Association of FGFR1 with ERαmaintains ligand-independent ER transcription and mediates resistance to estrogen deprivation in ER+ breast cancer

Autor: Valerie M. Jansen, Yao Lu, Stefano Cairo, Thomas Stricker, Carlos L. Arteaga, Luis J. Schwarz, Justin M. Balko, Jennifer M. Giltnane, Angel Guerrero-Zotano, Monica M. Estrada, Roberto Bianco, Neil E. Bhola, Jean Gabriel Judde, Kimberly M. Stauffer, Ingrid A. Mayer, Melinda E. Sanders, Christian D. Young, Luigi Formisano, Olivier Deas, Katherine E. Hutchinson, Teresa C. Dugger
Přispěvatelé: Formisano, Luigi, Stauffer, Kimberly Mae, Young, Christian D, Bhola, Neil E, Guerrero Zotano, Angel L, Jansen, Valerie M, Estrada, Monica M, Hutchinson, Katherine E, Giltnane, Jennifer M, Schwarz, Luis J, Lu, Yao, Balko, Justin M, Deas, Olivier, Cairo, Stefano, Judde, Jean Gabriel, Mayer, Ingrid A, Sanders, Melinda, Dugger, Teresa C, Bianco, Roberto, Stricker, Thoma, Arteaga, Carlos L.
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
Cancer Research
medicine.medical_specialty
Transcription
Genetic

medicine.drug_class
Cell
Breast Neoplasms
Biology
Tyrosine-kinase inhibitor
03 medical and health sciences
Mice
0302 clinical medicine
Estrogen Receptor Modulators
Internal medicine
Cell Line
Tumor

medicine
Animals
Humans
Molecular Targeted Therapy
Receptor
Fibroblast Growth Factor
Type 1

E2F
Protein Kinase Inhibitors
Neoplasm Staging
Fulvestrant
Cell growth
Letrozole
Estrogen Receptor alpha
Gene Amplification
Fibroblast Growth Factors
Gene Expression Regulation
Neoplastic

stomatognathic diseases
Disease Models
Animal

Protein Transport
FGFR1
breast cancer
estrogen resistance

030104 developmental biology
Endocrinology
medicine.anatomical_structure
Oncology
Estrogen
Drug Resistance
Neoplasm

030220 oncology & carcinogenesis
Cancer research
Female
Estrogen receptor alpha
medicine.drug
Signal Transduction
Popis: Purpose: FGFR1 amplification occurs in approximately 15% of estrogen receptor–positive (ER+) human breast cancers. We investigated mechanisms by which FGFR1 amplification confers antiestrogen resistance to ER+ breast cancer.Experimental Design: ER+ tumors from patients treated with letrozole before surgery were subjected to Ki67 IHC, FGFR1 FISH, and RNA sequencing (RNA-seq). ER+/FGFR1–amplified breast cancer cells, and patient-derived xenografts (PDX) were treated with FGFR1 siRNA or the FGFR tyrosine kinase inhibitor lucitanib. Endpoints were cell/xenograft growth, FGFR1/ERα association by coimmunoprecipitation and proximity ligation, ER genomic activity by ChIP sequencing, and gene expression by RT-PCR.Results: ER+/FGFR1–amplified tumors in patients treated with letrozole maintained cell proliferation (Ki67). Estrogen deprivation increased total and nuclear FGFR1 and FGF ligands expression in ER+/FGFR1–amplified primary tumors and breast cancer cells. In estrogen-free conditions, FGFR1 associated with ERα in tumor cell nuclei and regulated the transcription of ER-dependent genes. This association was inhibited by a kinase-dead FGFR1 mutant and by treatment with lucitanib. ChIP-seq analysis of estrogen-deprived ER+/FGFR1–amplified cells showed binding of FGFR1 and ERα to DNA. Treatment with fulvestrant and/or lucitanib reduced FGFR1 and ERα binding to DNA. RNA-seq data from FGFR1-amplified patients' tumors treated with letrozole showed enrichment of estrogen response and E2F target genes. Finally, growth of ER+/FGFR1–amplified cells and PDXs was more potently inhibited by fulvestrant and lucitanib combined than each drug alone.Conclusions: These data suggest the ERα pathway remains active in estrogen-deprived ER+/FGFR1–amplified breast cancers. Therefore, these tumors are endocrine resistant and should be candidates for treatment with combinations of ER and FGFR antagonists. Clin Cancer Res; 23(20); 6138–50. ©2017 AACR.
Databáze: OpenAIRE