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.

Cancer Letters
|February 26, 2026
PubMed

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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