Breast cancer is a heterogeneous disease comprised of at least 5 major tumor subtypes that coalesce as the 2nd leading cause of cancer death in women in the United States. Amongst individual breast cancer subtypes, triple-negative breast cancers (TNBCs) are clinically unique via their presentation of aggressive phenotypes, and high propensity to recur rapidly following conventional chemotherapy treatment. TNBCs do not express hormone receptors (estrogen and progesterone) and HER2, a phenotype that renders targeted chemotherapies (e.g., hormonal or HER2-directed) ineffective and contributes to the poor prognosis of TNBC patients. Although our understanding of the molecular features and clinical manifestations of TNBCs has increased in recent years, science and medicine still lack sufficient knowledge of TNBC development and metastasis to permit the synthesis of chemotherapies capable of specifically targeting this aggressive breast cancer subtype. WAVE3 (W3) is a member of the WASP/WAVE family of actin-binding proteins and plays an essential role in governing cell shape/morphology, actin polymerization and cytoskeleton remodeling, and cell motility and invasion. Importantly, we showed that W3 expression is aberrantly elevated in TNBCs, and that enforced expression of W3 promotes the acquisition of invasive, and metastatic phenotypes in TNBCs. Based on these and other preliminary findings, we hypothesize that (i) c-Abl-mediated phosphorylation of WAVE3 promotes the aggressiveness of late-stage TNBCs; (ii) Interaction between WAVE3 and YBox1 (YB1), a cancer stem cell-specific transcription factor, enhances the development and progression of TNBC tumors; and (iii) cellular depletion of W3 expression sensitizes TNBCs to the anticancer and apoptotic activities of standard- of-care chemotherapies. These hypotheses will be addressed by three Specific Aims.
Aim 1 will determine the role of c-Abl-mediated phosphorylation of W3 on TNBC development and progression. We will create c-Abl- resistant W3 mutants and determine their ability to regulate TNBC tumorigenicity both in vitro and in vivo. Likewise, mass-spectrometry analyses identified novel WAVE3-binding proteins, such as YB1.
Aim 2 will investigate the significance of the W3/YB1 interaction in promoting the development and metastatic progression of TNBCs, and in the regulation of the transcription machinery of cancer stem cells, which will be determined in in vitro and in vivo models of TNBCs.
Aim 3 will use our newly developed ECO nanoparticles to specifically deliver W3 inhibitors to TNBC tumors and determine the effectiveness of W3 inactivation to restore/enhance the sensitivity of TNBCs to chemotherapy as a means to alleviate TNBC progression and metastasis. Collectively, the findings obtained in this innovation application will provide novel molecular insights into how W3 promotes TNBC tumorigenicity. They will also generate innovative translational outcomes in the form of novel treatment options using W3 inhibitors to resensitize TNBCs to standard-of-care chemotherapies and to alleviate TNBC development and metastatic progression.

Public Health Relevance

Triple-negative breast cancers (TNBCs) are an unusually aggressive and metastatic subtype of breast cancer that also exhibit rapid rates of recurrence. Thus, TNBC patients have a poor prognosis as compared to individuals harboring non-TNBC tumors. We previously established WAVE3 (W3), a protein that regulates cell morphology and movement, as a novel promoter of TNBC development and metastatic progression. This funded R01 grant from NCI will not only provide novel mechanistic insights into how W3 promotes TNBC metastasis, but will also deliver two major translational advancements by (a) establishing W3 as a major player in the maintenance of Cancer Stem Cells in TNBCs, and (b) administering W3 inhibitors in combination with chemotherapy as a novel treatment against TNBCs.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
3R01CA226921-03S1
Application #
10104131
Study Section
Cancer Molecular Pathobiology Study Section (CAMP)
Program Officer
Woodhouse, Elizabeth
Project Start
2018-12-01
Project End
2024-04-30
Budget Start
2020-09-01
Budget End
2021-04-30
Support Year
3
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Case Western Reserve University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106