Department of Cancer Biology, Beckman Research Institute of the City of Hope, 1500 East Duarte Road, Duarte, CA 91010, USA.
Breast Cancer Res Treat. 2013 Jan;137(1):93-107. doi: 10.1007/s10549-012-2332-x. Epub 2012 Nov 18.
Aromatase inhibitors (AIs) are important drugs for treating postmenopausal patients with hormone receptor-positive breast cancer. However, acquired resistance to AI therapies is a significant problem. Our study has revealed that the histone deacetylase inhibitor LBH589 treatment abrogated growth of AI-resistant cells in vitro and in vivo, causing cell cycle G2/M arrest and induced apoptosis. LBH589 treatment also reduced the level of NF-κB1 which is overexpressed when AI resistance develops. Analyzing paired tumor specimens from 12 patients, we found that NF-κB1 expression was increased in recurrent AI-resistant tumors as compared to the paired primary tumors before AI treatment. This finding was consistent with up-regulated NF-κB1 expression seen in a collection of well-established AI-resistant cell lines. Furthermore, knockdown of NF-κB1 expression significantly suppressed the proliferation of AI-resistant cells. Treatment of AI-resistant cell lines with LBH589 suppressed NF-κB1 mRNA and protein expression. In addition, LBH589 treatment abrogated growth of AI-resistant tumors in mice, and was associated with significantly decreased levels of NF-κB1 in tumors. In all, our findings strongly support further investigation of LBH589 as a novel therapeutic strategy for patients with AI-resistant breast cancer, in part by suppressing the NF-κB1 pathway.
芳香化酶抑制剂 (AIs) 是治疗绝经后激素受体阳性乳腺癌患者的重要药物。然而,对 AI 治疗的获得性耐药是一个重大问题。我们的研究表明,组蛋白去乙酰化酶抑制剂 LBH589 的治疗在体外和体内消除了 AI 耐药细胞的生长,导致细胞周期 G2/M 期阻滞和诱导细胞凋亡。LBH589 治疗还降低了 NF-κB1 的水平,当 AI 耐药性发展时,NF-κB1 表达过度。对 12 名患者的配对肿瘤标本进行分析,我们发现与 AI 治疗前的配对原发性肿瘤相比,复发性 AI 耐药肿瘤中 NF-κB1 的表达增加。这一发现与在一系列已建立的 AI 耐药细胞系中观察到的 NF-κB1 表达上调一致。此外,NF-κB1 表达的敲低显著抑制了 AI 耐药细胞的增殖。LBH589 处理 AI 耐药细胞系可抑制 NF-κB1 mRNA 和蛋白表达。此外,LBH589 治疗可抑制小鼠中 AI 耐药肿瘤的生长,并与肿瘤中 NF-κB1 水平的显著降低相关。总之,我们的研究结果强烈支持进一步研究 LBH589 作为治疗 AI 耐药性乳腺癌患者的新治疗策略,部分是通过抑制 NF-κB1 途径。