Title
Triple-negative breast cancers with amplification of JAK2 at the 9p24 locus demonstrate JAK2-specific dependence
Date Issued
13 April 2016
Access level
open access
Resource Type
journal article
Author(s)
Balko J.M.
Luo N.
Estrada M.V.
Giltnane J.M.
Dávila-González D.
Wang K.
Sánchez V.
Dean P.T.
Combs S.E.
Hicks D.
Landis M.D.
Yelensky R.
Miller V.A.
Stephens P.J.
Rimm D.L.
Chang J.C.
Sanders M.E.
Cook R.S.
Arteaga C.L.
Universidad de Vanderbilt
Publisher(s)
American Association for the Advancement of Science
Abstract
Amplifications at 9p24 have been identified in breast cancer and other malignancies, but the genes within this locus causally associated with oncogenicity or tumor progression remain unclear. Targeted next-generation sequencing of postchemotherapy triple-negative breast cancers (TNBCs) identified a group of 9p24-amplified tumors, which contained focal amplification of the Janus kinase 2 (JAK2) gene. These patients had markedly inferior recurrencefree and overall survival compared to patients with TNBC without JAK2 amplification. Detection of JAK2/9p24 amplifications was more common in chemotherapy-treated TNBCs than in untreated TNBCs or basal-like cancers, or in other breast cancer subtypes. Similar rates of JAK2 amplification were confirmed in patient-derived TNBC xenografts. In patients for whom longitudinal specimens were available, JAK2 amplification was selected for during neoadjuvant chemotherapy and eventual metastatic spread, suggesting a role in tumorigenicity and chemoresistance, phenotypes often attributed to a cancer stem cell-like cell population. In TNBC cell lines with JAK2 copy gains or amplification, specific inhibition of JAK2 signaling reduced mammosphere formation and cooperated with chemotherapy in reducing tumor growth in vivo. In these cells, inhibition of JAK1-signal transducer and activator of transcription 3 (STAT3) signaling had little effect or, in some cases, counteracted JAK2-specific inhibition. Collectively, these results suggest that JAK2-specific inhibitors are more efficacious than dual JAK1/2 inhibitors against JAK2-amplified TNBCs. Furthermore, JAK2 amplification is a potential biomarker for JAK2 dependence, which, in turn, can be used to select patients for clinical trials with JAK2 inhibitors.
Volume
8
Issue
334
Language
English
OCDE Knowledge area
Oncología
Patología
Scopus EID
2-s2.0-84963819722
PubMed ID
Source
Science Translational Medicine
ISSN of the container
19466234
Sponsor(s)
This study was funded by the Department of Defense Breakthrough Award BC131494 (J.M.B., R.S.C., M.E.S., and J.M.G.), a grant from the IBC Network Foundation (J.M.B.), and S. G. Komen for the Cure Foundation grants SAC100013 (C.L.A.) and CCR14299052 (J.M.B.). Other sources of support include NIH/National Cancer Institute grant K99/R00-CA181491 (J.M.B.), Breast Cancer Specialized Program of Research Excellence (SPORE) grant P50 CA098131, the Vanderbilt-Ingram Cancer Center Support grant P30 CA68485, and BMS.
Sources of information:
Directorio de Producción Científica
Scopus