Cancer
Researchers identify key protein in breast cancer brain metastasis

US researchers have identified a key protein whose increased presence helps promote breast cancer brain metastasis, opening a new area of research into the condition.
In their recent findings, the research team found the MUC5AC protein is upregulated in patients whose cancer has spread to the brain.
The finding provides a rationale for developing a new predictive biomarker for brain metastasis in high-risk breast cancer patients.
In addition, the researchers noted that the study offers a route to develop therapeutic targets for those cases.
Wasim Nasser, PhD, an associate professor in the UNMC Department of Biochemistry and Molecular Biology, said that the research also provides a potential platform to detect brain metastasis early in breast cancer patients.
Brain metastasis is an ominous complication that occurs in around 20-4 per cent of patients with solid tumors diagnosed with breast cancer, lung cancer or melanoma, said Dr. Nasser, who served as lead researcher and corresponding author on the study.
But with few therapies available for the affected patients with breast cancer brain metastasis, the patients typically live only for about five to 10 months, Dr. Nasser said.
According to the publication, mucin proteins previously have been implicated in cancer progression, and the researchers sought to answer whether and how they might be involved in breast cancer brain metastasis.
The study established that the secretory protein MUC5AC, through its interaction with cMET and CD44v6 receptors, is critical for breast cancer brain metastasis.
Dr. Nasser said: “It is imperative to characterise the factors responsible for brain metastasis and develop targeted therapies to challenge this complication,”
Dr. Nasser, whose research specialises in understanding the complexities that are involved in the brain metastasis pathogenesis, said the research team was intrigued to find the drivers that were potential threats to causing brain metastasis.
After analysing multiple datasets of patients with brain metastasis, Dr. Nasser said, the team found that mucins were dysregulated and MUC5AC specifically was among the top upregulated genes.
The connection was particularly strong in breast cancer patients with the HER2-positive cancer subtype, he said, and led to lower survival rates.
Having established that connection, the researchers then worked with animal models.
The researchers found that silencing MUC5AC in breast cancer brain metastatic cells for the experiment reduced brain metastasis in vivo.
In the study experiments, a cancer therapeutic already available for other uses – a cMET inhibitor known as Bozitinib, or PLB1001 – showed promise in inhibiting MUC5AC expression.
The study concluded that blocking MUC5AC and its axis with the cMET and CD44v6 proteins using a cMET inhibitor will be a novel therapeutic approach for breast cancer brain metastasis.
Dr. Nasser said the research team now is extending the study to other cancers that can metastasize to the brain, including lung cancer and melanoma.
Researchers also are hoping to push the Bozitinib therapy for clinical trials, he said.
Diagnosis
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Diagnosis
Experimental drug drowns triple-negative breast cancer cells in toxic fats

An experimental drug slowed triple-negative breast cancer in mice by flooding tumour cells with toxic fats.
Triple-negative breast cancer lacks three common drug targets, making it one of the hardest-to-treat and most aggressive forms of the disease.
The compound, known as DH20931, appears to push cancer cells past their limits by triggering a surge in ceramides, fat-like molecules that place the cells under intense stress until they self-destruct.
In lab experiments, the drug also made standard chemotherapy more effective. When combined with doxorubicin, researchers were able to reduce the dose needed to kill cancer cells by about fivefold.
The drug targets an enzyme known as CerS2 to sharply increase production of these lipids and stress cancer cells. Healthy cells, by contrast, showed lower sensitivity to the drug in lab tests.
While the early results are promising, further preclinical and clinical trials would still be needed to determine the safety and effectiveness of DH20931 in humans.
Satya Narayan, a professor in the University of Florida’s College of Medicine, led the study with an international group of collaborators.
The researchers published their results on human-derived tumours on 21 April and presented their findings on combination therapy at the annual meeting of the American Association for Cancer Research in San Diego.
Narayan likened the drug’s effects to a home’s electrical system handling a power surge.
While healthy cells act like a properly grounded and installed circuit, cancer cells are more like a jumble of mismatched wires and faulty fuses. DH20931 overwhelms cells not with electricity, but with fats.
He said: “When that surge goes into the cancer cells, they cannot handle the amount of power they are getting. The fuses burn out, the cell can’t handle the surge and it dies.”
The compound was developed at the University of Florida in the lab of Sukwong Hong.
Hong, now a professor at the Gwangju Institute of Science and Technology in South Korea, created DH20931 as one of many drug candidates tested for efficacy in Narayan’s lab.
In the study, researchers implanted human triple-negative breast cancer tumours into mice and treated them with DH20931.
The drug significantly slowed tumour growth without causing noticeable weight loss or signs of toxicity in the animals. In separate lab experiments, it also showed activity against other breast cancer subtypes.
In addition to increasing lipid levels, DH20931 triggers a second stress signal by flooding cells with calcium.
Together, these effects disrupt the mitochondria, the structures that produce a cell’s energy, ultimately leading to cell death.
Narayan said: “It does not just follow one pathway but it goes through multiple pathways. It’s a two-hit hypothesis.
“These pathways are common in all breast cancer types and other solid tumours, so we think this drug can be useful not only in triple-negative breast cancer but potentially other cancers as well.”
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