Synergistic PIM kinase and proteasome inhibition as a therapeutic strategy for MYC-overexpressing triple-negative breast cancer

Ratika Kunder, Michelle Velyunskiy, Sara F. Dunne, Byoung Kyu Cho, Deepak Pritambhai Kanojia, Lauren Begg, Adrienne M. Orriols, Erica Fleming-Trujillo, Pranathi Vadlamani, Alesia Vialichka, Rosemary Bolin, Jessica N. Perrino, Diane Roth, Matthew Ryan Clutter, Nicolette A. Zielinski-Mozny, Young Ah Goo, Massimo Cristofanilli, Marc L. Mendillo, Athanasios Vasilopoulos, Dai Horiuchi*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Triple-negative breast cancer (TNBC) is the breast cancer subtype with the poorest clinical outcome. The PIM family of kinases has emerged as a factor that is both overexpressed in TNBC and associated with poor outcomes. Preclinical data suggest that TNBC with an elevated MYC expression is sensitive to PIM inhibition. However, clinical observations indicate that the efficacy of PIM inhibitors as single agents may be limited, suggesting the need for combination therapies. Our screening effort identifies PIM and the 20S proteasome inhibition as the most synergistic combination. PIM inhibitors, when combined with proteasome inhibitors, induce significant antitumor effects, including abnormal accumulation of poly-ubiquitinated proteins, increased proteotoxic stress, and the inability of NRF1 to counter loss in proteasome activity. Thus, the identified combination could represent a rational combination therapy against MYC-overexpressing TNBC that is readily translatable to clinical investigations.

Original languageEnglish (US)
Pages (from-to)358-372.e5
JournalCell Chemical Biology
Volume29
Issue number3
DOIs
StatePublished - Mar 17 2022

Funding

We acknowledge the following support: US Department of Defense Breast Cancer Research Program (W81XWH1810053 to D.H.), Susan G. Komen Foundation (CCR17488145 to M.L.M, CCR16376693 to D.H.), the Lynn Sage Foundation (M.L.M. A. Vassilopoulos, D.H.), the Translational Bridge Program of Robert H. Lurie Comprehensive Cancer Center of Northwestern University (R.K. M.C. and D.H.), the Northwestern Medicine Catalyst Funds (D.H.), and the Northwestern University Clinical and Translational Sciences Institute (D.H.), which was supported by the National Institutes of Health's National Center for Advancing Translational Sciences (UL1TR001422). Drug combination screens were carried out at the Northwestern High Throughput Analysis Core, which received support from a National Cancer Institute Cancer Center Support Grant (NCI CA060553). The mass spectrometry experiments were carried out at the Northwestern Proteomics Core Facility, generously supported by the National Cancer Institute CCSG P30 CA060553 awarded to the Robert H Lurie Comprehensive Cancer Center, instrumentation award (S10OD025194) from the National Institutes of Health Office of Director, and the National Resource for Translational and Developmental Proteomics supported by P41 GM108569. The content is solely the authors' responsibility and does not necessarily represent the official views of the National Institutes of Health. Graphical abstract was created with BioRender.com. R.K. S.D. D.R. M.R.C. N.A.Z. Y.G. M.C. M.L.M, A. Vassilopoulos, and D.H. designed the research. R.K. M.V. S.D. D.K. B.C. L.B. A.M.O. E.F. P.V. R.B. J.N.P. A. Vialichka, M.R.C. and D.H. performed the research. R.K. M.V. S.D. B.C. L.B. A.M.O. E.F. P.V. M.R.C. Y.G. M.L.M, A. Vassilopoulos, and D.H. analyzed the data. R.K. M.V. B.C. L.B. A.M.O. Y.G. M.L.M. A. Vassilopoulos, and D.H. wrote the paper. D.H. supervised the study. The authors declare no competing interest. We acknowledge the following support: US Department of Defense Breast Cancer Research Program ( W81XWH1810053 to D.H.), Susan G. Komen Foundation ( CCR17488145 to M.L.M, CCR16376693 to D.H.), the Lynn Sage Foundation (M.L.M., A. Vassilopoulos, D.H.), the Translational Bridge Program of Robert H. Lurie Comprehensive Cancer Center of Northwestern University (R.K., M.C., and D.H.), the Northwestern Medicine Catalyst Funds (D.H.), and the Northwestern University Clinical and Translational Sciences Institute (D.H.), which was supported by the National Institutes of Health 's National Center for Advancing Translational Sciences ( UL1TR001422 ). Drug combination screens were carried out at the Northwestern High Throughput Analysis Core, which received support from a National Cancer Institute Cancer Center Support Grant ( NCI CA060553 ). The mass spectrometry experiments were carried out at the Northwestern Proteomics Core Facility, generously supported by the National Cancer Institute CCSG P30 CA060553 awarded to the Robert H Lurie Comprehensive Cancer Center, instrumentation award ( S10OD025194 ) from the National Institutes of Health Office of Director, and the National Resource for Translational and Developmental Proteomics supported by P41 GM108569 . The content is solely the authors' responsibility and does not necessarily represent the official views of the National Institutes of Health. Graphical abstract was created with BioRender.com .

Keywords

  • MYC oncoprotein
  • PIM kinase inhibitor
  • Triple-negative breast cancer
  • chemical genetics
  • proteasome inhibitors
  • protein homeostasis
  • proteotoxic stress
  • rational combination therapy

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Medicine
  • Molecular Biology
  • Pharmacology
  • Drug Discovery
  • Clinical Biochemistry

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