Abstract
Triple negative breast cancer (TNBC) is a particularly lethal breast cancer (BC) subtype driven by cancer stem cells (CSCs) and an immunosuppressive microenvironment. Our study reveals that nucleus accumbens associated protein 1 (NAC1), a member of the BTB/POZ gene family, plays a crucial role in TNBC by maintaining tumor stemness and influencing myeloid-derived suppressor cells (MDSCs). High NAC1 expression correlates with worse TNBC prognosis. NAC1 knockdown reduced CSC markers and tumor cell proliferation, migration, and invasion. Additionally, NAC1 affects oncogenic pathways such as the CD44-JAK1-STAT3 axis and immunosuppressive signals (TGFβ, IL-6). Intriguingly, the impact of NAC1 on tumor growth varies with the host immune status, showing diminished tumorigenicity in natural killer (NK) cell-competent mice but increased tumorigenicity in NK cell-deficient ones. This highlights the important role of the host immune system in TNBC progression. In addition, high NAC1 level in MDSCs also supports TNBC stemness. Together, this study implies NAC1 as a promising therapeutic target able to simultaneously eradicate CSCs and mitigate immune evasion.
| Original language | English |
|---|---|
| Article number | 188 |
| Journal | Molecular Cancer |
| Volume | 23 |
| Issue number | 1 |
| DOIs | |
| State | Published - Dec 2024 |
Bibliographical note
Publisher Copyright:© The Author(s) 2024.
Funding
This work was supported by the National Cancer Institute Grant R01CA221867 to J. Y. and J.S., start-up funds from the Markey Cancer Center and College of Medicine, University of Kentucky, to J. Y., and Susan G. Komen Foundation CCR18548501 and NIH grant P20GM121327 to X.L. We thank the Shared Resource Facility of the University of Kentucky and Markey Cancer Center (P30CA177558), the Imaging Core Facility of the Center for Cancer Metabolism COBRE (P20 GM121327), and UK histology core (ADC grant P30 AG072946) for technical support and assistance. We also thank Prof. Christine Brainson for her assistance with the artificial intelligence analysis, Mr. Leif Magnuson for his help with confocal microscopy imaging, and Dr. Sara Bachert and Ms. Dana Napier for their support in clinical sample identification and tissue slide processing.
| Funders | Funder number |
|---|---|
| University of Kentucky College of Medicine | |
| University of Kentucky Markey Comprehensive Cancer Center | P30CA177558 |
| Susan G Komen Foundation | CCR18548501 |
| National Childhood Cancer Registry – National Cancer Institute | R01CA221867 |
| Center for Cancer Metabolism COBRE | P20 GM121327, P30 AG072946 |
| National Institutes of Health (NIH) | P20GM121327 |
Keywords
- Cancer stem cells
- MDSCs
- NAC1
- NK cells
- TME
- TNBC
ASJC Scopus subject areas
- Molecular Medicine
- Oncology
- Cancer Research