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Inhibition of fatty acid oxidation as a therapy for MYC-overexpressing triple-negative breast cancer
Open accessAbstract
Expression of the oncogenic transcription factor MYC is disproportionately elevated in triple-negative breast cancer (TNBC), as compared to estrogen receptor–, progesterone receptor– or human epidermal growth factor 2 receptor–positive (RP) breast cancer. We and others have shown that MYC alters metabolism during tumorigenesis. However, the role of MYC in TNBC metabolism remains mostly unexplored. We hypothesized that MYC-dependent metabolic dysregulation is essential for the growth of MYC-overexpressing TNBC cells and may identify new therapeutic targets for this clinically challenging subset of breast cancer. Using a targeted metabolomics approach, we identified fatty acid oxidation (FAO) intermediates as being dramatically upregulated in a MYC-driven model of TNBC. We also identified a lipid metabolism gene signature in patients with TNBC that were identified from The Cancer Genome Atlas database and from multiple other clinical data sets, implicating FAO as a dysregulated pathway that is critical for TNBC cell metabolism. We found that pharmacologic inhibition of FAO catastrophically decreased energy metabolism in MYC-overexpressing TNBC cells and blocked tumor growth in a MYC-driven transgenic TNBC model and in a MYC-overexpressing TNBC patient–derived xenograft. These findings demonstrate that MYC-overexpressing TNBC shows an increased bioenergetic reliance on FAO and identify the inhibition of FAO as a potential therapeutic strategy for this subset of breast cancer.
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“Etomoxir (ETX), as a clinically tested, specific inhibitor of the enzyme CPT1 involved in FAO, causes ATP depletion and energetic stress, retarding tumor growth in a xenograft model 74 .”
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Metadata
- Authors
- Camarda, R., Zhou, A. Y., Kohnz, R. A., Balakrishnan, S., Mahieu, C., Anderton, B., Eyob, H., Kajimura, S., Tward, A., Krings, G., Nomura, D. K., & Goga, A.
- Venue
- Nature Medicine
- Published
- 2016-03-07
- Volume
- 22
- Issue
- 4
- Pages
- 427-432
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- OpenAlex
- W2295060570
- Cited by
- 528
- References
- 6
- FWCI
- 16.62
- Type
- journal article
- Language
- en
- Open access
- green
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