Acquired resistance to combined BET and CDK4/6 inhibition in triple-negative breast cancer.
Animals
Azepines
/ pharmacology
Cell Cycle Checkpoints
/ drug effects
Cell Proliferation
/ drug effects
Clone Cells
Cyclin-Dependent Kinase 4
/ antagonists & inhibitors
Cyclin-Dependent Kinase 6
/ antagonists & inhibitors
DNA, Neoplasm
/ metabolism
Drug Resistance, Neoplasm
/ drug effects
Drug Synergism
Female
Gene Expression Regulation, Neoplastic
/ drug effects
Mice
Models, Biological
Mutation
/ genetics
Paclitaxel
/ pharmacology
Piperazines
/ pharmacology
Ploidies
Proteins
/ antagonists & inhibitors
Pyridines
/ pharmacology
Retinoblastoma Protein
/ genetics
Treatment Outcome
Triazoles
/ pharmacology
Triple Negative Breast Neoplasms
/ drug therapy
Up-Regulation
/ drug effects
Journal
Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555
Informations de publication
Date de publication:
11 05 2020
11 05 2020
Historique:
received:
24
10
2019
accepted:
20
04
2020
entrez:
13
5
2020
pubmed:
13
5
2020
medline:
6
8
2020
Statut:
epublish
Résumé
BET inhibitors are promising therapeutic agents for the treatment of triple-negative breast cancer (TNBC), but the rapid emergence of resistance necessitates investigation of combination therapies and their effects on tumor evolution. Here, we show that palbociclib, a CDK4/6 inhibitor, and paclitaxel, a microtubule inhibitor, synergize with the BET inhibitor JQ1 in TNBC lines. High-complexity DNA barcoding and mathematical modeling indicate a high rate of de novo acquired resistance to these drugs relative to pre-existing resistance. We demonstrate that the combination of JQ1 and palbociclib induces cell division errors, which can increase the chance of developing aneuploidy. Characterizing acquired resistance to combination treatment at a single cell level shows heterogeneous mechanisms including activation of G1-S and senescence pathways. Our results establish a rationale for further investigation of combined BET and CDK4/6 inhibition in TNBC and suggest novel mechanisms of action for these drugs and new vulnerabilities in cells after emergence of resistance.
Identifiants
pubmed: 32393766
doi: 10.1038/s41467-020-16170-3
pii: 10.1038/s41467-020-16170-3
pmc: PMC7214447
doi:
Substances chimiques
(+)-JQ1 compound
0
Azepines
0
DNA, Neoplasm
0
Piperazines
0
Proteins
0
Pyridines
0
Retinoblastoma Protein
0
Triazoles
0
bromodomain and extra-terminal domain protein, human
0
Cyclin-Dependent Kinase 4
EC 2.7.11.22
Cyclin-Dependent Kinase 6
EC 2.7.11.22
palbociclib
G9ZF61LE7G
Paclitaxel
P88XT4IS4D
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
2350Subventions
Organisme : NCI NIH HHS
ID : R35 CA197623
Pays : United States
Organisme : NCI NIH HHS
ID : P01 CA080111
Pays : United States
Organisme : NCI NIH HHS
ID : F30 CA228208
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA213404
Pays : United States
Organisme : NCI NIH HHS
ID : U54 CA193461
Pays : United States
Organisme : NCI NIH HHS
ID : P50 CA168504
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA202634
Pays : United States
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