Department of Medicine, McGill University Health Center, Cancer Research Program, Montreal, Quebec, H4A 3J1, Canada.
Department of Pathology, McGill University Health Center, Montreal, Quebec, H4A 3J1, Canada.
Br J Cancer. 2018 Dec;119(12):1495-1507. doi: 10.1038/s41416-018-0287-3. Epub 2018 Nov 28.
BACKGROUND: Patients with triple negative breast cancer (TNBC) exhibit poor prognosis and are at high risk of tumour relapse, due to the resistance to chemotherapy. These aggressive phenotypes are in part attributed to the presence of breast cancer stem cells (BCSCs). Therefore, targeting BCSCs is a priority to overcoming chemotherapy failure in TNBCs. METHODS: We generated paclitaxel (pac)-resistant TNBC cells which displayed higher sphere forming potential and percentage of BCSC subpopulations compared to the parental cells. A screen with various kinase inhibitors revealed dasatinib, a Src kinase family inhibitor, as a potent suppressor of BCSC expansion/sphere formation in pac-resistant TNBC cells. RESULTS: We found dasatinib to block pac-induced BCSC enrichment and Src activation in both parental and pac-resistant TNBC cells. Interestingly, dasatinib induced an epithelial differentiation of the pac-resistant mesenchymal cells, resulting in their enhanced sensitivity to paclitaxel. The combination treatment of dasatinib and paclitaxel not only decreased the BCSCs numbers and their sphere forming capacity but also synergistically reduced cell viability of pac-resistant cells. Preclinical models of breast cancer further demonstrated the efficiency of the dasatinib/paclitaxel combination treatment in inhibiting tumour growth. CONCLUSIONS: Dasatinib is a promising anti-BCSC drug that could be used in combination with paclitaxel to overcome chemoresistance in TNBC.
背景:三阴性乳腺癌(TNBC)患者由于对化疗的耐药性,预后较差,肿瘤复发风险高。这些侵袭性表型部分归因于乳腺癌干细胞(BCSCs)的存在。因此,针对 BCSCs 是克服 TNBC 化疗失败的首要任务。
方法:我们生成了紫杉醇(pac)耐药的 TNBC 细胞,与亲本细胞相比,这些细胞具有更高的球体形成潜力和 BCSC 亚群比例。用各种激酶抑制剂进行筛选发现,达沙替尼,一种Src 激酶家族抑制剂,是一种有效的抑制 pac 耐药 TNBC 细胞中 BCSC 扩增/球体形成的物质。
结果:我们发现达沙替尼可阻止 pac 诱导的亲本和 pac 耐药 TNBC 细胞中的 BCSC 富集和 Src 激活。有趣的是,达沙替尼诱导 pac 耐药间充质细胞向上皮分化,从而增强其对紫杉醇的敏感性。达沙替尼和紫杉醇的联合治疗不仅减少了 BCSC 数量及其球体形成能力,而且协同降低了 pac 耐药细胞的活力。乳腺癌的临床前模型进一步证明了达沙替尼/紫杉醇联合治疗抑制肿瘤生长的效率。
结论:达沙替尼是一种有前途的抗 BCSC 药物,可与紫杉醇联合用于克服 TNBC 的化疗耐药性。
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