Abstract 230: Connectivity-map analyses identify FDA-approved drugs targeting breast cancer stem cells.

Abstract

Abstract Recently developed genomics-based tools are allowing repositioning of established drugs as cancer treatments. This approach has not been employed extensively to identify drugs that may target cancer stem cells (CSCs) of solid tumors. CD44+/CD24- cancer cells are the first described CSCs for breast cancer, which are enriched in mesenchymal stem-like (MSL) and mesenchymal-like (ML) subtypes of triple negative (TNBCs) and in anti-estrogen resistant breast cancers. We subjected gene expression array datasets containing list of genes differentially expressed in CD44+/CD24- CSCs compared to non-CSCs as well as in cells enriched for other markers of CSCs including CD271 and GD3S (six datasets in total) to connectivity map (CMAP) to identify drugs that may reverse gene expression patterns unique to CSCs. All trans retinoic acid (ATRA) was negatively connected with gene expression in CD44+/CD24-, CD271+, and GD3S+ CSCs as well as in ML and MSL subtypes of TNBCs. Independently, ATRA was found to modulate the expression of several genes in the recently described CSC-enriched Yes-Associated Protein (YAP) signature. ATRA-inducible genes of the YAP signature were associated with good prognosis, whereas ATRA-repressible genes were associated with poor prognosis, depending on the subtype of breast cancer. ATRA reduced mammosphere forming ability of breast cancer cells including acquired anti-estrogen resistant cells, which correlated with ATRA-mediated reduction of the critical stemness-associated gene SOX2 and induction of SOX21, which functions as a differentiation factor depending on the cell type. CD44+/CD24- breast cancer cell line with K-ras mutation was resistant to ATRA, which was reversed by MAP kinase inhibitors. From these results, we propose ATRA as a potential therapy for specific subtypes of breast cancers enriched for CSCs. A biomarker-driven patient selection may help to identify patients who may benefit from ATRA therapy. Citation Format: Poornima Bhat-Nakshatri, Chirayu Goswami, Sunil Badve, George W. Sledge, Harikrishna Nakshatri. Connectivity-map analyses identify FDA-approved drugs targeting breast cancer stem cells. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 230. doi:10.1158/1538-7445.AM2013-230