Mebendazole Potentiates Radiation Therapy in Triple-Negative Breast Cancer

Autor: Kruttika Bhat, Michael Bochkur Dratver, Amy Dao, Milana Bochkur Dratver, Le Zhang, Claudia Alli, Kevin Dong, Garrett Yu, Erina Vlashi, Andrea Nguyen, Frank Pajonk, Taha Yazal, Sara Duhachek-Muggy
Rok vydání: 2019
Předmět:
Cancer Research
medicine.medical_treatment
Apoptosis
Triple Negative Breast Neoplasms
030218 nuclear medicine & medical imaging
chemistry.chemical_compound
Mice
Double-Stranded
0302 clinical medicine
Stem Cell Research - Nonembryonic - Human
Medicine
DNA Breaks
Double-Stranded

Triple-negative breast cancer
Cancer
education.field_of_study
Radiation
Tumor
Cell cycle
Other Physical Sciences
Mebendazole
Oncology
030220 oncology & carcinogenesis
Female
Reprogramming
Biotechnology
Population
Clinical Sciences
Oncology and Carcinogenesis
Article
Cell Line
03 medical and health sciences
Breast cancer
Cell Line
Tumor

Breast Cancer
Genetics
Animals
Humans
Radiology
Nuclear Medicine and imaging

Propidium iodide
Oncology & Carcinogenesis
education
business.industry
Prevention
DNA Breaks
Cell Dedifferentiation
medicine.disease
Stem Cell Research
High-Throughput Screening Assays
Radiation therapy
chemistry
Cancer research
business
Zdroj: International journal of radiation oncology, biology, physics, vol 103, iss 1
Popis: Purpose The lack of a molecular target in triple-negative breast cancer (TNBC) makes it one of the most challenging breast cancers to treat. Radiation therapy (RT) is an important treatment modality for managing breast cancer; however, we previously showed that RT can also reprogram a fraction of the surviving breast cancer cells into breast cancer–initiating cells (BCICs), which are thought to contribute to disease recurrence. In this study, we characterize mebendazole (MBZ) as a drug with potential to prevent the occurrence of radiation-induced reprogramming and improve the effect of RT in patients with TNBC. Methods and Materials A high-throughput screen was used to identify drugs that prevented radiation-induced conversion of TNBC cells into cells with a cancer-initiating phenotype and exhibited significant toxicity toward TNBC cells. MBZ was one of the drug hits that fulfilled these criteria. In additional studies, we used BCIC markers and mammosphere-forming assays to investigate the effect of MBZ on the BCIC population. Staining with propidium iodide, annexin-V, and γ-H2AX was used to determine the effect of MBZ on cell cycle, apoptosis, and double-strand breaks. Finally, the potential for MBZ to enhance the effect of RT in TNBC was evaluated in vitro and in vivo. Results MBZ efficiently depletes the BCIC pool and prevents the ionizing radiation–induced conversion of breast cancer cells into therapy-resistant BCICs. In addition, MBZ arrests cells in the G2/M phase of the cell cycle and causes double-strand breaks and apoptosis. MBZ sensitizes TNBC cells to ionizing radiation in vitro and in vivo, resulting in improved tumor control in a human xenograft model of TNBC. Conclusions The data presented in this study support the repurposing of MBZ as a combination treatment with RT in patients with TNBC.
Databáze: OpenAIRE