MicroRNA-mediated suppression of the TGF-ß pathway confers transmissible and reversible CDK4/6 inhibitor resistance (miRNA array)
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ABSTRACT: CDK4/6 inhibition is now part of the standard armamentarium for patients with estrogen receptor (ER)-positive breast cancer, so that defining mechanisms of resistance is a pressing issue. Here, we identify increased CDK6 expression as a key determinant of acquired resistance after exposure to palbociclib in ER-positive breast cancer cells. Increased CDK6 in resistant cells was dependent on TGF-β pathway suppression via miR-432-5p expression. Exosomal miR-432-5p expression mediated transfer of the resistance phenotype between neighboring cell populations. We confirmed these data in pre-treatment and post-progression biopsies from a parotid cancer patient who had responded to ribociclib, demonstrating clinical relevance of this mechanism. Additionally, the CDK4/6 inhibitor resistance phenotype can be reversed in vitro and in vivo by a prolonged drug holiday.
ORGANISM(S): Merkel cell polyomavirus JC polyomavirus Human alphaherpesvirus 2 Human alphaherpesvirus 1 Betapolyomavirus hominis Cytomegalovirus Lymphocryptovirus Betapolyomavirus macacae Human immunodeficiency virus 1 Homo sapiens Rhadinovirus
PROVIDER: GSE117745 | GEO | 2019/03/04
REPOSITORIES: GEO
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