PELP1/SRC-3 依赖性调节代谢性 PFKFB 激酶驱动 ER 阳性乳腺癌的治疗抵抗。
PELP1/SRC-3-dependent regulation of metabolic PFKFB kinases drives therapy resistant ER breast cancer.
机构信息
Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA.
Institute for Health Informatics, University of Minnesota, Minneapolis, MN, USA.
出版信息
Oncogene. 2021 Jun;40(25):4384-4397. doi: 10.1038/s41388-021-01871-w. Epub 2021 Jun 8.
Recurrence of metastatic breast cancer stemming from acquired endocrine and chemotherapy resistance remains a health burden for women with luminal (ER) breast cancer. Disseminated ER tumor cells can remain viable but quiescent for years to decades. Contributing factors to metastatic spread include the maintenance and expansion of breast cancer stem cells (CSCs). Breast CSCs frequently exist as a minority population in therapy resistant tumors. In this study, we show that cytoplasmic complexes composed of steroid receptor (SR) co-activators, PELP1 and SRC-3, modulate breast CSC expansion through upregulation of the HIF-activated metabolic target genes PFKFB3 and PFKFB4. Seahorse metabolic assays demonstrated that cytoplasmic PELP1 influences cellular metabolism by increasing both glycolysis and mitochondrial respiration. PELP1 interacts with PFKFB3 and PFKFB4 proteins, and inhibition of PFKFB3 and PFKFB4 kinase activity blocks PELP1-induced tumorspheres and protein-protein interactions with SRC-3. PFKFB4 knockdown inhibited in vivo emergence of circulating tumor cell (CTC) populations in mammary intraductal (MIND) models. Application of PFKFB inhibitors in combination with ER targeted therapies blocked tumorsphere formation in multiple models of advanced breast cancer including tamoxifen (TamR) and paclitaxel (TaxR) resistant models, murine tumor cells, and ER patient-derived organoids (PDxO). Together, our data suggest that PELP1, SRC-3, and PFKFBs cooperate to drive ER tumor cell populations that include CSCs and CTCs. Identifying non-ER pharmacological targets offers a useful approach to blocking metastatic escape from standard of care ER/estrogen (E2)-targeted strategies to overcome endocrine and chemotherapy resistance.
转移性乳腺癌的复发源于获得性内分泌和化疗耐药,这仍然是 luminal(ER)乳腺癌女性的健康负担。播散的 ER 肿瘤细胞可以存活多年甚至几十年,但处于静止状态。导致转移扩散的因素包括乳腺癌干细胞(CSC)的维持和扩增。CSC 通常在耐药肿瘤中作为少数群体存在。在这项研究中,我们表明,由甾体受体(SR)共激活剂 PELP1 和 SRC-3 组成的细胞质复合物通过上调 HIF 激活的代谢靶基因 PFKFB3 和 PFKFB4 来调节乳腺 CSC 的扩增。 Seahorse 代谢测定表明,细胞质 PELP1 通过增加糖酵解和线粒体呼吸来影响细胞代谢。PELP1 与 PFKFB3 和 PFKFB4 蛋白相互作用,并且抑制 PFKFB3 和 PFKFB4 激酶活性可阻断 PELP1 诱导的肿瘤球和与 SRC-3 的蛋白-蛋白相互作用。PFKFB4 敲低抑制了乳腺腔内(MIND)模型中循环肿瘤细胞(CTC)群体的体内出现。PFKFB 抑制剂与 ER 靶向疗法联合应用可阻断包括他莫昔芬(TamR)和紫杉醇(TaxR)耐药模型、鼠肿瘤细胞和 ER 患者衍生类器官(PDxO)在内的多种晚期乳腺癌模型中的肿瘤球形成。总之,我们的数据表明 PELP1、SRC-3 和 PFKFBs 合作驱动包括 CSCs 和 CTC 在内的 ER 肿瘤细胞群体。鉴定非 ER 药理学靶标提供了一种有用的方法来阻断从标准护理 ER/雌激素(E2)靶向策略的转移性逃逸,以克服内分泌和化疗耐药。