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组蛋白去乙酰化酶抑制剂诱导 LIFR 表达并促进乳腺癌休眠表型。

HDAC inhibitors induce LIFR expression and promote a dormancy phenotype in breast cancer.

机构信息

Program in Cancer Biology, Vanderbilt University, Nashville, TN, USA.

Vanderbilt Center for Bone Biology, Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

Oncogene. 2021 Aug;40(34):5314-5326. doi: 10.1038/s41388-021-01931-1. Epub 2021 Jul 10.

DOI:10.1038/s41388-021-01931-1
PMID:34247191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8403155/
Abstract

Despite advances in breast cancer treatment, residual disease driven by dormant tumor cells continues to be a significant clinical problem. Leukemia inhibitory factor receptor (LIFR) promotes a dormancy phenotype in breast cancer cells and LIFR loss is correlated with poor patient survival. Herein, we demonstrate that histone deacetylase inhibitors (HDACi), which are in phase III clinical trials for breast cancer, epigenetically induced LIFR and activated a pro-dormancy program in breast cancer cells. HDACi slowed breast cancer cell proliferation and reduced primary tumor growth. Primary breast tumors from HDACi-treated patients had increased LIFR levels and reduced proliferation rates compared to pre-treatment levels. Recent Phase II clinical trial data studying entinostat and azacitidine in metastatic breast cancer revealed that induction of several pro-dormancy genes post-treatment was associated with prolonged patient survival. Together, these findings suggest HDACi as a potential therapeutic avenue to promote dormancy, prevent recurrence, and improve patient outcomes in breast cancer.

摘要

尽管乳腺癌治疗取得了进展,但休眠肿瘤细胞驱动的残留疾病仍然是一个重大的临床问题。白血病抑制因子受体 (LIFR) 促进乳腺癌细胞的休眠表型,而 LIFR 的缺失与患者预后不良相关。在此,我们证明组蛋白去乙酰化酶抑制剂(HDACi)在乳腺癌的 III 期临床试验中,通过表观遗传诱导 LIFR 并激活乳腺癌细胞的休眠前程序。HDACi 减缓了乳腺癌细胞的增殖并减少了原发性肿瘤的生长。与治疗前水平相比,接受 HDACi 治疗的患者的原发性乳腺肿瘤中 LIFR 水平升高,增殖速度降低。最近一项关于转移性乳腺癌中恩替诺特和阿扎胞苷的 II 期临床试验数据表明,治疗后诱导几个休眠前基因与患者的生存时间延长有关。总之,这些发现表明 HDACi 是一种有潜力的治疗方法,可以促进休眠、预防复发,并改善乳腺癌患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/1903ed0d8791/nihms-1719718-f0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/e2b7652be168/nihms-1719718-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/be06b453261b/nihms-1719718-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/d50fd0b8da3d/nihms-1719718-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/9b6fcadae7a1/nihms-1719718-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/68ec8242159f/nihms-1719718-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/1903ed0d8791/nihms-1719718-f0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/e2b7652be168/nihms-1719718-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/be06b453261b/nihms-1719718-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/d50fd0b8da3d/nihms-1719718-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/9b6fcadae7a1/nihms-1719718-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/68ec8242159f/nihms-1719718-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b2/8403155/1903ed0d8791/nihms-1719718-f0006.jpg

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