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The Lineage Determining Factor GRHL2 Collaborates with FOXA1 to Establish a Targetable Pathway in Endocrine Therapy-Resistant Breast Cancer.


ABSTRACT: Notwithstanding the positive clinical impact of endocrine therapies in estrogen receptor-alpha (ER?)-positive breast cancer, de novo and acquired resistance limits the therapeutic lifespan of existing drugs. Taking the position that resistance is nearly inevitable, we undertook a study to identify and exploit targetable vulnerabilities that were manifest in endocrine therapy-resistant disease. Using cellular and mouse models of endocrine therapy-sensitive and endocrine therapy-resistant breast cancer, together with contemporary discovery platforms, we identified a targetable pathway that is composed of the transcription factors FOXA1 and GRHL2, a coregulated target gene, the membrane receptor LYPD3, and the LYPD3 ligand, AGR2. Inhibition of the activity of this pathway using blocking antibodies directed against LYPD3 or AGR2 inhibits the growth of endocrine therapy-resistant tumors in mice, providing the rationale for near-term clinical development of humanized antibodies directed against these proteins.

SUBMITTER: Cocce KJ 

PROVIDER: S-EPMC6874102 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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The Lineage Determining Factor GRHL2 Collaborates with FOXA1 to Establish a Targetable Pathway in Endocrine Therapy-Resistant Breast Cancer.

Cocce Kimberly J KJ   Jasper Jeff S JS   Desautels Taylor K TK   Everett Logan L   Wardell Suzanne S   Westerling Thomas T   Baldi Robert R   Wright Tricia M TM   Tavares Kendall K   Yllanes Alex A   Bae Yeeun Y   Blitzer Jeremy T JT   Logsdon Craig C   Rakiec Daniel P DP   Ruddy David A DA   Jiang Tiancong T   Broadwater Gloria G   Hyslop Terry T   Hall Allison A   Laine Muriel M   Phung Linda L   Greene Geoffrey L GL   Martin Lesley-Ann LA   Pancholi Sunil S   Dowsett Mitch M   Detre Simone S   Marks Jeffrey R JR   Crawford Gregory E GE   Brown Myles M   Norris John D JD   Chang Ching-Yi CY   McDonnell Donald P DP  

Cell reports 20191001 4


Notwithstanding the positive clinical impact of endocrine therapies in estrogen receptor-alpha (ERα)-positive breast cancer, de novo and acquired resistance limits the therapeutic lifespan of existing drugs. Taking the position that resistance is nearly inevitable, we undertook a study to identify and exploit targetable vulnerabilities that were manifest in endocrine therapy-resistant disease. Using cellular and mouse models of endocrine therapy-sensitive and endocrine therapy-resistant breast c  ...[more]

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