Interdisciplinary Graduate Program in Cancer Biology, Seoul National University College of Medicine, Seoul, Korea.
Medical Research Center, Genomic Medicine Institute, Seoul National University, Seoul, Korea.
J Mol Med (Berl). 2021 Dec;99(12):1783-1795. doi: 10.1007/s00109-021-02138-3. Epub 2021 Oct 9.
We investigated the molecular mechanisms of paclitaxel resistance in TNBC using seven patient-derived xenograft (PDX) models and TNBC cell lines. Among the seven PDX models, four models showed resistance to paclitaxel. Dysregulation of JAK/STAT pathways and JAK2 copy number gains were observed in the four paclitaxel-resistant PDX tumors. In TNBC cell lines, silencing the JAK2 gene showed a significant but mild synergistic effect when combined with paclitaxel in vitro. However, JAK1/2 inhibitor treatment resulted in restoration of paclitaxel sensitivity in two out of four paclitaxel-resistant PDX models and JAK1/2 inhibitor alone significantly suppressed the tumor growth in one out of the two remaining PDX models. Transcriptome data derived from the murine microenvironmental cells revealed an enrichment of genes involved in the cell cycle processes among the four paclitaxel-resistant PDX tumors. Histologic examination of those PDX tumor tissues showed increased Ki67-positive fibroblasts in the tumor microenvironment. Among the four different cancer-associated fibroblast (CAF) subtypes, cycling CAF exhibiting features of active cell cycle was enriched in the paclitaxel-resistant PDX tumors. Additionally, fibroblasts treated with the conditioned media from the JAK2-silenced breast cancer cells showed downregulation of cell cycle-related genes. Our data suggest that the JAK2 gene may play a critical role in determining responses of TNBC to paclitaxel by modulating the intrinsic susceptibility of cancer cells against paclitaxel and also by eliciting functional transitions of CAF subtypes in the tumor microenvironment. KEY MESSAGES : We investigated the molecular mechanisms of paclitaxel resistance in TNBC. JAK2 signaling was associated with paclitaxel resistance in TNBC PDX models. Paclitaxel-resistant PDX tumors were enriched with microenvironment cCAF subpopulation. JAK2 regulated paclitaxel-resistant CAF phenotype transition.
我们使用七个患者来源的异种移植(PDX)模型和三阴性乳腺癌(TNBC)细胞系研究了紫杉醇耐药的分子机制。在这七个 PDX 模型中,有四个模型对紫杉醇表现出耐药性。在四个紫杉醇耐药的 PDX 肿瘤中,观察到 JAK/STAT 通路失调和 JAK2 拷贝数增加。在 TNBC 细胞系中,体外沉默 JAK2 基因与紫杉醇联合使用显示出显著但温和的协同作用。然而,JAK1/2 抑制剂治疗导致四个紫杉醇耐药 PDX 模型中的两个恢复对紫杉醇的敏感性,而 JAK1/2 抑制剂单独使用则显著抑制两个剩余 PDX 模型中的一个肿瘤生长。从鼠微环境细胞中获得的转录组数据显示,在四个紫杉醇耐药的 PDX 肿瘤中,与细胞周期过程相关的基因富集。这些 PDX 肿瘤组织的组织学检查显示,肿瘤微环境中 Ki67 阳性成纤维细胞增加。在四种不同的癌症相关成纤维细胞(CAF)亚型中,具有活跃细胞周期特征的循环 CAF 在紫杉醇耐药的 PDX 肿瘤中富集。此外,用沉默 JAK2 的乳腺癌细胞的条件培养基处理的成纤维细胞显示细胞周期相关基因下调。我们的数据表明,JAK2 基因可能通过调节癌细胞对紫杉醇的固有敏感性,以及通过引发肿瘤微环境中 CAF 亚型的功能转变,在决定 TNBC 对紫杉醇的反应中发挥关键作用。 关键信息:我们研究了 TNBC 中紫杉醇耐药的分子机制。JAK2 信号与 TNBC PDX 模型中的紫杉醇耐药有关。紫杉醇耐药的 PDX 肿瘤富含微环境 cCAF 亚群。JAK2 调节紫杉醇耐药 CAF 表型转变。
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