Cell Reports (Dec 2023)

Heterogeneity and transcriptional drivers of triple-negative breast cancer

  • Bojana Jovanović,
  • Daniel Temko,
  • Laura E. Stevens,
  • Marco Seehawer,
  • Anne Fassl,
  • Katherine Murphy,
  • Jayati Anand,
  • Kodie Garza,
  • Anushree Gulvady,
  • Xintao Qiu,
  • Nicholas W. Harper,
  • Veerle W. Daniels,
  • Huang Xiao-Yun,
  • Jennifer Y. Ge,
  • Maša Alečković,
  • Jason Pyrdol,
  • Kunihiko Hinohara,
  • Shawn B. Egri,
  • Malvina Papanastasiou,
  • Raga Vadhi,
  • Alba Font-Tello,
  • Robert Witwicki,
  • Guillermo Peluffo,
  • Anne Trinh,
  • Shaokun Shu,
  • Benedetto Diciaccio,
  • Muhammad B. Ekram,
  • Ashim Subedee,
  • Zachary T. Herbert,
  • Kai W. Wucherpfennig,
  • Anthony G. Letai,
  • Jacob D. Jaffe,
  • Piotr Sicinski,
  • Myles Brown,
  • Deborah Dillon,
  • Henry W. Long,
  • Franziska Michor,
  • Kornelia Polyak

Journal volume & issue
Vol. 42, no. 12
p. 113564

Abstract

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Summary: Triple-negative breast cancer (TNBC) is a heterogeneous disease with limited treatment options. To characterize TNBC heterogeneity, we defined transcriptional, epigenetic, and metabolic subtypes and subtype-driving super-enhancers and transcription factors by combining functional and molecular profiling with computational analyses. Single-cell RNA sequencing revealed relative homogeneity of the major transcriptional subtypes (luminal, basal, and mesenchymal) within samples. We found that mesenchymal TNBCs share features with mesenchymal neuroblastoma and rhabdoid tumors and that the PRRX1 transcription factor is a key driver of these tumors. PRRX1 is sufficient for inducing mesenchymal features in basal but not in luminal TNBC cells via reprogramming super-enhancer landscapes, but it is not required for mesenchymal state maintenance or for cellular viability. Our comprehensive, large-scale, multiplatform, multiomics study of both experimental and clinical TNBC is an important resource for the scientific and clinical research communities and opens venues for future investigation.

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