CD63+ cancer-associated fibroblasts confer CDK4/6 inhibitor resistance to breast cancer cells by exosomal miR-20

Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved..

Cyclin-dependent kinase 4 (CDK4) and CDK6 inhibitors (CDK4/6i) have rapidly received Food and Drug Administration (FDA) approval as a new type of therapy for patients with advanced hormone receptor-positive breast cancer. However, with the widespread application of CDK4/6i, drug resistance has become a new challenge for clinical practice and has greatly limited the treatment effect. Here, the whole microenvironment landscape of ER+ breast cancer tumors was revealed through single-cell RNA sequencing, and a specific subset of cancer-associated fibroblasts (CD63+ CAFs) was identified as highly enriched in CDK4/6i resistant tumor tissues. Then, we found that CD63+ CAFs can distinctly promote resistance to CDK4/6i in breast cancer cells and tumor xenografts. In addition, it was discovered that miR-20 is markedly enriched in the CD63+ CAFs-derived exosomes, which are used to communicate with ER+ breast cancer cells, leading to CDK4/6i resistance. Furthermore, exosomal miR-20 could directly target the RB1 mRNA 3'UTR and negatively regulate RB1 expression to decrease CDK4/6i sensitivity in breast cancer cells. Most importantly, we designed and synthesized cRGD-miR-20 sponge nanoparticles and found that they can enhance the therapeutic effect of CDK4/6i in breast cancer. In summary, our findings reveal that CD63+ CAFs can promote CDK4/6i resistance via exosomal miR-20, which induces the downregulation of RB1 in breast cancer cells, and suggest that CD63+ CAFs may be a novel therapeutic target to enhance CDK4/6i sensitivity.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:588

Enthalten in:

Cancer letters - 588(2024) vom: 28. Apr., Seite 216747

Sprache:

Englisch

Beteiligte Personen:

Sun, Jiahui [VerfasserIn]
Du, Ruoxin [VerfasserIn]
Li, Xiaoju [VerfasserIn]
Liu, Chenlin [VerfasserIn]
Wang, Donghui [VerfasserIn]
He, Xiangmei [VerfasserIn]
Li, Guodong [VerfasserIn]
Zhang, Kuo [VerfasserIn]
Wang, Shuning [VerfasserIn]
Hao, Qiang [VerfasserIn]
Zhang, Yingqi [VerfasserIn]
Li, Meng [VerfasserIn]
Gao, Yuan [VerfasserIn]
Zhang, Cun [VerfasserIn]

Links:

Volltext

Themen:

Breast cancer
CD63 protein, human
CDK4/6 inhibitor resistance
CDK4 protein, human
Cancer-associated fibroblasts
Cyclin-Dependent Kinase 4
Cyclin-Dependent Kinase 6
EC 2.7.11.22
Exosomes
Journal Article
MiR-20
MicroRNAs
Tetraspanin 30

Anmerkungen:

Date Completed 09.04.2024

Date Revised 09.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.canlet.2024.216747

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368930831