1. Therapeutic cooperation between auranofin, a thioredoxin reductase inhibitor and anti‐PD‐L1 antibody for treatment of triple‐negative breast cancer.
- Author
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Raninga, Prahlad V., Lee, Andy C., Sinha, Debottam, Shih, Yu‐Yin, Mittal, Deepak, Makhale, Ashwini, Bain, Amanda L., Nanayakarra, Devathri, Tonissen, Kathryn F., Kalimutho, Murugan, and Khanna, Kum Kum
- Subjects
TRIPLE-negative breast cancer ,REDUCTASE inhibitors ,HORMONE receptors ,CELL death ,OXIDATIVE stress ,TUMOR growth - Abstract
Triple‐negative breast cancer (TNBCs) is a very aggressive and lethal form of breast cancer with no effective targeted therapy. Neoadjuvant chemotherapies and radiotherapy remains a mainstay of treatment with only 25–30% of TNBC patients responding. Thus, there is an unmet clinical need to develop novel therapeutic strategies for TNBCs. TNBC cells have increased intracellular oxidative stress and suppressed glutathione, a major antioxidant system, but still, are protected against higher oxidative stress. We screened a panel of antioxidant genes using the TCGA and METABRIC databases and found that expression of the thioredoxin pathway genes is significantly upregulated in TNBC patients compared to non‐TNBC patients and is correlated with adverse survival outcomes. Treatment with auranofin (AF), an FDA‐approved thioredoxin reductase inhibitor caused specific cell death and impaired the growth of TNBC cells grown as spheroids. Furthermore, AF treatment exerted a significant in vivo antitumor activity in multiple TNBC models including the syngeneic 4T1.2 model, MDA‐MB‐231 xenograft and patient‐derived tumor xenograft by inhibiting thioredoxin redox activity. We, for the first time, showed that AF increased CD8+Ve T‐cell tumor infiltration in vivo and upregulated immune checkpoint PD‐L1 expression in an ERK1/2‐MYC‐dependent manner. Moreover, combination of AF with anti‐PD‐L1 antibody synergistically impaired the growth of 4T1.2 primary tumors. Our data provide a novel therapeutic strategy using AF in combination with anti‐PD‐L1 antibody that warrants further clinical investigation for TNBC patients. What's new? Up to 20% of breast cancers are "triple negative" tumors, which lack hormone receptors, making them difficult to treat and frequently lethal. In search of a targeted therapy, these authors screened TNBC cells for expression of antioxidant genes. They found increased expression of the thioredoxin pathway in TNBC cells, and patients expressing high levels of Trx and TrxR1 had poorer survival. They showed that the FDA‐approved TrxR1‐inhibitor auranofin hindered TNBC tumor growth, but boosted immune checkpoint PD‐L1 expression. Combining auranofin with PD‐L1 blockade effectively killed TNBC tumors in mice, and could be a promising avenue for clinical study. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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