Abstract
Development of targeted therapies for triple-negative breast cancer (TNBC, a more aggressive subtype) is an unmet medical need. We analyzed data from 887 patients with invasive breast cancer and observed that increased Wnt and histone deacetylase (HDAC) activities are associated with estrogen receptor 1 (ESR1) and progesterone receptor (PGR) repression, poor survival, and increased relapse. The inverse correlation between Wnt signaling and repression of ESR1 and PGR expression was found to be magnified in cancer stem cell (CSC) subpopulations in TNBC cell lines. Cosuppression of Wnt, HDAC, and ESR1 using clinically relevant low-dose inhibitors effectively repressed both bulk and CSC subpopulations and converted CSCs to non-CSCs in TNBC cells without affecting MCF-10A mammary epithelial cells.
Keywords:
HDAC; TNBC; ESR1; Wnt; cancer stem cell.
© 2016 Federation of European Biochemical Societies.
MeSH terms
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Antineoplastic Agents / pharmacology*
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CD24 Antigen / genetics
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CD24 Antigen / metabolism
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Cell Line
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Cell Proliferation / drug effects
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Epithelial Cells / cytology
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Epithelial Cells / drug effects
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Epithelial Cells / metabolism
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Estrogen Receptor alpha / antagonists & inhibitors*
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Estrogen Receptor alpha / genetics
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Estrogen Receptor alpha / metabolism
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Female
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Gene Expression Regulation, Neoplastic*
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Histone Deacetylase Inhibitors / pharmacology
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Histone Deacetylases / genetics*
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Histone Deacetylases / metabolism
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Humans
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Hyaluronan Receptors / genetics
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Hyaluronan Receptors / metabolism
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Neoplastic Stem Cells / drug effects*
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Neoplastic Stem Cells / metabolism
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Neoplastic Stem Cells / pathology
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RNA, Small Interfering / genetics
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RNA, Small Interfering / metabolism
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Receptor, ErbB-2 / deficiency
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Receptor, ErbB-2 / genetics
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Receptors, Progesterone / deficiency
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Receptors, Progesterone / genetics
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Signal Transduction
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Survival Analysis
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Tamoxifen / pharmacology
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Triple Negative Breast Neoplasms / genetics*
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Triple Negative Breast Neoplasms / metabolism
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Triple Negative Breast Neoplasms / mortality
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Triple Negative Breast Neoplasms / pathology
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Valproic Acid / pharmacology
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Wnt Proteins / antagonists & inhibitors*
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Wnt Proteins / genetics
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Wnt Proteins / metabolism
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beta Catenin / antagonists & inhibitors
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beta Catenin / genetics
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beta Catenin / metabolism
Substances
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Antineoplastic Agents
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CD24 Antigen
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CD24 protein, human
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CD44 protein, human
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CTNNB1 protein, human
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ESR1 protein, human
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Estrogen Receptor alpha
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Histone Deacetylase Inhibitors
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Hyaluronan Receptors
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RNA, Small Interfering
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Receptors, Progesterone
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Wnt Proteins
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beta Catenin
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Tamoxifen
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Valproic Acid
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ERBB2 protein, human
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Receptor, ErbB-2
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Histone Deacetylases