Unit of Pharmacogenomics, Department of Genetics, Institut Curie, 26 rue d'Ulm, Paris, France.
Laboratory of Preclinical Investigation, Department of Translational Research, Institut Curie Research Center, 26 rue d' Ulm, Paris, France.
Theranostics. 2020 Jan 1;10(4):1531-1543. doi: 10.7150/thno.36182. eCollection 2020.
Luminal androgen receptor (LAR) breast cancer accounts for 10% of all triple-negative breast cancers (TNBC). Anti-androgen therapy for this subtype is in development, but yields only partial clinical benefits. In this study, we aimed to characterize the genomic alterations of LAR TNBC, to analyze activation of the PI3K signaling pathway and to compare the response to PI3K pathway inhibitors with that to anti-androgen therapy in patient-derived xenografts (PDX) of LAR TNBC. : Four LAR PDX models were identified, on the basis of their transcriptomic profiles, in a cohort of 57 PDX models of TNBC. The expression of -related genes, basal and luminal cytokeratins and EMT genes was analyzed by RT-PCR and IHC. and mutations were identified by targeted NGS, and activation of the PI3K pathway was analyzed with a reverse-phase protein array. Three LAR PDXs with a or mutation were treated with the AR inhibitor enzalutamide, a PI3K inhibitor, a PI3K-mTOR inhibitor and a mTORC1-mTORC2 inhibitor. Finally, we screened a clinical cohort of 329 TNBC for and hotspot mutations. : LAR TNBC PDXs were significantly enriched in and mutations, and had higher levels of luminal-androgen-like gene expression and a higher PI3K pathway protein activation score than other TNBC subtypes. Immunohistochemistry analysis revealed strong expression of the luminal cytokeratin CK18 and AR in three LAR PDX models. We found that mTOR and PI3K inhibitors had marked antitumor activity in PDX harboring genomic alterations of and genes that did not respond to the AR antagonist enzalutamide. mutations were detected in more than one third of AR+ TNBC from patients (38%), and only 10% of AR-negative TNBC. : Our results for PDX models of LAR TNBC resistant to enzalutamide indicate that and are potential therapeutic targets.
腔面雄激素受体(LAR)乳腺癌占三阴性乳腺癌(TNBC)的 10%。针对这种亚型的抗雄激素治疗正在开发中,但仅产生部分临床获益。在这项研究中,我们旨在表征 LAR TNBC 的基因组改变,分析 PI3K 信号通路的激活,并比较 LAR TNBC 患者来源异种移植(PDX)中 PI3K 途径抑制剂与抗雄激素治疗的反应。
我们根据 57 例 TNBC PDX 模型的转录组谱,在其中确定了 4 种 LAR PDX 模型。通过 RT-PCR 和 IHC 分析了与相关基因、基底和腔面细胞角蛋白和 EMT 基因的表达。通过靶向 NGS 鉴定了和突变,并使用反相蛋白阵列分析了 PI3K 通路的激活。用 AR 抑制剂恩扎鲁胺、PI3K 抑制剂、PI3K-mTOR 抑制剂和 mTORC1-mTORC2 抑制剂治疗 3 种具有或突变的 LAR PDX。最后,我们对 329 例 TNBC 临床队列进行了筛选,以确定和热点突变。
LAR TNBC PDX 显著富集了和突变,与其他 TNBC 亚型相比,其腔面雄激素样基因表达水平更高,PI3K 通路蛋白激活评分更高。免疫组化分析显示,在 3 种 LAR PDX 模型中,腔面细胞角蛋白 CK18 和 AR 表达强烈。我们发现,在携带和基因基因组改变的 PDX 中,mTOR 和 PI3K 抑制剂具有显著的抗肿瘤活性,而这些 PDX 对 AR 拮抗剂恩扎鲁胺无反应。在 AR+ TNBC 患者中,检测到突变超过三分之一(38%),而 AR 阴性 TNBC 中仅 10%。
我们对恩扎鲁胺耐药的 LAR TNBC PDX 模型的研究结果表明,和是潜在的治疗靶点。
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