Institut Curie, Centre de Recherche, Paris, France.
Cancer Res. 2013 Jan 15;73(2):813-23. doi: 10.1158/0008-5472.CAN-12-2633. Epub 2012 Nov 9.
Breast cancers are composed of molecularly distinct subtypes with different clinical outcomes and responses to therapy. To discover potential therapeutic targets for the poor prognosis-associated triple-negative breast cancer (TNBC), gene expression profiling was carried out on a cohort of 130 breast cancer samples. Polo-like kinase 1 (PLK1) was found to be significantly overexpressed in TNBC compared with the other breast cancer subtypes. High PLK1 expression was confirmed by reverse phase protein and tissue microarrays. In triple-negative cell lines, RNAi-mediated PLK1 depletion or inhibition of PLK1 activity with a small molecule (BI-2536) induced an increase in phosphorylated H2AX, G(2)-M arrest, and apoptosis. A soft-agar colony assay showed that PLK1 silencing impaired clonogenic potential of TNBC cell lines. When cells were grown in extracellular matrix gels (Matrigel), and exposed to BI-2536, apoptosis was observed specifically in TNBC cancerous cells, and not in a normal cell line. When administrated as a single agent, the PLK1 inhibitor significantly impaired tumor growth in vivo in two xenografts models established from biopsies of patients with TNBC. Most importantly, the administration of BI-2536, in combination with doxorubicin + cyclophosphamide chemotherapy, led to a faster complete response compared with the chemotherapy treatment alone and prevented relapse, which is the major risk associated with TNBC. Altogether, our observations suggest PLK1 inhibition as an attractive therapeutic approach, in association with conventional chemotherapy, for the management of patients with TNBC.
乳腺癌由分子上不同的亚型组成,具有不同的临床结局和对治疗的反应。为了发现与预后不良相关的三阴性乳腺癌(TNBC)的潜在治疗靶点,对 130 个乳腺癌样本的队列进行了基因表达谱分析。与其他乳腺癌亚型相比,发现 Polo 样激酶 1(PLK1)在 TNBC 中显著过表达。通过反相蛋白和组织微阵列证实了高 PLK1 表达。在三阴性细胞系中,RNAi 介导的 PLK1 耗竭或用小分子(BI-2536)抑制 PLK1 活性导致磷酸化 H2AX、G2-M 期阻滞和细胞凋亡增加。软琼脂集落形成实验表明 PLK1 沉默会损害 TNBC 细胞系的集落形成能力。当细胞在细胞外基质凝胶(Matrigel)中生长并暴露于 BI-2536 时,仅在 TNBC 癌细胞中观察到细胞凋亡,而在正常细胞系中未观察到细胞凋亡。作为单一药物给药时,PLK1 抑制剂在两种来自 TNBC 患者活检的异种移植模型中显著抑制了肿瘤的体内生长。最重要的是,与单独化疗相比,BI-2536 联合多柔比星+环磷酰胺化疗可更快地完全缓解,并可预防复发,这是与 TNBC 相关的主要风险。总之,我们的观察结果表明,PLK1 抑制与传统化疗联合作为一种有吸引力的治疗方法,可用于管理 TNBC 患者。
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