RT info:eu-repo/semantics/article T1 E-cadherin loss induces targetable autocrine activation of growth factor signalling in lobular breast cancer A1 Teo, Katy A1 Gómez Cuadrado, Laura A1 Tenhagen, Milou A1 Byron, Adam A1 Ratze, Max A1 Amersfoort, Miranda van A1 Renes, Jojanneke A1 Strengman, Eric A1 Mandoli, Amit A1 Singh, Abhishek A1 Martens, Joost H.A. A1 Stunnenberg, Hendrik G. A1 Diest, Paul J. van A1 Brunton, Valerie G. A1 Derksen, Patrick W.B. K1 E-cadherin K1 Invasive lobular carcinoma K1 Breast cancer treatment K1 P13-kinase K1 AKT K1 Targeted treatment K1 Reverse-phase protein array K1 Oncología K1 Oncology K1 Química orgánica K1 Chemistry, Organic K1 Salud K1 Health AB Despite the fact that loss of E-cadherin is causal to the development and progression of invasive lobular carcinoma (ILC), options to treat this major breast cancer subtype are limited if tumours develop resistance to anti- oestrogen treatment regimens. This study aimed to identify clinically targetable pathways that are aberrantly active downstream of E-cadherin loss in ILC. Using a combination of reverse-phase protein array (RPPA) analyses, mRNA sequencing, conditioned medium growth assays and CRISPR/Cas9-based knock-out experiments, we demonstrate that E-cadherin loss causes increased responsiveness to autocrine growth factor receptor (GFR)-dependent activation of phosphatidylinositol-4,5-bisphosphate 3-kinase (PI3K)/Akt signalling. Autocrine activation of GFR signalling and its downstream PI3K/Akt hub was independent of oncogenic mutations in PIK3CA, AKT1 or PTEN. Analyses of human ILC samples confirmed growth factor production and pathway activity. Pharmacological inhibition of Akt using AZD5363 or MK2206 resulted in robust inhibition of cell growth and survival of ILC cells, and impeded tumour growth in a mouse ILC model. Because E-cadherin loss evokes hypersensitisation of PI3K/Akt activation independent of oncogenic mutations in this pathway, we propose clinical intervention of PI3K/Akt in ILC based on functional E-cadherin inactivation, irrespective of activating pathway mutations. PB Nature Research YR 2018 FD 2018-10 LK http://hdl.handle.net/10259/9797 UL http://hdl.handle.net/10259/9797 LA eng NO Tis study was fnancially supported by grants from Cancer Research UK (C157/A15703), the Wellcome Trust (101911), the Netherlands Organization for Scientifc Research (NWO/ZonMW-VIDI 0616.096.318), Foundation Vrienden UMC Utrecht (11.081) and the Dutch Cancer Society (KWF-UU-2011–5230 and KWF-UU-10456). DS Repositorio Institucional de la Universidad de Burgos RD 22-dic-2024