oncogenesis and therapeutic resistance.
- To identify potential therapeutic strategies targeting PCK1 in breast cancer.
Main Methods:
- Utilized a breast cancer model to study PCK1's function.
- Investigated PCK1's interaction with Cyclin D3 and CDK4/6.
- Conducted drug screening to identify PCK1 inhibitors.
- Evaluated the synergistic effects of PCK1 inhibitors and CDK4/6 inhibitors in breast cancer models.
Main Results:
- PCK1 promotes cell proliferation, colony formation, and DNA synthesis in breast cancer.
- PCK1 interacts with Cyclin D3, correlating positively in clinical samples.
- PCK1 is identified as a key factor in CDK4/6 inhibitor resistance.
- Everolimus and auranofin were identified as PCK1 inhibitors, showing synergistic effects with CDK4/6 inhibitors in suppressing breast cancer.
- PCK1-Cyclin D3 interaction observed in pancreatic cancer but not liver cancer, potentially explaining PCK1's varied roles.
Conclusions:
- PCK1 plays an oncogenic role in breast cancer and contributes to CDK4/6 inhibitor resistance.
- Combined therapy with PCK1 inhibitors (everolimus, auranofin) and CDK4/6 inhibitors shows promise for breast cancer treatment.
- The findings help resolve the context-dependent role of PCK1 in different cancer types.
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