Inhibition of TFF3 synergizes with c-MET inhibitors to decrease the CSC-like phenotype and metastatic burden in ER+HER2+ mammary carcinoma

Abstract The interaction between HER2 and ERα signaling pathways contributes to resistance to anti-estrogen and HER2-targeted therapies, presenting substantial treatment challenges in ER-positive (ER+) HER2-positive (HER2+) mammary carcinoma (MC). Trefoil Factor-3 (TFF3) has been reported to mediate...

Full description

Saved in:
Bibliographic Details
Main Authors: Chuyu He, Xuejuan Wang, Yi-Shiou Chiou, Basappa Basappa, Tao Zhu, Vijay Pandey, Peter E. Lobie
Format: Article
Language:English
Published: Nature Publishing Group 2025-02-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-025-07387-5
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823861550712094720
author Chuyu He
Xuejuan Wang
Yi-Shiou Chiou
Basappa Basappa
Tao Zhu
Vijay Pandey
Peter E. Lobie
author_facet Chuyu He
Xuejuan Wang
Yi-Shiou Chiou
Basappa Basappa
Tao Zhu
Vijay Pandey
Peter E. Lobie
author_sort Chuyu He
collection DOAJ
description Abstract The interaction between HER2 and ERα signaling pathways contributes to resistance to anti-estrogen and HER2-targeted therapies, presenting substantial treatment challenges in ER-positive (ER+) HER2-positive (HER2+) mammary carcinoma (MC). Trefoil Factor-3 (TFF3) has been reported to mediate resistance to both anti-estrogen and anti-HER2 targeted therapies in ER+ and ER+HER2+ MC, respectively. Herein, the function and mechanism of TFF3 in ER+HER2+ MC were delineated; and novel combinatorial therapeutic strategies were identified. Elevated expression of TFF3 promoted the oncogenicity of ER+HER2+ MC cells, including enhanced cell proliferation, survival, anchorage-independent growth, 3D growth, cancer stem cell-like (CSC-like) phenotype, migration, invasion, and xenograft growth. Targeting TFF3 with an interfering RNA plasmid or a small-molecule inhibitor (AMPC) inhibited these oncogenic characteristics, highlighting the therapeutic potential of targeting TFF3 in ER+HER2+ MC. Furthermore, a high-throughput combinatorial anti-cancer compound library screening revealed that AMPC preferentially synergized with receptor tyrosine kinase c-MET inhibitors (c-METis) to reduce cell survival and the CSC-like phenotype. The combination of AMPC and c-METis also synergistically suppressed the in vivo growth of ER+HER2+ MC cell-derived xenografts and abrogated lung metastasis. Mechanistically, TFF3 was observed to activate c-MET signaling through a positive-feedback loop to enhance the CSC-like phenotype of ER+HER2+ MC. Therefore, proof of concept is provided herein that antagonizing of TFF3 is a promising therapeutic strategy in combination with c-MET inhibition for the treatment of ER+HER2+ MC.
format Article
id doaj-art-4d0fd495f0bf4b6a8300d4ee375f06f2
institution Kabale University
issn 2041-4889
language English
publishDate 2025-02-01
publisher Nature Publishing Group
record_format Article
series Cell Death and Disease
spelling doaj-art-4d0fd495f0bf4b6a8300d4ee375f06f22025-02-09T12:56:46ZengNature Publishing GroupCell Death and Disease2041-48892025-02-0116111910.1038/s41419-025-07387-5Inhibition of TFF3 synergizes with c-MET inhibitors to decrease the CSC-like phenotype and metastatic burden in ER+HER2+ mammary carcinomaChuyu He0Xuejuan Wang1Yi-Shiou Chiou2Basappa Basappa3Tao Zhu4Vijay Pandey5Peter E. Lobie6Institute of Biopharmaceutical and Health Engineering and Tsinghua Berkeley Shenzhen Institute, Tsinghua Shenzhen International Graduate School, Tsinghua UniversityInstitute of Biopharmaceutical and Health Engineering and Tsinghua Berkeley Shenzhen Institute, Tsinghua Shenzhen International Graduate School, Tsinghua UniversityInstitute of Biopharmaceutical and Health Engineering and Tsinghua Berkeley Shenzhen Institute, Tsinghua Shenzhen International Graduate School, Tsinghua UniversityLaboratory of Chemical Biology, Department of Studies in Organic Chemistry, University of MysoreShenzhen Bay LaboratoryInstitute of Biopharmaceutical and Health Engineering and Tsinghua Berkeley Shenzhen Institute, Tsinghua Shenzhen International Graduate School, Tsinghua UniversityInstitute of Biopharmaceutical and Health Engineering and Tsinghua Berkeley Shenzhen Institute, Tsinghua Shenzhen International Graduate School, Tsinghua UniversityAbstract The interaction between HER2 and ERα signaling pathways contributes to resistance to anti-estrogen and HER2-targeted therapies, presenting substantial treatment challenges in ER-positive (ER+) HER2-positive (HER2+) mammary carcinoma (MC). Trefoil Factor-3 (TFF3) has been reported to mediate resistance to both anti-estrogen and anti-HER2 targeted therapies in ER+ and ER+HER2+ MC, respectively. Herein, the function and mechanism of TFF3 in ER+HER2+ MC were delineated; and novel combinatorial therapeutic strategies were identified. Elevated expression of TFF3 promoted the oncogenicity of ER+HER2+ MC cells, including enhanced cell proliferation, survival, anchorage-independent growth, 3D growth, cancer stem cell-like (CSC-like) phenotype, migration, invasion, and xenograft growth. Targeting TFF3 with an interfering RNA plasmid or a small-molecule inhibitor (AMPC) inhibited these oncogenic characteristics, highlighting the therapeutic potential of targeting TFF3 in ER+HER2+ MC. Furthermore, a high-throughput combinatorial anti-cancer compound library screening revealed that AMPC preferentially synergized with receptor tyrosine kinase c-MET inhibitors (c-METis) to reduce cell survival and the CSC-like phenotype. The combination of AMPC and c-METis also synergistically suppressed the in vivo growth of ER+HER2+ MC cell-derived xenografts and abrogated lung metastasis. Mechanistically, TFF3 was observed to activate c-MET signaling through a positive-feedback loop to enhance the CSC-like phenotype of ER+HER2+ MC. Therefore, proof of concept is provided herein that antagonizing of TFF3 is a promising therapeutic strategy in combination with c-MET inhibition for the treatment of ER+HER2+ MC.https://doi.org/10.1038/s41419-025-07387-5
spellingShingle Chuyu He
Xuejuan Wang
Yi-Shiou Chiou
Basappa Basappa
Tao Zhu
Vijay Pandey
Peter E. Lobie
Inhibition of TFF3 synergizes with c-MET inhibitors to decrease the CSC-like phenotype and metastatic burden in ER+HER2+ mammary carcinoma
Cell Death and Disease
title Inhibition of TFF3 synergizes with c-MET inhibitors to decrease the CSC-like phenotype and metastatic burden in ER+HER2+ mammary carcinoma
title_full Inhibition of TFF3 synergizes with c-MET inhibitors to decrease the CSC-like phenotype and metastatic burden in ER+HER2+ mammary carcinoma
title_fullStr Inhibition of TFF3 synergizes with c-MET inhibitors to decrease the CSC-like phenotype and metastatic burden in ER+HER2+ mammary carcinoma
title_full_unstemmed Inhibition of TFF3 synergizes with c-MET inhibitors to decrease the CSC-like phenotype and metastatic burden in ER+HER2+ mammary carcinoma
title_short Inhibition of TFF3 synergizes with c-MET inhibitors to decrease the CSC-like phenotype and metastatic burden in ER+HER2+ mammary carcinoma
title_sort inhibition of tff3 synergizes with c met inhibitors to decrease the csc like phenotype and metastatic burden in er her2 mammary carcinoma
url https://doi.org/10.1038/s41419-025-07387-5
work_keys_str_mv AT chuyuhe inhibitionoftff3synergizeswithcmetinhibitorstodecreasethecsclikephenotypeandmetastaticburdeninerher2mammarycarcinoma
AT xuejuanwang inhibitionoftff3synergizeswithcmetinhibitorstodecreasethecsclikephenotypeandmetastaticburdeninerher2mammarycarcinoma
AT yishiouchiou inhibitionoftff3synergizeswithcmetinhibitorstodecreasethecsclikephenotypeandmetastaticburdeninerher2mammarycarcinoma
AT basappabasappa inhibitionoftff3synergizeswithcmetinhibitorstodecreasethecsclikephenotypeandmetastaticburdeninerher2mammarycarcinoma
AT taozhu inhibitionoftff3synergizeswithcmetinhibitorstodecreasethecsclikephenotypeandmetastaticburdeninerher2mammarycarcinoma
AT vijaypandey inhibitionoftff3synergizeswithcmetinhibitorstodecreasethecsclikephenotypeandmetastaticburdeninerher2mammarycarcinoma
AT peterelobie inhibitionoftff3synergizeswithcmetinhibitorstodecreasethecsclikephenotypeandmetastaticburdeninerher2mammarycarcinoma