2020
DOI: 10.1038/s41467-020-16170-3
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Acquired resistance to combined BET and CDK4/6 inhibition in triple-negative breast cancer

Abstract: BET inhibitors are promising therapeutic agents for the treatment of triple-negative breast cancer (TNBC), but the rapid emergence of resistance necessitates investigation of combination therapies and their effects on tumor evolution. Here, we show that palbociclib, a CDK4/6 inhibitor, and paclitaxel, a microtubule inhibitor, synergize with the BET inhibitor JQ1 in TNBC lines. High-complexity DNA barcoding and mathematical modeling indicate a high rate of de novo acquired resistance to these drugs relative to … Show more

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Cited by 48 publications
(36 citation statements)
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“…Collectively, these data demonstrate that polyploidy associated with TIS escape may play a central role in the survival of some cancer cells through the acquisition of a mesenchymal phenotype. This will lead to eventual clonogenic re-growth of a tumor following genotoxic stress induced by radio- or chemotherapy [ 76 , 87 , 151 , 152 , 161 , 162 , 163 , 164 , 165 ].…”
Section: Senescence Escape Is a Driver Of Tumor Resiliencementioning
confidence: 99%
“…Collectively, these data demonstrate that polyploidy associated with TIS escape may play a central role in the survival of some cancer cells through the acquisition of a mesenchymal phenotype. This will lead to eventual clonogenic re-growth of a tumor following genotoxic stress induced by radio- or chemotherapy [ 76 , 87 , 151 , 152 , 161 , 162 , 163 , 164 , 165 ].…”
Section: Senescence Escape Is a Driver Of Tumor Resiliencementioning
confidence: 99%
“…These multiple functions suggested the critical roles of circRNAs during tumorigenesis and progression in TNBCs. Combination therapy was the most reliable for cancer therapy in TNBCs [ 23 , 24 ]. Generally, different reagents target different molecules in the same pathway to avoid drug resistance.…”
Section: Discussionmentioning
confidence: 99%
“…Single cell analyses and cellular barcode-mediated lineage tracing revealed that the fulvestrant-resistant phenotype pre-existed in a low-abundance genomic subclone prior to treatment of cell lines ( 106 ). Furthermore, cell line-based studies of resistance to experimental epigenetic-targeted therapies such as BET bromodomain inhibitors have revealed potential synergistic drug combinations that may prove useful clinically in the future ( 107 , 108 ).…”
Section: In Vitro Models Of Therapy Resistance—2dmentioning
confidence: 99%