HDAC Inhibition Restores Response to HER2-Targeted Therapy in Breast Cancer via PHLDA1 Induction

Natasha S Clayton, Edward P. Carter, Abbie E Fearon, James A Heward, Lucía Rodríguez Fernández, Lina Boughetane, Edmund H Wilkes, Pedro R Cutillas, Richard P. Grose*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

Abstract

The downregulation of Pleckstrin Homology-Like Domain family A member 1 (PHLDA1) expression mediates resistance to targeted therapies in receptor tyrosine kinase-driven cancers. The restoration and maintenance of PHLDA1 levels in cancer cells thus constitutes a potential strategy to circumvent resistance to inhibitors of receptor tyrosine kinases. Through a pharmacological approach, we identify the inhibition of MAPK signalling as a crucial step in PHLDA1 downregulation. Further ChIP-qPCR analysis revealed that MEK1/2 inhibition produces significant epigenetic changes at the PHLDA1 locus, specifically a decrease in the activatory marks H3Kme3 and H3K27ac. In line with this, we show that treatment with the clinically relevant class I histone deacetylase (HDAC) inhibitor 4SC-202 restores PHLDA1 expression in lapatinib-resistant human epidermal growth factor receptor-2 (HER2)+ breast cancer cells. Critically, we show that when given in combination, 4SC-202 and lapatinib exert synergistic effects on 2D cell proliferation and colony formation capacity. We therefore propose that co-treatment with 4SC-202 may prolong the clinical efficacy of lapatinib in HER2+ breast cancer patients.
Original languageEnglish
Article number6228
JournalInternational Journal of Molecular Sciences
Volume24
Issue number7
DOIs
Publication statusPublished - 25 Mar 2023

Bibliographical note

Funding Information:
A.F. was funded by a CRUK studentship (C16420/A12995), E.C. by CRUK and Barts Charity grants (A27781, G-002189), and L.F. by a Breast Cancer Now project award (2017NovPR988). This work was also supported by a Cancer Research UK Centre Grant to Barts Cancer Institute (A25137).

Publisher Copyright:
© 2023 by the authors.

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