NID2 drives paclitaxel resistance in triple-negative breast cancer via an LDHA-lactate-histone lactylation axis

Siliang Wang1, Yitong Wang1, Kaicheng Bao1

  • 1Department of Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, PR China.

Cellular Signalling
|August 20, 2026
PubMed

Insights

Nidogen-2 (NID2) promotes paclitaxel resistance in triple-negative breast cancer (TNBC) by increasing histone lactylation. Targeting NID2 may improve taxane treatment effectiveness for TNBC patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Metabolism

Background:

  • Paclitaxel resistance is a significant challenge in treating triple-negative breast cancer (TNBC).
  • Nidogen-2 (NID2), an extracellular matrix protein, is linked to tumor progression, but its role in taxane resistance is not well understood.

Purpose of the Study:

  • To investigate the role of NID2 in paclitaxel resistance in TNBC.
  • To explore the mechanistic link between NID2, glycolysis, histone lactylation, and taxane response.

Main Methods:

  • Analysis of TNBC patient data correlating NID2 levels with paclitaxel sensitivity and histone lactylation.
  • In vitro studies using SUM149 TNBC models to assess the effects of NID2 silencing on glycolysis, lactate production, and histone lactylation.
  • In vivo studies using xenograft tumor models to evaluate the impact of NID2 knockdown on tumor response to paclitaxel.

Main Results:

  • Higher NID2 expression in TNBC patients correlates with reduced paclitaxel sensitivity and increased histone lactylation.
  • NID2 silencing in TNBC models decreased glycolysis and lactate levels, reduced histone lactylation (H3K18la, H3K9la), and enhanced paclitaxel responsiveness.
  • NID2 knockdown in xenografts suppressed glycolysis and lactylation pathways, potentiating paclitaxel's antitumor effects.

Conclusions:

  • NID2 acts as a stromal-metabolic regulator, driving a lactate-histone lactylation program that confers paclitaxel resistance in TNBC.
  • NID2 is identified as a potential therapeutic target to overcome paclitaxel resistance and improve treatment outcomes in TNBC.