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2017 ; 8
(12
): 20309-20327
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Mitochondrial "power" drives tamoxifen resistance: NQO1 and GCLC are new
therapeutic targets in breast cancer
#MMPMID28411284
Fiorillo M
; Sotgia F
; Sisci D
; Cappello AR
; Lisanti MP
Oncotarget
2017[Mar]; 8
(12
): 20309-20327
PMID28411284
show ga
Here, we identified two new molecular targets, which are functionally sufficient
to metabolically confer the tamoxifen-resistance phenotype in human breast cancer
cells. Briefly, ~20 proteins were first selected as potential candidates, based
on unbiased proteomics analysis, using tamoxifen-resistant cell lines. Then, the
cDNAs of the most promising candidates were systematically transduced into MCF-7
cells. Remarkably, NQO1 and GCLC were both functionally sufficient to
autonomously confer a tamoxifen-resistant metabolic phenotype, characterized by
i) increased mitochondrial biogenesis, ii) increased ATP production and iii)
reduced glutathione levels. Thus, we speculate that pharmacological inhibition of
NQO1 and GCLC may be new therapeutic strategies for overcoming
tamoxifen-resistance in breast cancer patients. In direct support of this notion,
we demonstrate that treatment with a known NQO1 inhibitor (dicoumarol) is indeed
sufficient to revert the tamoxifen-resistance phenotype. As such, these findings
could have important translational significance for the prevention of tumor
recurrence in ER(+) breast cancers, which is due to an endocrine resistance
phenotype. Importantly, we also show here that NQO1 has significant prognostic
value as a biomarker for the prediction of tumor recurrence. More specifically,
higher levels of NQO1 mRNA strongly predict patient relapse in high-risk ER(+)
breast cancer patients receiving endocrine therapy (mostly tamoxifen; H.R. >
2.15; p = 0.007).