Targeting the Cell Cycle, RRM2 and NF-κB for the Treatment of Breast Cancers

A hallmark of cancer is the dysregulation of the cell cycle. The CDK4/6 inhibitor palbociclib is approved for treating advanced estrogen-receptor-positive breast cancer, but its success is limited by the development of acquired resistance owing to long-term therapy despite promising clinical outcome...

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Main Authors: Nahid Sultana, Howard L. Elford, Jesika S. Faridi
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/16/5/975
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author Nahid Sultana
Howard L. Elford
Jesika S. Faridi
author_facet Nahid Sultana
Howard L. Elford
Jesika S. Faridi
author_sort Nahid Sultana
collection DOAJ
description A hallmark of cancer is the dysregulation of the cell cycle. The CDK4/6 inhibitor palbociclib is approved for treating advanced estrogen-receptor-positive breast cancer, but its success is limited by the development of acquired resistance owing to long-term therapy despite promising clinical outcomes. This situation necessitates the development of potential combination strategies. Here, we report that didox, an inhibitor of ribonucleotide reductase in combination with palbociclib, can overcome palbociclib resistance in ER-positive and ER-negative breast cancers. This study shows didox downregulates an element of the cell cycle checkpoint, cyclin D1, accompanied by a reduction in NF-κB activity in vitro and tumor growth inhibition of palbociclib-resistant ER positive breast cancer tumor growth in vivo. Furthermore, didox induces cell cycle arrest at G1 as well as reduces ROS generated by on-target effects of palbociclib on the cell cycle. Our current study also reports that the CCND1 and RRM2 upregulation associated with palbociclib-resistant breast cancers decreases upon ribonucleotide reductase inhibition. Our data present a novel and promising biomarker-driven combination therapeutic approach for the treatment of ER-positive and ER-negative breast cancers that involves the inhibition of the CDK4/6-cyclinD1/pRb cell cycle axis that merits further clinical investigation in human models.
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spelling doaj.art-d91173e907cc498b8fef3ce40bb01bec2024-03-12T16:41:03ZengMDPI AGCancers2072-66942024-02-0116597510.3390/cancers16050975Targeting the Cell Cycle, RRM2 and NF-κB for the Treatment of Breast CancersNahid Sultana0Howard L. Elford1Jesika S. Faridi2Department of Physiology and Pharmacology, Thomas J. Long School of Pharmacy, University of the Pacific, Stockton, CA 95211, USAMolecules for Health, Inc., Richmond, VA 23219, USADepartment of Physiology and Pharmacology, Thomas J. Long School of Pharmacy, University of the Pacific, Stockton, CA 95211, USAA hallmark of cancer is the dysregulation of the cell cycle. The CDK4/6 inhibitor palbociclib is approved for treating advanced estrogen-receptor-positive breast cancer, but its success is limited by the development of acquired resistance owing to long-term therapy despite promising clinical outcomes. This situation necessitates the development of potential combination strategies. Here, we report that didox, an inhibitor of ribonucleotide reductase in combination with palbociclib, can overcome palbociclib resistance in ER-positive and ER-negative breast cancers. This study shows didox downregulates an element of the cell cycle checkpoint, cyclin D1, accompanied by a reduction in NF-κB activity in vitro and tumor growth inhibition of palbociclib-resistant ER positive breast cancer tumor growth in vivo. Furthermore, didox induces cell cycle arrest at G1 as well as reduces ROS generated by on-target effects of palbociclib on the cell cycle. Our current study also reports that the CCND1 and RRM2 upregulation associated with palbociclib-resistant breast cancers decreases upon ribonucleotide reductase inhibition. Our data present a novel and promising biomarker-driven combination therapeutic approach for the treatment of ER-positive and ER-negative breast cancers that involves the inhibition of the CDK4/6-cyclinD1/pRb cell cycle axis that merits further clinical investigation in human models.https://www.mdpi.com/2072-6694/16/5/975palbociclibRRM2NF-κBcell cycle
spellingShingle Nahid Sultana
Howard L. Elford
Jesika S. Faridi
Targeting the Cell Cycle, RRM2 and NF-κB for the Treatment of Breast Cancers
Cancers
palbociclib
RRM2
NF-κB
cell cycle
title Targeting the Cell Cycle, RRM2 and NF-κB for the Treatment of Breast Cancers
title_full Targeting the Cell Cycle, RRM2 and NF-κB for the Treatment of Breast Cancers
title_fullStr Targeting the Cell Cycle, RRM2 and NF-κB for the Treatment of Breast Cancers
title_full_unstemmed Targeting the Cell Cycle, RRM2 and NF-κB for the Treatment of Breast Cancers
title_short Targeting the Cell Cycle, RRM2 and NF-κB for the Treatment of Breast Cancers
title_sort targeting the cell cycle rrm2 and nf κb for the treatment of breast cancers
topic palbociclib
RRM2
NF-κB
cell cycle
url https://www.mdpi.com/2072-6694/16/5/975
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