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Par-4 downregulation promotes breast cancer recurrence by preventing multinucleation following targeted therapy.


ABSTRACT: Most deaths from breast cancer result from tumor recurrence, but mechanisms underlying tumor relapse are largely unknown. We now report that Par-4 is downregulated during tumor recurrence and that Par-4 downregulation is necessary and sufficient to promote recurrence. Tumor cells with low Par-4 expression survive therapy by evading a program of Par-4-dependent multinucleation and apoptosis that is otherwise engaged following treatment. Low Par-4 expression is associated with poor response to neoadjuvant chemotherapy and an increased risk of relapse in patients with breast cancer, and Par-4 is downregulated in residual tumor cells that survive neoadjuvant chemotherapy. Our findings identify Par-4-induced multinucleation as a mechanism of cell death in oncogene-addicted cells and establish Par-4 as a negative regulator of breast cancer recurrence.

SUBMITTER: Alvarez JV 

PROVIDER: S-EPMC3808871 | biostudies-literature | 2013 Jul

REPOSITORIES: biostudies-literature

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Par-4 downregulation promotes breast cancer recurrence by preventing multinucleation following targeted therapy.

Alvarez James V JV   Pan Tien-Chi TC   Ruth Jason J   Feng Yi Y   Zhou Alice A   Pant Dhruv D   Grimley Joshua S JS   Wandless Thomas J TJ   Demichele Angela A   Chodosh Lewis A LA  

Cancer cell 20130613 1


Most deaths from breast cancer result from tumor recurrence, but mechanisms underlying tumor relapse are largely unknown. We now report that Par-4 is downregulated during tumor recurrence and that Par-4 downregulation is necessary and sufficient to promote recurrence. Tumor cells with low Par-4 expression survive therapy by evading a program of Par-4-dependent multinucleation and apoptosis that is otherwise engaged following treatment. Low Par-4 expression is associated with poor response to neo  ...[more]

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