Src是雌激素受体介导的反式激活水平较低的内分泌抵抗性乳腺癌中的一个潜在治疗靶点。
Src Is a Potential Therapeutic Target in Endocrine-Resistant Breast Cancer Exhibiting Low Estrogen Receptor-Mediated Transactivation.
作者信息
Guest Stephanie K, Ribas Ricardo, Pancholi Sunil, Nikitorowicz-Buniak Joanna, Simigdala Nikiana, Dowsett Mitch, Johnston Stephen R, Martin Lesley-Ann
机构信息
The Breast Cancer Now and Toby Robins Research Centre, Institute of Cancer Research, London, United Kingdom.
Royal Marsden Hospital, London, United Kingdom.
出版信息
PLoS One. 2016 Jun 16;11(6):e0157397. doi: 10.1371/journal.pone.0157397. eCollection 2016.
Despite the effectiveness of endocrine therapies in estrogen receptor positive (ER+) breast cancer, approximately 40% of patients relapse. Previously, we identified the Focal-adhesion kinase canonical pathway as a major contributor of resistance to estrogen deprivation and cellular-sarcoma kinase (c-src) as a dominant gene in this pathway. Dasatinib, a pan-src inhibitor, has recently been used in clinical trials to treat ER+ patients but has shown mixed success. In the following study, using isogenic cell line models, we provide a potential explanation for these findings and suggest a sub-group that may benefit. A panel of isogenic cell lines modelling resistance to aromatase inhibitors (LTED) and tamoxifen (TAMR) were assessed for response to dasatinib ± endocrine therapy. Dasatinib caused a dose-dependent decrease in proliferation in MCF7-TAMR cells and resensitized them to tamoxifen and fulvestrant but not in HCC1428-TAMR. In contrast, in estrogen-deprived conditions, dasatinib increased the proliferation rate of parental-MCF7 cells and had no effect on MCF7-LTED or HCC1428-LTED. Treatment with dasatinib caused a decrease in src-phosphorylation and inhibition of downstream pathways, including AKT and ERK1/2 in all cell lines tested, but only the MCF7-TAMR showed a concomitant decrease in markers of cell cycle progression. Inhibition of src also caused a significant decrease in cell migration in both MCF7-LTED and MCF7-TAMR cells. Finally, we showed that, in MCF7-TAMR cells, in contrast to tamoxifen sensitive cell lines, ER is expressed throughout the cell rather than being restricted to the nucleus and that treatment with dasatinib resulted in nuclear shuttling of ER, which was associated with an increase in ER-mediated transcription. These data suggest that src has differential effects in endocrine-resistant cell lines, particularly in tamoxifen resistant models, with low ER genomic activity, providing further evidence of the importance of patient selection for clinical trials testing dasatinib utility in ER+ breast cancer.
尽管内分泌疗法对雌激素受体阳性(ER+)乳腺癌有效,但仍有约40%的患者会复发。此前,我们确定粘着斑激酶经典途径是雌激素剥夺抗性的主要促成因素,而细胞肉瘤激酶(c-src)是该途径中的主导基因。达沙替尼是一种泛src抑制剂,最近已用于治疗ER+患者的临床试验,但效果不一。在以下研究中,我们使用同基因细胞系模型为这些发现提供了一个潜在的解释,并指出了一个可能受益的亚组。评估了一组模拟对芳香化酶抑制剂(LTED)和他莫昔芬(TAMR)耐药的同基因细胞系对达沙替尼±内分泌疗法的反应。达沙替尼导致MCF7-TAMR细胞的增殖呈剂量依赖性下降,并使其对他莫昔芬和氟维司群重新敏感,但对HCC1428-TAMR细胞无效。相反,在雌激素剥夺条件下,达沙替尼增加了亲本-MCF7细胞的增殖率,对MCF7-LTED或HCC1428-LTED细胞无影响。在所有测试的细胞系中,用达沙替尼治疗导致src磷酸化减少,并抑制包括AKT和ERK1/2在内的下游途径,但只有MCF7-TAMR细胞显示细胞周期进程标志物同时减少。抑制src也导致MCF7-LTED和MCF7-TAMR细胞的迁移显著减少。最后,我们表明,在MCF7-TAMR细胞中,与他莫昔芬敏感细胞系相反,ER在整个细胞中表达,而不是局限于细胞核,并且用达沙替尼治疗导致ER的核穿梭,这与ER介导的转录增加有关。这些数据表明,src在内分泌抗性细胞系中具有不同的作用,特别是在ER基因组活性低的他莫昔芬耐药模型中,这为在ER+乳腺癌中测试达沙替尼效用的临床试验中患者选择的重要性提供了进一步的证据。