Cyclin E overexpression as a biomarker for combination treatment strategies in inflammatory breast cancer

Inflammatory breast cancer (IBC) is a virulent form of breast cancer, and novel treatment strategies are urgently needed. Immunohistochemical analysis of tumors from women with a clinical diagnosis of IBC (n = 147) and those with non-IBC breast cancer (n = 2510) revealed that, whereas in non-IBC cas...

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Main Authors: Alexander, Angela, Karakas, Cansu, Chen, Xian, Carey, Jason P.W., Yi, Min, Bondy, Melissa, Thompson, Patricia, Cheung, Kwok-Leung, Ellis, Ian O., Gong, Yun, Krishnamurthy, Savitri, Alvarez, Ricardo H., Ueno, Naoto T., Hunt, Kelly K., Keyomarsi, Khandan
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Published: Impact Journals 2017
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Online Access:https://eprints.nottingham.ac.uk/40113/
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author Alexander, Angela
Karakas, Cansu
Chen, Xian
Carey, Jason P.W.
Yi, Min
Bondy, Melissa
Thompson, Patricia
Cheung, Kwok-Leung
Ellis, Ian O.
Gong, Yun
Krishnamurthy, Savitri
Alvarez, Ricardo H.
Ueno, Naoto T.
Hunt, Kelly K.
Keyomarsi, Khandan
author_facet Alexander, Angela
Karakas, Cansu
Chen, Xian
Carey, Jason P.W.
Yi, Min
Bondy, Melissa
Thompson, Patricia
Cheung, Kwok-Leung
Ellis, Ian O.
Gong, Yun
Krishnamurthy, Savitri
Alvarez, Ricardo H.
Ueno, Naoto T.
Hunt, Kelly K.
Keyomarsi, Khandan
author_sort Alexander, Angela
building Nottingham Research Data Repository
collection Online Access
description Inflammatory breast cancer (IBC) is a virulent form of breast cancer, and novel treatment strategies are urgently needed. Immunohistochemical analysis of tumors from women with a clinical diagnosis of IBC (n = 147) and those with non-IBC breast cancer (n = 2510) revealed that, whereas in non-IBC cases cytoplasmic cyclin E was highly correlated with poor prognosis (P < 0.001), in IBC cases both nuclear and cytoplasmic cyclin E were indicative of poor prognosis. These results underscored the utility of the cyclin E/CDK2 complex as a novel target for treatment. Because IBC cell lines were highly sensitive to the CDK2 inhibitors dinaciclib and meriolin 5, we developed a high-throughput survival assay (HTSA) to design novel sequential combination strategies based on the presence of cyclin E and CDK2. Using a 14-cell-line panel, we found that dinaciclib potentiated the activity of DNA-damaging chemotherapies treated in a sequence of dinaciclib followed by chemotherapy, whereas this was not true for paclitaxel. We also identified a signature of DNA repair–related genes that are downregulated by dinaciclib, suggesting that global DNA repair is inhibited and that prolonged DNA damage leads to apoptosis. Taken together, our findings argue that CDK2-targeted combinations may be viable strategies in IBC worthy of future clinical investigation.
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spelling nottingham-401132020-05-04T18:30:20Z https://eprints.nottingham.ac.uk/40113/ Cyclin E overexpression as a biomarker for combination treatment strategies in inflammatory breast cancer Alexander, Angela Karakas, Cansu Chen, Xian Carey, Jason P.W. Yi, Min Bondy, Melissa Thompson, Patricia Cheung, Kwok-Leung Ellis, Ian O. Gong, Yun Krishnamurthy, Savitri Alvarez, Ricardo H. Ueno, Naoto T. Hunt, Kelly K. Keyomarsi, Khandan Inflammatory breast cancer (IBC) is a virulent form of breast cancer, and novel treatment strategies are urgently needed. Immunohistochemical analysis of tumors from women with a clinical diagnosis of IBC (n = 147) and those with non-IBC breast cancer (n = 2510) revealed that, whereas in non-IBC cases cytoplasmic cyclin E was highly correlated with poor prognosis (P < 0.001), in IBC cases both nuclear and cytoplasmic cyclin E were indicative of poor prognosis. These results underscored the utility of the cyclin E/CDK2 complex as a novel target for treatment. Because IBC cell lines were highly sensitive to the CDK2 inhibitors dinaciclib and meriolin 5, we developed a high-throughput survival assay (HTSA) to design novel sequential combination strategies based on the presence of cyclin E and CDK2. Using a 14-cell-line panel, we found that dinaciclib potentiated the activity of DNA-damaging chemotherapies treated in a sequence of dinaciclib followed by chemotherapy, whereas this was not true for paclitaxel. We also identified a signature of DNA repair–related genes that are downregulated by dinaciclib, suggesting that global DNA repair is inhibited and that prolonged DNA damage leads to apoptosis. Taken together, our findings argue that CDK2-targeted combinations may be viable strategies in IBC worthy of future clinical investigation. Impact Journals 2017-01-17 Article PeerReviewed Alexander, Angela, Karakas, Cansu, Chen, Xian, Carey, Jason P.W., Yi, Min, Bondy, Melissa, Thompson, Patricia, Cheung, Kwok-Leung, Ellis, Ian O., Gong, Yun, Krishnamurthy, Savitri, Alvarez, Ricardo H., Ueno, Naoto T., Hunt, Kelly K. and Keyomarsi, Khandan (2017) Cyclin E overexpression as a biomarker for combination treatment strategies in inflammatory breast cancer. Oncotarget . ISSN 1949-2553 Cell cycle Inflammatory breast cancer CDK2 Cyclin E Treatment http://www.impactjournals.com/oncotarget/index.php?journal=oncotarget&page=article&op=view&path%5b%5d=14689 doi:10.18632/oncotarget.14689 doi:10.18632/oncotarget.14689
spellingShingle Cell cycle
Inflammatory breast cancer
CDK2
Cyclin E
Treatment
Alexander, Angela
Karakas, Cansu
Chen, Xian
Carey, Jason P.W.
Yi, Min
Bondy, Melissa
Thompson, Patricia
Cheung, Kwok-Leung
Ellis, Ian O.
Gong, Yun
Krishnamurthy, Savitri
Alvarez, Ricardo H.
Ueno, Naoto T.
Hunt, Kelly K.
Keyomarsi, Khandan
Cyclin E overexpression as a biomarker for combination treatment strategies in inflammatory breast cancer
title Cyclin E overexpression as a biomarker for combination treatment strategies in inflammatory breast cancer
title_full Cyclin E overexpression as a biomarker for combination treatment strategies in inflammatory breast cancer
title_fullStr Cyclin E overexpression as a biomarker for combination treatment strategies in inflammatory breast cancer
title_full_unstemmed Cyclin E overexpression as a biomarker for combination treatment strategies in inflammatory breast cancer
title_short Cyclin E overexpression as a biomarker for combination treatment strategies in inflammatory breast cancer
title_sort cyclin e overexpression as a biomarker for combination treatment strategies in inflammatory breast cancer
topic Cell cycle
Inflammatory breast cancer
CDK2
Cyclin E
Treatment
url https://eprints.nottingham.ac.uk/40113/
https://eprints.nottingham.ac.uk/40113/
https://eprints.nottingham.ac.uk/40113/