Cell Reports (Dec 2023)

Identification of a targetable JAK-STAT enriched androgen receptor and androgen receptor splice variant positive triple-negative breast cancer subtype

  • Sarah Asemota,
  • Wendy Effah,
  • Kirsten L. Young,
  • Jeremiah Holt,
  • Linnea Cripe,
  • Suriyan Ponnusamy,
  • Thirumagal Thiyagarajan,
  • Dong-Jin Hwang,
  • Yali He,
  • Keely Mcnamara,
  • Daniel Johnson,
  • Yinan Wang,
  • Brandy Grimes,
  • Yekta Khosrosereshki,
  • T.J. Hollingsworth,
  • Martin D. Fleming,
  • Frances E. Pritchard,
  • Ashley Hendrix,
  • Farhan Khan,
  • Meiyun Fan,
  • Liza Makowski,
  • Zheng Yin,
  • Hironobu Sasano,
  • D. Neil Hayes,
  • Lawrence M. Pfeffer,
  • Duane D. Miller,
  • Ramesh Narayanan

Journal volume & issue
Vol. 42, no. 12
p. 113461

Abstract

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Summary: Triple-negative breast cancer (TNBC) is an aggressive subtype with no targeted therapeutics. The luminal androgen receptor (LAR) subtype constitutes 15% of TNBC and is enriched for androgen receptor (AR) and AR target genes. Here, we show that a cohort of TNBC not only expresses AR at a much higher rate (∼80%) but also expresses AR splice variants (AR-SVs) (∼20%), further subclassifying LAR-TNBC. Higher AR and AR-SV expression and corresponding aggressive phenotypes are observed predominantly in specimens obtained from African American women. LAR TNBC specimens are enriched for interferon, Janus kinase (JAK)-signal activator and transducer (STAT), and androgen signaling pathways, which are exclusive to AR-expressing epithelial cancer cells. AR- and AR-SV-expressing TNBC cell proliferation and xenograft and patient-tumor explant growth are inhibited by AR N-terminal domain-binding selective AR degrader or by a JAK inhibitor. Biochemical analysis suggests that STAT1 is an AR coactivator. Collectively, our work identifies pharmacologically targetable TNBC subtypes and identifies growth-promoting interaction between AR and JAK-STAT signaling.

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