Identification of MFGE8 and KLK5/7 as mediators of breast tumorigenesis and resistance to COX-2 inhibition

Abstract Background Cyclooxygenase 2 (COX-2) promotes stemness in triple negative breast cancer (TNBC), highlighting COX-2 as a promising therapeutic target in these tumors. However, to date, clinical trials using COX-2 inhibitors in breast cancer only showed variable patient responses with no clear...

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Main Authors: Jun Tian, Vivian Wang, Ni Wang, Baharak Khadang, Julien Boudreault, Khldoun Bakdounes, Suhad Ali, Jean-Jacques Lebrun
Format: Article
Language:English
Published: BMC 2021-02-01
Series:Breast Cancer Research
Subjects:
Online Access:https://doi.org/10.1186/s13058-021-01401-2
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author Jun Tian
Vivian Wang
Ni Wang
Baharak Khadang
Julien Boudreault
Khldoun Bakdounes
Suhad Ali
Jean-Jacques Lebrun
author_facet Jun Tian
Vivian Wang
Ni Wang
Baharak Khadang
Julien Boudreault
Khldoun Bakdounes
Suhad Ali
Jean-Jacques Lebrun
author_sort Jun Tian
collection DOAJ
description Abstract Background Cyclooxygenase 2 (COX-2) promotes stemness in triple negative breast cancer (TNBC), highlighting COX-2 as a promising therapeutic target in these tumors. However, to date, clinical trials using COX-2 inhibitors in breast cancer only showed variable patient responses with no clear significant clinical benefits, suggesting underlying molecular mechanisms contributing to resistance to COX-2 inhibitors. Methods By combining in silico analysis of human breast cancer RNA-seq data with interrogation of public patient databases and their associated transcriptomic, genomic, and clinical profiles, we identified COX-2 associated genes whose expression correlate with aggressive TNBC features and resistance to COX-2 inhibitors. We then assessed their individual contributions to TNBC metastasis and resistance to COX-2 inhibitors, using CRISPR gene knockout approaches in both in vitro and in vivo preclinical models of TNBC. Results We identified multiple COX-2 associated genes (TPM4, RGS2, LAMC2, SERPINB5, KLK7, MFGE8, KLK5, ID4, RBP1, SLC2A1) that regulate tumor lung colonization in TNBC. Furthermore, we found that silencing MFGE8 and KLK5/7 gene expression in TNBC cells markedly restored sensitivity to COX-2 selective inhibitor both in vitro and in vivo. Conclusions Together, our study supports the establishment and use of novel COX-2 inhibitor-based combination therapies as future strategies for TNBC treatment.
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spelling doaj.art-d805fa68594c4a45a5c184ed6191e8652022-12-21T23:47:28ZengBMCBreast Cancer Research1465-542X2021-02-0123111810.1186/s13058-021-01401-2Identification of MFGE8 and KLK5/7 as mediators of breast tumorigenesis and resistance to COX-2 inhibitionJun Tian0Vivian Wang1Ni Wang2Baharak Khadang3Julien Boudreault4Khldoun Bakdounes5Suhad Ali6Jean-Jacques Lebrun7Department of Medicine, McGill University Health Center, Cancer Research ProgramDepartment of Medicine, McGill University Health Center, Cancer Research ProgramDepartment of Medicine, McGill University Health Center, Cancer Research ProgramDepartment of Medicine, McGill University Health Center, Cancer Research ProgramDepartment of Medicine, McGill University Health Center, Cancer Research ProgramDepartment of Medicine, McGill University Health Center, Cancer Research ProgramDepartment of Medicine, McGill University Health Center, Cancer Research ProgramDepartment of Medicine, McGill University Health Center, Cancer Research ProgramAbstract Background Cyclooxygenase 2 (COX-2) promotes stemness in triple negative breast cancer (TNBC), highlighting COX-2 as a promising therapeutic target in these tumors. However, to date, clinical trials using COX-2 inhibitors in breast cancer only showed variable patient responses with no clear significant clinical benefits, suggesting underlying molecular mechanisms contributing to resistance to COX-2 inhibitors. Methods By combining in silico analysis of human breast cancer RNA-seq data with interrogation of public patient databases and their associated transcriptomic, genomic, and clinical profiles, we identified COX-2 associated genes whose expression correlate with aggressive TNBC features and resistance to COX-2 inhibitors. We then assessed their individual contributions to TNBC metastasis and resistance to COX-2 inhibitors, using CRISPR gene knockout approaches in both in vitro and in vivo preclinical models of TNBC. Results We identified multiple COX-2 associated genes (TPM4, RGS2, LAMC2, SERPINB5, KLK7, MFGE8, KLK5, ID4, RBP1, SLC2A1) that regulate tumor lung colonization in TNBC. Furthermore, we found that silencing MFGE8 and KLK5/7 gene expression in TNBC cells markedly restored sensitivity to COX-2 selective inhibitor both in vitro and in vivo. Conclusions Together, our study supports the establishment and use of novel COX-2 inhibitor-based combination therapies as future strategies for TNBC treatment.https://doi.org/10.1186/s13058-021-01401-2COX-2CelecoxibBreast cancerTNBCDrug resistanceMGFE8
spellingShingle Jun Tian
Vivian Wang
Ni Wang
Baharak Khadang
Julien Boudreault
Khldoun Bakdounes
Suhad Ali
Jean-Jacques Lebrun
Identification of MFGE8 and KLK5/7 as mediators of breast tumorigenesis and resistance to COX-2 inhibition
Breast Cancer Research
COX-2
Celecoxib
Breast cancer
TNBC
Drug resistance
MGFE8
title Identification of MFGE8 and KLK5/7 as mediators of breast tumorigenesis and resistance to COX-2 inhibition
title_full Identification of MFGE8 and KLK5/7 as mediators of breast tumorigenesis and resistance to COX-2 inhibition
title_fullStr Identification of MFGE8 and KLK5/7 as mediators of breast tumorigenesis and resistance to COX-2 inhibition
title_full_unstemmed Identification of MFGE8 and KLK5/7 as mediators of breast tumorigenesis and resistance to COX-2 inhibition
title_short Identification of MFGE8 and KLK5/7 as mediators of breast tumorigenesis and resistance to COX-2 inhibition
title_sort identification of mfge8 and klk5 7 as mediators of breast tumorigenesis and resistance to cox 2 inhibition
topic COX-2
Celecoxib
Breast cancer
TNBC
Drug resistance
MGFE8
url https://doi.org/10.1186/s13058-021-01401-2
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