CIP2A as a Key Regulator for AKT Phosphorylation Has Partial Impact Determining Clinical Outcome in Breast Cancer.

Fecha de publicación: Fecha Ahead of Print:

Autores de INCLIVA

Participantes ajenos a INCLIVA

  • Luque, M
  • Cristobal, I
  • Sanz-Alvarez, M
  • Santos, A
  • Zazo, S
  • Arpi, O
  • Rovira, A
  • Albanell, J
  • Madoz-Gurpide, J
  • Garcia-Foncillas, J
  • Rojo, F

Grupos y Plataformas de I+D+i

Abstract

Together with its reported ability to modulate AKT phosphorylation (p-AKT) status in several tumor types, the oncoprotein CIP2A has been described to induce breast cancer progression and drug resistance. However, the clinical and therapeutic relevance of the CIP2A/AKT interplay in breast cancer remains to be fully clarified. Here, we found high p-AKT levels in 80 out of 220 cases (36.4%), which were associated with negative estrogen receptor expression (p = 0.049) and CIP2A overexpression (p < 0.001). Interestingly, p-AKT determined substantially shorter overall (p = 0.002) and progression-free survival (p = 0.003), and multivariate analyses showed its CIP2A-independent prognostic value. Moreover, its clinical relevance was further confirmed in the triple negative and HER2-positive subgroups after stratifying our series by molecular subtype. Functionally, we confirmed in vitro the role of CIP2A as a regulator of p-AKT levels in breast cancer cell lines, and the importance of the CIP2A/AKT axis was also validated in vivo. Finally, p-AKT also showed a higher predictive value of response to doxorubicin than CIP2A in ex vivo analyses. In conclusion, our findings suggest that CIP2A overexpression is a key contributing event to AKT phosphorylation and highlights the CIP2A/AKT axis as a promising therapeutic target in breast cancer. However, our observations highlight the existence of alternative mechanisms that regulate AKT signaling in a subgroup of breast tumors without altered CIP2A expression that determines its independent value as a marker of poor outcome in this disease.

Datos de la publicación

ISSN/ISSNe:
2077-0383, 2077-0383

Journal of Clinical Medicine  MDPI

Tipo:
Article
Páginas:
-
PubMed:
35329936

Citas Recibidas en Web of Science: 3

Documentos

Métricas

Filiaciones mostrar / ocultar

Keywords

  • CIP2A; early breast cancer; p-AKT; prognosis; therapy

Campos de Estudio

Financiación

Proyectos y Estudios Clínicos

Caracterizacion y repercusion terapeutica de la ecologia de cancer de mama HER2 positivo

Investigador Principal: PILAR EROLES ASENSIO

PI18/01219 . INSTITUTO SALUD CARLOS III . 2019

Cita

Compartir