Abstract
Transmembrane glycoprotein NMB (GPNMB) is a prognostic marker of poor outcome in patients with triple-negative breast cancer (TNBC). Glembatumumab Vedotin, an antibody drug conjugate targeting GPNMB, exhibits variable efficacy against GPNMB-positive metastatic TNBC as a single agent. We show that GPNMB levels increase in response to standard-of-care and experimental therapies for multiple breast cancer subtypes. While these therapeutic stressors induce GPNMB expression through differential engagement of the MiTF family of transcription factors, not all are capable of increasing GPNMB cell-surface localization required for Glembatumumab Vedotin inhibition. Using a FACS-based genetic screen, we discovered that suppression of heat shock protein 90 (HSP90) concomitantly increases GPNMB expression and cell-surface localization. Mechanistically, HSP90 inhibition resulted in lysosomal dispersion towards the cell periphery and fusion with the plasma membrane, which delivers GPNMB to the cell surface. Finally, treatment with HSP90 inhibitors sensitizes breast cancers to Glembatumumab Vedotin in vivo, suggesting that combination of HSP90 inhibitors and Glembatumumab Vedotin may be a viable treatment strategy for patients with metastatic TNBC.
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Acknowledgements
We acknowledge technical assistance from the McGill GCRC Histology core facility for routine histological services. We acknowledge McGill Life Science Complex Advanced BioImaging Facility (ABIF) for technical assistance in acquisition/analysis of images. We acknowledge McGill Platform for Cellular Perturbation (MPCP) for providing the shRNAs libraries and technical assistance with screnning process and analysis. We acknowledge McGill Life Science Complex Cell Vision Core for technical assistance in acquisition/analysis of flow cytometry data. We acknowledge Génome Quebec and McGill University for support of the Q-CROC-03 trial. We acknowledge Dr. Alana Welm for providing us with HCI-010 PDX tumor model. We thank members of the Siegel laboratory, all collaborators and Dr. Ursini-Siegel for thoughtful discussions and critical reading of the paper. MB was the recipient of a Fonds de recherche du Québec—Santé (FRQS) post-doctoral fellowship. PMS is a William Dawson Scholar of McGill University. This work was supported by an operating grant from the Canadian Institutes of Health Research to PMS (PJT-153327).
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MB and PMS designed the research. MB, AK, MGA, BEH, JAM, GM, and LE performed experiments. AANR, AAM, TG, RMJ, GM, and EB, performed computational analysis, statistical analysis, biostatistics. IS, AAM, SM, JSP, UMT, MB, RP, OS, SH, TK, and AP, provided reagents and expertise. MB and PMS wrote the paper.
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Biondini, M., Kiepas, A., El-Houjeiri, L. et al. HSP90 inhibitors induce GPNMB cell-surface expression by modulating lysosomal positioning and sensitize breast cancer cells to glembatumumab vedotin. Oncogene 41, 1701–1717 (2022). https://doi.org/10.1038/s41388-022-02206-z
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DOI: https://doi.org/10.1038/s41388-022-02206-z
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