MicroRNA Signatures of Fulvestrant-Treated Luminal Breast Cancer Cells: Identification of Therapeutic Targets

Ayako Nagata1, Yuya Tomioka2, Ryutaro Yasudome1

  • 1Department of Breast and Thyroid Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8544, Japan.

Insights

Researchers identified miR-374b-5p as a potential therapeutic target for estrogen receptor-positive breast cancer (BrCa). Combination therapy with fulvestrant and a FOXM1 inhibitor showed significant suppression of BrCa cell proliferation.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Estrogen receptor (ER)-positive breast cancer (BrCa) is the most common subtype worldwide.
  • Endocrine therapy targeting ER is the standard treatment for ER-positive BrCa.
  • Combination therapies with targeted drugs are emerging to improve treatment outcomes.

Purpose of the Study:

  • To identify novel therapeutic targets for combination therapy with fulvestrant, a selective ER downregulator.
  • To investigate the role of microRNA (miRNA) signatures in response to fulvestrant treatment.
  • To evaluate miR-374b-5p and its downstream targets as potential therapeutic strategies for BrCa.

Main Methods:

  • RNA sequencing was used to generate miRNA signatures from fulvestrant-treated MCF-7 cells.
  • Expression analysis of miR-374b-5p in BrCa subtypes.
  • Ectopic expression assays and target gene identification for miR-374b-5p.
  • Combination therapy studies using fulvestrant and a FOXM1 inhibitor in MCF-7 cells.

Main Results:

  • Fulvestrant treatment elevated miR-374b-5p expression in MCF-7 cells.
  • miR-374b-5p expression was suppressed in luminal BrCa subtypes.
  • Ectopic expression of miR-374b-5p attenuated malignant phenotypes of MCF-7 cells.
  • FOXM1 was identified as a key target gene of miR-374b-5p involved in BrCa pathogenesis.
  • Combination therapy with fulvestrant and a FOXM1 inhibitor significantly suppressed MCF-7 cell proliferation.

Conclusions:

  • miR-374b-5p acts as an antitumor miRNA in ER-positive breast cancer.
  • FOXM1 is a critical therapeutic target for combination therapy with fulvestrant.
  • This study identifies novel therapeutic strategies for ER-positive BrCa by targeting miR-374b-5p and its downstream genes.