1. SLC7A11 protects luminal A breast cancer cells against ferroptosis induced by CDK4/6 inhibitors
- Author
-
Yingshu Cui, Yi Li, Yuanyuan Xu, Xinxin Liu, Xiaofeng Kang, Junwen Zhu, Shan Long, Yuchen Han, Chunyuan Xue, Zhijia Sun, Yimeng Du, Jia Hu, Lu Pan, Feifan Zhou, Xiaojie Xu, and Xiaosong Li
- Subjects
CDK4/6 inhibitors ,Ferroptosis ,SLC7A11 ,SP1 ,Synthetic lethal ,Medicine (General) ,R5-920 ,Biology (General) ,QH301-705.5 - Abstract
Cyclin-dependent kinase 4 and 6 inhibitors (CDK4/6 inhibitors) can significantly extend tumor response in patients with metastatic luminal A breast cancer, yet intrinsic and acquired resistance remains a prevalent issue. Understanding the molecular features of CDK4/6 inhibitor sensitivity and the potential efficacy of their combination with novel targeted cell death inducers may lead to improved patient outcomes. Herein, we demonstrate that ferroptosis, a form of regulated cell death driven by iron-dependent phospholipid peroxidation, partly underpins the efficacy of CDK4/6 inhibitors. Mechanistically, CDK4/6 inhibitors downregulate the cystine transporter SLC7A11 by inhibiting SP1 binding to the SLC7A11 promoter region. Furthermore, SLC7A11 is identified as critical for the intrinsic sensitivity of luminal A breast cancer to CDK4/6 inhibitors. Both genetic and pharmacological inhibition of SP1 or SLC7A11 enhances cell sensitivity to CDK4/6 inhibitors and synergistically inhibits luminal A breast cancer growth when combined with CDK4/6 inhibitors in vitro and in vivo. Our data highlight the potential of targeting SLC7A11 in combination with CDK4/6 inhibitors, supporting further investigation of combination therapy in luminal A breast cancer.
- Published
- 2024
- Full Text
- View/download PDF