Abstract Breast cancer (BC) can be classified into four main subtypes: normal-like, HER2 overexpressing, luminal A and B, and basal-like BC. Normal-like BC cells exhibit gene expression pattern resembling basal epithelial cells. Erb-B-2/HER2-positive BC cells display high levels of Her2 expression. Luminal tumors show heightened expression of luminal cytokeratins and genes specific to the luminal epithelial cells, and are generally ER positive. Basal-like BC is characterized by the lack of expression of ER, progesterone receptor (PgR), and HER2. Triple-negative BC (TNBC) is defined by the lack of expression of ER, PgR and HER2 with distinct molecular, histological and clinical characteristics. Among the four BC subtypes, TNBC shares many of the molecular features of basal-like BC. Patients with TNBC have worse prognosis than those with other types of BC due to residual diseases that are resistant to chemotherapy and display heightened tendency to disseminate to distant organs. Available targeted therapies are ineffective for TNBC. Interestingly, cells derived from TNBC contain an elevated proportion of tumor cells with stem cell traits. These cells, known as cancer stem cells (CSCs), can self renew, differentiate into other types of cells in the tumor bulks, and efficiently promote tumor regrowth. CSCs are highly resistant to chemotherapy due to the expression of antiapoptotic genes. Several highly active signaling pathways, including cytokine-JAK-STAT3, Wnt-β-catenin, and Hippo-TAZ cascades, support the survival and sustained self-renewal of CSCs. One remarkable feature of these diverse signaling pathways is the reliance on the functions of the coactivators and acetyltransferases p300 and its paralog CBP for the expression of the effector genes that underlie the CSC phenotypes. We therefore hypothesize that inhibition of p300/CBP is an effective strategy for treating TNBC. Using an unbiased ultra high-throughput screening, we have identified small chemical compounds that were highly toxic to TNBC cell line MDA-MB-231 and potently inhibited the enzymatic activity of p300. Validation experiments revealed that a specific compound, L002, with the IC50 of 1.98 µM against p300 in vitro suppressed histone acetylation at several known sites of p300 acetylation in cell-based assay. L002 was highly toxic to MDA-MB-231 cells but much less so to MCF7 derived from a luminal BC. Experiments are underway to examine the effects of L002 on the survival of breast CSCs. (This work was supported by Bankhead-Coley Cancer Research Program of the Florida Department of Health.) Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr 4763. doi:1538-7445.AM2012-4763
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