Head and Neck, Breast cancer Research Highlights AACR Abstracts

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University of Cincinnati Cancer Center researchers presented more than a dozen abstracts at the 2023 American Association for Cancer Research Annual Meeting, including findings that could advance treatments for head and neck and breast cancers.

Julianna Korns, UC doctoral student

Julianna Korns, UC doctoral student

Enzyme shows promise as target to treat HPV negative head and neck cancer

Vinita Takiar’s lab in UC’s Department of Radiation Oncology studies how to improve radiation therapy for head and neck cancer patients.

Julianna Korns, a doctoral student working in Takiar’s lab, and her colleagues study an enzyme called Plk1 that allows healthy cells to divide and function normally. When overexpressed in head and neck cancer cells, it causes the cells to divide abnormally and at a faster rate, leading to the accumulation of more cancer cells.

Using data from The Cancer Genome Atlas database, the research team found Plk1 overexpression was correlated with worse survival outcomes in head and neck cancer patients. Studying cell lines in the lab, they found blocking Plk1 reduces head and neck cancer cell growth.

Interestingly, Korns noted that Plk1 inhibition reduces cell growth in head and neck cancer cells that are positive and negative for HPV, but HPV-negative cells are more sensitive to this treatment than HPV-positive cells.

“Typically, HPV-negative head and neck cancer patients are more resistant to therapy, so this novel finding could provide benefit to HPV-negative head and neck cancer patients in the clinic,” Korns said. “Our study indicates a potential marker for treatment outcomes. Understanding the role of Plk1 is pivotal to optimizing treatment regimens for these patients.”

Korns said the team plans to translate its preclinical findings into clinical settings, targeting Plk1.

“Our findings may provide a novel target for head and neck cancer therapy in combination with radiation, implementing the bench to bedside mentality to improve patient outcomes and reduce toxicities related to current treatments,” she said.

Plk1 signaling as a therapeutic target for HPV-head and neck cancer was presented by Korns April 17 from 1:30-5 p.m. during the Radiosensitizers and Radio-immunomodulators poster session. Co-authors include Takiar, Trisha Wise-Draper and Samuel Thompson.

Protein a potential new target for breast cancer treatment

Researchers in Jun-Lin Guan’s lab in UC’s Department of Cancer Biology found a potential combination treatment target for breast cancer cells and breast cancer stem cells.

Kanakaraju Manupati, PhD, postdoctoral fellow in Guan’s lab, researched a protein called NuMA1. The protein is known to be upregulated in breast cancer, but the specific role it plays within tumors of breast cancer subtypes was not well-defined.

Manupati’s research found that when NuMA1 was deleted in animal models of three different breast cancer cell lines, it reduced tumor growth. Removing NuMA1 from breast cancer stem cells led to reduced metastasis, or cancer spread, suggesting it plays a role in cancer growth and spread in both breast cancer bulk and stem cells.

“The interesting finding is that we observed that NuMA1 depicted various roles in different subtypes of breast cancer,” he said.

There are currently no drugs that directly target NuMA1, but it is regulated by an enzyme called PIM1. The research team tested the effectiveness of a drug that blocks PIM1 and found the enzyme inhibitor reduced tumor formation and cancer spread in all three subtypes of breast cancer they tested.

The treatment was even more effective when combined with an autophagy inhibitor that blocks the cell's process of breaking down nutrients to grow and thrive.

“When we used this combination approach, we could see there is a significant reduction of breast cancer tumor formation as well as metastasis,” Manupati said.

The knowledge that NuMA1 plays a role in both bulk breast cancer cells and breast cancer stem cells makes it a promising potential target, Manupati said.

“To prevent breast cancer metastasis, we need to kill both breast cancer cells as well as breast cancer stem cells,” he said. “Therefore, we need to target both of these populations to fully prevent breast cancer.”

Moving forward, Manupati said the team hopes to continue studying the potential applications of the therapy approach of using a combination of PIM1 and autophagy inhibitors and how NuMA1 works in a variety of breast cancer stem cells.

Role of NuMA1 in tumor formation and metastasis with implications for combination therapy of PIM1 and autophagy inhibition in breast cancer was presented by Manupati April 19 from 9 a.m.-12:30 p.m. during the Cancer Stem Cells and Therapeutic Resistance poster session. Study co-authors include Guan, Mingang Hao, Michael Haas and Syn Kok Yeo.

Research finds oncogene overexpressed in head and neck cancer

Susan Waltz, PhD, studies the role of a gene that helps accelerate cancer growth called Ron in her laboratory in UC’s Department of Cancer Biology. Zhixin Lu, a doctoral student in Waltz’s lab, wanted to learn more about how Ron affects head and neck cancers while on a rotation in Takiar’s lab.

Lu’s research bridges a collaboration between the Takiar and Waltz laboratories and between UC departments.

“We have heavily studied this Ron receptor in breast cancer and prostate cancer, how it drives cancer metastasis and drug resistance,” Lu said. “Ron is heavily expressed in a lot of cancers, including head and neck cancer, but we know much less about its role in head and neck cancer. So that’s really the premise of my project.”

Lu’s research found that Ron is overexpressed at high levels in multiple cell lines of head and neck cancer, which she said indicates it may play a role in the cancer cells’ function and growth.

“Ron expression is correlated with worse patient survival outcomes and radiation resistance. The higher Ron is expressed, the less the patient is going to survive in terms of overall survival, which indicates it potentially has a very negative role in those patients,” Lu said. “This makes it a very promising target to study.”

A protein called EGFR is also overexpressed in a majority of head and neck cancers, but anti-EGFR treatments have not been very effective to this point due to the cancers developing drug resistance. Interestingly, the researchers found there is an inverse correlation between Ron and EGFR expression in head and neck cancer cell lines and patient data.

Future studies will aim to learn more about how EGFR and Ron interact and whether blocking Ron will make EGFR-targeted treatments more effective. Lu said the team is also looking to see if there is a similar inverse correlation between Ron and EGFR in breast cancer, which could provide more information on their interaction.

As researchers learn more, Lu said Ron inhibitors could potentially become a more common treatment option for head and neck cancer patients. Current treatments still rely heavily on chemotherapy and radiation, which come with toxicity and side effects, but a small molecule target like Ron could reduce the dose of chemotherapy needed, she said.

“It’s more precise because the small molecule really targets proteins and the oncogenic pathway, and combined with that, may not only reduce the side effect but also be more precise to the specific target,” Lu said.

RON receptor tyrosine kinase in head and neck cancer: a potential target for overcoming resistance to anti-EGFR therapy was presented by Lu April 16 from 1:30-5 p.m. during the Drug Resistance in Molecular Targeted Therapies 1 poster session. Co-authors on the project include Mathieu Sertorio, Takiar and Waltz.

Other abstracts being presented by Cancer Center researchers include:

  • FOXA2 induces invasive mucinous adenocarcinoma of the lung in the presence of mutant KRAS, presented by Yutaka Maeda April 17 from 9 a.m.-12:30 p.m. during the Gene Regulation in Solid Tumors poster session.
  • Pan-cancer splicing analysis reveals shared drivers of malignant transformation and survival, presented by Anukana Bhattacharjee April 17 from 1:30-5 p.m. during the Bioinformatics Applications in Cancer Biology 2 poster session.
  • Role of her3 v104l mutation on tumor growth and her3 stabilization, presented by Rosalin Mishra April 18 from 9 a.m.-12:30 p.m. during the Identification of Molecular Targets 1 poster session.
  • RON receptor signaling enhances prostate cancer metastasis in Hi-Myc mice, presented by Angelle D. Jones April 17 from 9 a.m.-12:30 p.m during the EMT and Plasticity poster session.
  • Identification of resistance mechanisms to direct KRAS inhibition in pancreatic cancer, presented by Andrew Waters April 16 from 1:30-5 p.m. during the Precision Molecular Subtyping and Therapeutic Development poster session.
  • The role of HER3 mutations in the progression of colon cancer and modulation of drug sensitivity and resistance, presented by Mary K. Kilroy April 18 from 9 a.m.-12:30 p.m. during the Oncogenes and Tumor Suppressor Genes as Targets for Therapy 3 poster session.
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