Selective resistance to the PARP inhibitor olaparib in a mouse model for BRCA1-deficient metaplastic breast cancer.

Henneman L., van Miltenburg MH., Michalak EM., Braumuller TM., Jaspers JE., Drenth AP., de Korte-Grimmerink R., Gogola E., Szuhai K., Schlicker A., Bin Ali R., Pritchard C., Huijbers IJ., Berns A., Rottenberg S., Jonkers J.

Metaplastic breast carcinoma (MBC) is a rare histological breast cancer subtype characterized by mesenchymal elements and poor clinical outcome. A large fraction of MBCs harbor defects in breast cancer 1 (BRCA1). As BRCA1 deficiency sensitizes tumors to DNA cross-linking agents and poly(ADP-ribose) polymerase (PARP) inhibitors, we sought to investigate the response of BRCA1-deficient MBCs to the PARP inhibitor olaparib. To this end, we established a genetically engineered mouse model (GEMM) for BRCA1-deficient MBC by introducing the MET proto-oncogene into a BRCA1-associated breast cancer model, using our novel female GEMM ES cell (ESC) pipeline. In contrast to carcinomas, BRCA1-deficient mouse carcinosarcomas resembling MBC show intrinsic resistance to olaparib caused by increased P-glycoprotein (Pgp) drug efflux transporter expression. Indeed, resistance could be circumvented by using another PARP inhibitor, AZD2461, which is a poor Pgp substrate. These preclinical findings suggest that patients with BRCA1-associated MBC may show poor response to olaparib and illustrate the value of GEMM-ESC models of human cancer for evaluation of novel therapeutics.

DOI

10.1073/pnas.1500223112

Type

Journal article

Publication Date

2015-07-07T00:00:00+00:00

Volume

112

Pages

8409 - 8414

Total pages

5

Keywords

BRCA1, PARP, breast cancer, mouse model, resistance, ATP Binding Cassette Transporter, Subfamily B, Animals, BRCA1 Protein, Breast Neoplasms, Carcinosarcoma, Disease Models, Animal, Drug Resistance, Neoplasm, Enzyme Inhibitors, Female, Humans, Mammary Neoplasms, Experimental, Metaplasia, Mice, Inbred C57BL, Mice, Knockout, Phthalazines, Piperazines, Poly(ADP-ribose) Polymerase Inhibitors, Poly(ADP-ribose) Polymerases, Proto-Oncogene Mas, Survival Analysis

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