Transcriptomics

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BCL11B Predetermines a Persister State in Breast Cancer That Is Reversed by TNFα [Bulk RNA-seq]


ABSTRACT: Chemotherapy resistance remains a major obstacle to achieving cures in many cancer patients, yet the underlying causes for drug response diversity are poorly understood. Here, we systematically assessed the cellular differentiation status of human breast cancer cells utilizing single-cell atlases and identified a distinct population of immature basal-like cancer cells marked by BCL11B. Notably, higher levels of BCL11B+ cancer cells are significantly associated with early relapse in breast cancer patients who received chemotherapy. Using mouse and human breast cancer models, we found that BCL11B functions as a central regulator and delineates an immature cell state that preferentially transitions to a drug-resistant persister state during treatment through multiple pre-existing and adaptive drug-resistance programs. Importantly, the cytokine tumor necrosis factor alpha (TNFα) is revealed as a natural inhibitor of BCL11B and can directly reverse the emergence of chemoresistant persister cells. Therefore, we identify BCL11B as an unappreciated pre-determinant of drug response and a therapeutic target for a subset of breast cancer patients at high risk of developing chemoresistance.

ORGANISM(S): Mus musculus

PROVIDER: GSE228440 | GEO | 2026/08/31

REPOSITORIES: GEO

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