Identification of a targetable JAK-STAT enriched androgen receptor and androgen receptor splice variant positive triple-negative breast cancer subtype.

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作者:Asemota Sarah, Effah Wendy, Young Kirsten L, Holt Jeremiah, Cripe Linnea, Ponnusamy Suriyan, Thiyagarajan Thirumagal, Hwang Dong-Jin, He Yali, Mcnamara Keely, Johnson Daniel, Wang Yinan, Grimes Brandy, Khosrosereshki Yekta, Hollingsworth T J, Fleming Martin D, Pritchard Frances E, Hendrix Ashley, Khan Farhan, Fan Meiyun, Makowski Liza, Yin Zheng, Sasano Hironobu, Hayes D Neil, Pfeffer Lawrence M, Miller Duane D, Narayanan Ramesh
Triple-negative breast cancer (TNBC) is an aggressive subtype with no targeted therapeutics. The luminal androgen receptor (LAR) subtype constitutes 15% of TNBC and is enriched for androgen receptor (AR) and AR target genes. Here, we show that a cohort of TNBC not only expresses AR at a much higher rate (∼80%) but also expresses AR splice variants (AR-SVs) (∼20%), further subclassifying LAR-TNBC. Higher AR and AR-SV expression and corresponding aggressive phenotypes are observed predominantly in specimens obtained from African American women. LAR TNBC specimens are enriched for interferon, Janus kinase (JAK)-signal activator and transducer (STAT), and androgen signaling pathways, which are exclusive to AR-expressing epithelial cancer cells. AR- and AR-SV-expressing TNBC cell proliferation and xenograft and patient-tumor explant growth are inhibited by AR N-terminal domain-binding selective AR degrader or by a JAK inhibitor. Biochemical analysis suggests that STAT1 is an AR coactivator. Collectively, our work identifies pharmacologically targetable TNBC subtypes and identifies growth-promoting interaction between AR and JAK-STAT signaling.

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