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Targeting eIF4A triggers an interferon response to synergize with chemotherapy and suppress triple-negative breast cancer
Na Zhao, … , Charles M. Perou, Jeffrey M. Rosen
Na Zhao, … , Charles M. Perou, Jeffrey M. Rosen
Published October 24, 2023
Citation Information: J Clin Invest. 2023;133(24):e172503. https://doi.org/10.1172/JCI172503.
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Research Article Oncology Article has an altmetric score of 94

Targeting eIF4A triggers an interferon response to synergize with chemotherapy and suppress triple-negative breast cancer

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Abstract

Protein synthesis is frequently dysregulated in cancer and selective inhibition of mRNA translation represents an attractive cancer therapy. Here, we show that therapeutically targeting the RNA helicase eIF4A with zotatifin, the first-in-class eIF4A inhibitor, exerts pleiotropic effects on both tumor cells and the tumor immune microenvironment in a diverse cohort of syngeneic triple-negative breast cancer (TNBC) mouse models. Zotatifin not only suppresses tumor cell proliferation but also directly repolarizes macrophages toward an M1-like phenotype and inhibits neutrophil infiltration, which sensitizes tumors to immune checkpoint blockade. Mechanistic studies revealed that zotatifin reprograms the tumor translational landscape, inhibits the translation of Sox4 and Fgfr1, and induces an interferon (IFN) response uniformly across models. The induction of an IFN response is partially due to the inhibition of Sox4 translation by zotatifin. A similar induction of IFN-stimulated genes was observed in breast cancer patient biopsies following zotatifin treatment. Surprisingly, zotatifin significantly synergizes with carboplatin to trigger DNA damage and an even heightened IFN response, resulting in T cell–dependent tumor suppression. These studies identified a vulnerability of eIF4A in TNBC, potential pharmacodynamic biomarkers for zotatifin, and provide a rationale for new combination regimens consisting of zotatifin and chemotherapy or immunotherapy as treatments for TNBC.

Authors

Na Zhao, Elena B. Kabotyanski, Alexander B. Saltzman, Anna Malovannaya, Xueying Yuan, Lucas C. Reineke, Nadia Lieu, Yang Gao, Diego A. Pedroza, Sebastian J. Calderon, Alex J. Smith, Clark Hamor, Kazem Safari, Sara Savage, Bing Zhang, Jianling Zhou, Luisa M. Solis, Susan G. Hilsenbeck, Cheng Fan, Charles M. Perou, Jeffrey M. Rosen

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Figure 1

Zotatifin monotherapy inhibits tumor growth in a cohort of Trp53-null preclinical models.

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Zotatifin monotherapy inhibits tumor growth in a cohort of Trp53-null pr...
(A) Scheme depicting the generation of syngeneic Trp53-null preclinical models. Donor mammary epithelium from Trp53-null BALB/c mice was transplanted in situ into cleared mammary fat pads of wild-type recipient hosts, resulting in the derivation of heterogeneous, Trp53-null, transplantable mammary tumors representative of the different intrinsic molecular subtypes of human breast cancer. (B) Top: Representative images of H&E staining and IHC staining of F4/80 and S100A8 in Trp53-null models used in this study. Scale bars: 50 μm. Bottom: Quantification of IHC staining. Three to 6 representative ×20 images were analyzed for each tumor. (C) Schematic of animal treatment. Freshly dissociated tumor cells were injected into the fourth mammary fat pad of BALB/c mice. Mice were randomized and treatment was initiated when tumors reach a volume of 70–150 mm3. Mice were treated with either vehicle or zotatifin every 3 days until ethical endpoint. (D) Tumor growth curves of BALB/c mice treated with either vehicle or zotatifin. n = 6 for 2225L-LM2 and n = 5 for all other models in each treatment arm. Data are presented as mean ± SEM and were analyzed using 2-way ANOVA with Bonferroni’s multiple-comparison test. (E) Left: Representative images of IHC staining of BrdU in ethical endpoint 2153L tumor tissues. Scale bar: 50 μm. Right: Quantification of IHC staining. Five representative ×20 images were analyzed for each tumor. n = 5 biological replicates. Data are presented as mean ± SEM and were analyzed using 2-tailed, unpaired Student’s t test. (F) Left: Representative images of cell cycle distribution of 2153L cells that were cultured in complete medium and treated with vehicle or 40 nM zotatifin for 48 hours. Right: Quantification of the cell cycle phases from 3 independent experiments. Data are presented as mean ± SD and were analyzed using 2-tailed, unpaired Student’s t test.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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