Nitroalkenes exploit dependence on autophagy-lysosome pathway in PARPi-Resistant triple negative breast cancer

Lisa Hong1, Sanghoon Lee1, Leonard Frisbie2

  • 1Department of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, PA, 15261, USA; Women's Cancer Research Center, University of Pittsburgh Cancer Institute, Pittsburgh, PA, 15213, USA; UPMC Hillman Cancer Center, Pittsburgh, PA, 15213, USA.

Cancer Letters
|April 13, 2026
PubMed

Insights

Nitro-oleic acid (OA-NO2) re-sensitizes poly-ADP ribose polymerase inhibitor (PARPi)-resistant triple-negative breast cancer (TNBC) cells to PARPi. OA-NO2 targets the autophagy regulator SQSTM1/p62, inhibiting its function and restoring PARPi sensitivity.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Poly-ADP ribose polymerase inhibitors (PARPi) are effective against cancers with deficient DNA double-strand break repair.
  • Resistance to PARPi, often due to enhanced DNA repair or autophagy, presents a significant clinical challenge.
  • Unsaturated fatty acid nitroalkene derivatives (NFA) demonstrate anticancer properties, sensitizing cancer cells to DNA-damaging agents.

Purpose of the Study:

  • To investigate the potential of nitro-oleic acid (OA-NO2) in re-sensitizing PARPi-resistant triple-negative breast cancer (TNBC) cells to PARPi therapy.
  • To elucidate the molecular mechanisms underlying OA-NO2's action in overcoming PARPi resistance.

Main Methods:

  • RNA-sequencing (RNA-seq) analysis of PARPi-resistant TNBC cell lines to identify molecular pathways involved in resistance.
  • Bio-orthogonal chemical analysis to identify novel targets of OA-NO2.
  • Functional assays to assess the impact of OA-NO2 on autophagy, lysosome function, and SQSTM1/p62 protein behavior.

Main Results:

  • RNA-seq revealed upregulation of autophagy and lysosomal pathways in PARPi-resistant TNBC cells.
  • SQSTM1/p62 was identified as a novel OA-NO2 target, with OA-NO2 alkylating critical redox-sensitive cysteine residues (Cys105 and Cys113).
  • Alkylation of p62 by OA-NO2 impaired its oligomerization, degradation, and subsequent inhibition of autophagy, mimicking Cys-to-Ala mutations.

Conclusions:

  • Nitro-oleic acid (OA-NO2) re-sensitizes PARPi-resistant TNBC cells by targeting and inhibiting the autophagy regulator SQSTM1/p62.
  • Combination therapy with PARPi and OA-NO2 demonstrates synergistic effects, inhibiting p62-associated autophagy and lysosome function.
  • OA-NO2 holds significant clinical potential for treating patients with PARPi-resistant TNBC.

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