Pharmacological CDK4/6 inhibition promotes vulnerability to lysosomotropic agents in breast cancer.

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Tác giả: Abdullah Altulea, Sara Bravaccini, Ugo De Giorgi, Marco Demaria, Teodora Gheorghe, Caterina Gianni, Sjors Maassen, Jamil Nehme, Abel Soto-Gamez, Boshi Wang, Michele Zanoni

Ngôn ngữ: eng

Ký hiệu phân loại: 149.73 Skepticism

Thông tin xuất bản: England : The EMBO journal , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 50195

Breast cancer is a leading cause of mortality worldwide. Pharmacological inhibitors of cyclin-dependent kinases (CDK) 4 and 6 (CDK4/6i) inhibit breast cancer growth by inducing a senescent-like state. However, the long-term treatment efficacy remains limited by the development of drug resistance, so clearance of senescent-like cancer cells may extend the durability of treatment. However, we show here that while CDK4/6i-treated breast cancer cells exhibit various senescence-associated phenotypes, they remain insensitive to common senolytic compounds. By searching for novel vulnerabilities, we identify a significantly increased lysosomal mass and altered lysosomal structure across various breast cancer cell types upon exposure to CDK4/6i in preclinical systems and clinical specimens. We demonstrate that these CDK4/6i-induced lysosomal alterations render breast cancer cells sensitive to lysosomotropic agents, such as L-leucyl-L-leucine methyl ester (LLOMe) and salinomycin. Importantly, sequential treatment with CDK4/6i and lysosomotropic agents effectively reduces the growth of both hormone receptor-positive (HR
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