Pub Date : 2018-08-01DOI: 10.1158/1557-3125.ADVBC17-A30
Thu H. Truong, Hsiangyu Hu, J. Ostrander, C. Lange
Luminal breast cancers account for ~75% of newly diagnosed cases and express estrogen receptor (ER) and a range of progesterone receptor (PR)-positive cells. Although adjuvant hormone therapies that target ER actions (e.g., tamoxifen or aromatase inhibitors) have improved overall patient survival, up to ~40% of luminal breast tumors eventually progress to ER+, but endocrine-resistant disease. Therefore, there is a critical need to delineate the processes driving ER+ breast cancer progression and identify new biomarkers that can be targeted in combination with ER-targeted therapies. An emerging biomarker of increased breast cancer risk and aggressive tumor behavior is oncogenic PELP1 (i.e., partially localized to the cytoplasm; cyto PELP1). PELP1 is typically located in the nucleus in normal breast tissue; however, partial to complete localization of PELP1 to the cytoplasm has been observed in up to 50% of PELP1+ breast tumors. Although a number of studies have implicated oncogenic PELP1 in luminal breast cancer biology, the mechanisms underlying oncogenic PELP1 actions in cancer remain poorly defined. To elucidate the impact of oncogenic PELP1 on steroid hormone receptor (SR) signaling pathways and transcription programs, we generated SR+ breast cancer cell models expressing vector control, wild-type (nuclear) PELP1, and oncogenic (cyto) PELP1. Herein, we identified AIB1 (amplified in breast cancer 1; ER coactivator) as a preferential binding partner of oncogenic PELP1. In particular, our data demonstrate that oncogenic PELP1 overexpression increases activation (i.e., phosphorylation) of AIB1, enhances tumorsphere formation in SR+ breast cancer models, and upregulates specific target genes identified through RNA-Seq analysis that are related to cell survival, breast cancer progression, and stem/progenitor formation independent of hormone stimulation. Knockdown of AIB1 inhibits oncogenic PELP1-induced tumorsphere formation and downregulates oncogenic PELP1 target genes. Moreover, knockdown of PELP1 in AIB1-mouse derived tumor cells results in decreased tumor growth in vivo. To our knowledge, our findings are the first to directly link oncogenic PELP1-induced phenotypes to AIB1 in breast cancer. Our studies suggest that directly targeting PELP1 may halt tumor progression, particularly in the context of AIB1-mediated tumorigenesis. Taken together, our data highlight the oncogenic PELP1/AIB1 interaction as an important hormone-independent mechanism of increased breast tumor cell survival and altered cell fate, and as an important mediator of disease progression. In sum, we conclude that oncogenic PELP1 and AIB1 could be used as biomarkers in conjunction with each other to identify breast cancer patients likely to respond to therapeutic strategies designed to selectively target PELP1, AIB1, or the oncogenic PELP1/AIB1 signaling and transcriptional complex. Citation Format: Thu H. Truong, Hsiangyu Hu, Julie H. Ostrander, Carol A. Lange. PELP1 and AIB1
腔内乳腺癌占新诊断病例的75%左右,表达雌激素受体(ER)和一系列孕激素受体(PR)阳性细胞。虽然针对ER作用的辅助激素治疗(例如,他莫昔芬或芳香酶抑制剂)提高了患者的总体生存率,但高达40%的腔内乳腺肿瘤最终进展为ER+,但内分泌抵抗性疾病。因此,迫切需要描述驱动ER+乳腺癌进展的过程,并确定可以与ER靶向治疗联合靶向的新生物标志物。一种新兴的乳腺癌风险增加和肿瘤侵袭性行为的生物标志物是致癌基因PELP1(即部分定位于细胞质;阶段PELP1)。PELP1通常位于正常乳腺组织的细胞核中;然而,在多达50%的PELP1阳性乳腺肿瘤中,观察到PELP1部分或完全定位于细胞质。尽管许多研究表明PELP1在腔内乳腺癌生物学中具有致癌作用,但PELP1在癌症中致癌作用的机制仍然不明确。为了阐明致癌性PELP1对类固醇激素受体(SR)信号通路和转录程序的影响,我们建立了表达载体控制、野生型(核)PELP1和致癌性(细胞)PELP1的SR+乳腺癌细胞模型。在此,我们鉴定出AIB1(在乳腺癌中扩增1;ER共激活因子)作为致癌PELP1的优先结合伙伴。特别是,我们的数据表明,致癌的PELP1过表达增加AIB1的激活(即磷酸化),增强SR+乳腺癌模型中的瘤球形成,并上调通过RNA-Seq分析发现的与细胞存活、乳腺癌进展和独立于激素刺激的干细胞/祖细胞形成相关的特定靶基因。敲低AIB1可抑制PELP1诱导的肿瘤球形成,下调PELP1靶基因。此外,在aib1小鼠源性肿瘤细胞中敲低PELP1可导致体内肿瘤生长下降。据我们所知,我们的发现是第一个将乳腺癌中pelp1诱导的致癌表型与AIB1直接联系起来的研究。我们的研究表明,直接靶向PELP1可能会阻止肿瘤进展,特别是在aib1介导的肿瘤发生的背景下。综上所述,我们的数据强调了致癌的PELP1/AIB1相互作用是增加乳腺肿瘤细胞存活和改变细胞命运的重要激素非依赖性机制,也是疾病进展的重要媒介。总之,我们得出结论,致癌PELP1和AIB1可以相互结合作为生物标志物,以识别可能对选择性靶向PELP1、AIB1或致癌PELP1/AIB1信号和转录复合物的治疗策略有反应的乳腺癌患者。引用格式:张秀华,胡翔宇,Julie H. Ostrander, Carol A. Lange。在ER+乳腺癌模型中,PELP1和AIB1协同促进乳腺癌进展[摘要]。摘自:AACR特别会议论文集:乳腺癌研究进展;2017年10月7-10日;费城(PA): AACR;中华肿瘤杂志,2018;16(8):1 - 3。
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Pub Date : 2018-08-01DOI: 10.1158/1557-3125.ADVBC17-A31
A. Chander, Michael S. Manak, J. Varsanik, B. Hogan, G. Sant, K. Knopf
Largely due to tumor heterogeneity, risk stratification of patients diagnosed with ductal carcinoma in situ (DCIS) of the breast remains a significant challenge. Management of DCIS is also problematic as we wish to personalize treatment of a patient’s tumor in order to avoid overtreatment of lower-risk lesions or undertreatment of DCIS that may recur or progress into invasive cancer. Matching treatment to the underlying severity of the illness is key to practicing cost-effective cancer care in an era where this is a very large concern to society. The aim of this study was to analytically validate a precision risk-stratification tool based on phenotype, which is capable of predicting which patients will develop invasive cancer with greater than 80% sensitivity and specificity. Leveraging the novel capability to rapidly culture primary breast biopsy cells, we present a “biopsy-on-a-chip” microfluidic platform that quantifies dynamic and static phenotypic biomarkers via machine vision to generate predictive clinical scores via machine learning algorithms to determine if a DCIS patient will experience invasive cancer. 47 consecutive lumpectomy or mastectomy samples were collected and objectively analyzed in a blinded study, measuring 1000 phenotypic biomarkers with single-cell resolution using machine vision software. Biomarker measurements were input into machine learning algorithms to develop predictive statistical algorithms. Statistical algorithms were able to independently predict surgical adverse pathology features such as extranodal extension, grade, lymphovascular invasion, lymph invasion, lobular carcinoma in situ (LCIS), and DCIS with sensitivities and specificities greater than 90%. Additional machine learning based algorithms were able to predict if DCIS patients were more likely to develop subsequent metastasis as measured by lymphovascular invasion and/or lymphatic invasion with area under the curve (AUC) > 0.85. This study is the first study to demonstrate the prediction of breast cancer adverse pathology features from live primary biopsy cells and provides the basis to develop a powerful precision risk-stratification tool to risk-stratify DCIS. Furthermore, the methodology described and its ability to rapidly analyze primary breast biopsy tissue with single-cell resolution in a high-throughput manner engenders a powerful research tool to further understand tumor heterogeneity in breast cancer towards the development of personalized therapeutics. Applications of cost effectiveness analysis to our methodology will achieve the triple goal of providing cost-effective, patient-centered, and appropriate breast cancer and DCIS care. Note: This abstract was not presented at the conference. Citation Format: Ashok Chander, Michael Manak, Jonathan Varsanik, Brad Hogan, Grannum Sant, Kevin Knopf. Risk stratification of ductal carcinoma in situ: Analytical validation of a prognostic test analyzing live-primary cells via phenotypic biomarkers and m
很大程度上由于肿瘤的异质性,诊断为乳腺导管原位癌(DCIS)的患者的风险分层仍然是一个重大挑战。DCIS的管理也是一个问题,因为我们希望对患者的肿瘤进行个性化治疗,以避免低风险病变的过度治疗或DCIS治疗不足,从而可能复发或发展为侵袭性癌症。将治疗与疾病的潜在严重程度相匹配,是在这个社会非常关注的时代实施具有成本效益的癌症治疗的关键。本研究的目的是分析验证一种基于表型的精确风险分层工具,该工具能够以超过80%的灵敏度和特异性预测哪些患者会发展为浸润性癌症。利用快速培养原代乳腺活检细胞的新能力,我们提出了一种“片上活检”微流控平台,该平台通过机器视觉量化动态和静态表型生物标志物,通过机器学习算法生成预测性临床评分,以确定DCIS患者是否会经历侵袭性癌症。在一项盲法研究中,收集了47例连续的乳房肿瘤切除或乳房切除术样本,并进行了客观分析,使用机器视觉软件以单细胞分辨率测量了1000种表型生物标志物。生物标志物测量被输入到机器学习算法中,以开发预测统计算法。统计算法能够独立预测手术不良病理特征,如结外延伸、分级、淋巴血管侵袭、淋巴侵袭、小叶原位癌(LCIS)和DCIS,敏感性和特异性均大于90%。其他基于机器学习的算法能够预测DCIS患者是否更有可能发生后续转移,通过测量淋巴血管侵袭和/或淋巴侵袭,曲线下面积(AUC) > 0.85。本研究首次证实了通过活的原代活检细胞预测乳腺癌不良病理特征,为开发一种强大的精确风险分层工具对DCIS进行风险分层提供了基础。此外,所描述的方法及其以高通量方式以单细胞分辨率快速分析原发性乳腺活检组织的能力,为进一步了解乳腺癌肿瘤异质性提供了强大的研究工具,有助于开发个性化治疗方法。将成本效益分析应用于我们的方法将实现提供具有成本效益、以患者为中心和适当的乳腺癌和DCIS护理的三重目标。注:本摘要未在会议上发表。引文格式:Ashok Chander, Michael Manak, Jonathan Varsanik, Brad Hogan, Grannum Sant, Kevin Knopf。导管原位癌的风险分层:通过表型生物标志物和单细胞分辨率的机器学习分析活原代细胞的预后测试的分析验证[摘要]。摘自:AACR特别会议论文集:乳腺癌研究进展;2017年10月7-10日;费城(PA): AACR;中华肿瘤杂志,2018;16(8):1 - 8。
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Pub Date : 2018-08-01DOI: 10.1158/1557-3125.ADVBC17-A29
Madison R. Chandler, Sydney Bergstresser, Anna L. W. Huskey, Elizabeth Stallworth, Amber Davis, Holly Dean, Brandon Johnson, Nancy D. Merner
Although an average woman in the United States can have a 12.5% lifetime risk of developing breast cancer (BC), inherited genetic risk variants can greatly influence a woman’s overall lifetime risk. Genes that harbor BC risk variants are referred to as BC susceptibility genes. Unfortunately, mutations in known BC susceptibility genes only explain approximately 35% of hereditary BC cases, leaving a large portion, approximately 65%, genetically unexplained. With the introduction of next-generation sequencing, several attempts have been carried out to identify additional hereditary BC susceptibility genes using whole-exome sequencing. The majority of these studies were relatively unsuccessful; however, Cybulski et al. (2015) successfully associated two rare truncation variants in RECQL, p.K555delinsMYKLIHYSFR and p.R215*, in a Polish and French-Canadian cohort, respectively. Subsequently, two additional studies were carried out in northern and southern regions of China, which also confirmed that overtly deleterious coding mutations in RECQL are associated with familial BC. Herein, we investigated RECQL variants in BC-affected African Americans (AAs) and European Americans (EAs). To our knowledge, this study represents the first attempt to identify an association between RECQL variants and BC cases in the United States. We initially screened all RECQL coding exons using polymerase chain reaction and Sanger sequencing in 49 BC cases (19 AAs and 30 EAs) from Alabama. Primarily synonymous variants were detected in both ethnicities; thus, in order to further investigate the role of RECQL synonymous variants in BC risk, we analyzed RECQL in blood-derived exomes of 168 and 580 BC-affected AAs and EAs, respectively, from The Cancer Genome Atlas (TCGA) project using an in-house bioinformatics pipeline. A case-control analysis revealed that all rare synonymous variants detected in EA BC cases were associated with BC, and p.S64= was significantly associated in both ethnicities. Interestingly, only one truncation variant was detected (p.Y492*) in all 748 BC cases analyzed. Unlike previous findings, this preliminary analysis suggests that rare RECQL synonymous variants may also increase an individual’s lifetime risk of developing BC; further investigation is warranted. Citation Format: Madison R. Chandler, Sydney Bergstresser, Anna LW Huskey, Elizabeth Stallworth, Amber Davis, Holly Dean, Brandon Johnson, Nancy D. Merner. Investigation of RECQL variants in European and African American breast cancer cohorts [abstract]. In: Proceedings of the AACR Special Conference: Advances in Breast Cancer Research; 2017 Oct 7-10; Hollywood, CA. Philadelphia (PA): AACR; Mol Cancer Res 2018;16(8_Suppl):Abstract nr A29.
尽管美国女性一生中患乳腺癌的平均风险为12.5%,但遗传风险变异会极大地影响女性的总体一生风险。含有BC风险变异的基因被称为BC易感基因。不幸的是,已知的BC易感基因突变只能解释大约35%的遗传性BC病例,剩下的大部分(大约65%)无法解释遗传原因。随着下一代测序的引入,已经进行了一些尝试,以确定额外的遗传性BC易感基因使用全外显子组测序。这些研究大多相对不成功;然而,Cybulski等人(2015)分别在波兰和法裔加拿大队列中成功关联了RECQL中两个罕见的截断变异,p.K555delinsMYKLIHYSFR和p.R215*。随后,在中国北部和南部地区进行了另外两项研究,也证实了RECQL中明显有害的编码突变与家族性BC相关。在此,我们研究了受bc影响的非洲裔美国人(AAs)和欧洲裔美国人(EAs)的RECQL变异。据我们所知,这项研究是在美国首次尝试确定RECQL变异与BC病例之间的关系。我们首先使用聚合酶链反应和Sanger测序筛选了来自阿拉巴马州的49例BC病例(19例aa和30例ea)的所有RECQL编码外显子。在两个种族中都检测到主要同义变异;因此,为了进一步研究RECQL同义语变体在BC风险中的作用,我们使用内部生物信息学管道分析了来自癌症基因组图谱(TCGA)项目的168例和580例BC影响的aa和ea的血液来源外显子组中的RECQL。病例对照分析显示,在EA BC病例中检测到的所有罕见同义变异体均与BC相关,p.S64=在两个种族中均显著相关。有趣的是,在所有分析的748例BC病例中,仅检测到一种截断变异(p.Y492*)。与之前的研究结果不同,这项初步分析表明,罕见的RECQL同义变异也可能增加个体一生患BC的风险;有必要进一步调查。引用格式:Madison R. Chandler, Sydney Bergstresser, Anna LW Huskey, Elizabeth Stallworth, Amber Davis, Holly Dean, Brandon Johnson, Nancy D. Merner。欧洲和非裔美国人乳腺癌队列中RECQL变异的研究[摘要]。摘自:AACR特别会议论文集:乳腺癌研究进展;2017年10月7-10日;费城(PA): AACR;中华肿瘤杂志,2018;16(8):1 - 9。
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