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Anticancer effect of zoledronic acid in endocrine-resistant breast cancer cells via HER-2 signaling - 04/02/24

Doi : 10.1016/j.biopha.2024.116142 
Patthamapon Adchariyasakulchai, Nithidol Sakunrangsit, Sarun Chokyakorn, Chayanin Suksanong, Wannarasmi Ketchart
 Department of Pharmacology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand 

Correspondence to: Department of Pharmacology, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok 10330, Thailand.Department of Pharmacology, Faculty of Medicine, Chulalongkorn University1873 Rama IV Road, PathumwanBangkok10330Thailand

Abstract

HER-2 overexpression is a major mechanism involved in endocrine-resistant breast cancer, which has very limited treatment options. Zoledronic acid (ZA) is a drug in the bisphosphonate group used to treat osteoporosis. ZA was reported to exhibit activity in various cancers, with higher efficacy associated with estrogen-deprivation states. ZA inhibits cell proliferation in lung cancer through the epidermal growth factor receptor signaling pathway. Because endocrine-resistant breast cancer cells overexpress HER-2 and grow independently without estrogen, ZA may exert anticancer effects in these cell types. The inhibitory effects and mechanisms of ZA in endocrine-resistant cells through HER-2 signaling were investigated. The efficacy of ZA was higher in the endocrine-resistant breast cancer cells when compared with the wild-type cells. ZA also exhibited a synergistic effect with fulvestrant and may circumvent fulvestrant resistance. ZA decreased phosphorylated ERK (pERK) levels in resistant cell lines and attenuated HER-2 signaling in tamoxifen- and fulvestrant-resistant cells. ZA significantly decreased HER-2 levels and its downstream signaling molecules, including pAKT and pNF-κB in fulvestrant-resistant breast cancer cells. This inhibitory effect may explain the lower IC50 values of ZA in fulvestrant-resistant cells compared with tamoxifen-resistant cells. Moreover, ZA inhibited the migration and invasion in the resistant cell lines, suggesting an ability to inhibit tumor metastasis. The results indicate that ZA has potential for repurposing as an adjuvant treatment for patients with endocrine-resistant breast cancer.

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Graphical Abstract




 : 

We demonstrated the anti-cancer effect of zoledronic acid in endocrine-resistant breast cancer cells. Zoledronic acid inhibited pERK in both tamoxifen- and fulvestrant-resistant breast cancer cells. In contrast, the inhibitory effect of Zoledronic acid on HER-2, pAKT and pNF-κB was only observed in fulvestrant-resistant breast cancer cells.


We demonstrated the anti-cancer effect of zoledronic acid in endocrine-resistant breast cancer cells. Zoledronic acid inhibited pERK in both tamoxifen- and fulvestrant-resistant breast cancer cells. In contrast, the inhibitory effect of Zoledronic acid on HER-2, pAKT and pNF-κB was only observed in fulvestrant-resistant breast cancer cells.ga1

El texto completo de este artículo está disponible en PDF.

Highlights

Zoledronic acid has higher potency in endocrine-resistant cells.
Zoledronic acid has synergistic effects with fulvestrant.
Zoledronic acid inhibits HER-2, pAKT and pNF-κB in only fulvestrant-resistant cells.
Zoledronic acid can be used as an adjuvant therapy in endocrine-resistant breast cancer.

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Abbreviations : AKT, CDK4/6, EGFR, ER, ERK, FPP, Ful, GGPP, HER2, Lap, MAPK, NF-κB, PAL, pAKT, pERK, pNF-κB, ZA

Keywords : AKT, Breast cancer, Endocrine resistance, ERK, HER-2, Zoledronic acid


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© 2024  The Authors. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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Vol 171

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