The role of heparan sulfate in enhancing the chemotherapeutic response in triple-negative breast cancer

Abstract Background Breast cancer, one of the most common forms of cancer, is associated with the highest cancer-related mortality among women worldwide. In comparison to other types of breast cancer, patients diagnosed with the triple-negative breast cancer (TNBC) subtype have the worst outcome bec...

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Main Authors: Jasmine M. Manouchehri, Jharna Datta, Lynn M. Marcho, Jesse J. Reardon, Daniel Stover, Robert Wesolowski, Uma Borate, Ting-Yuan David Cheng, Patrick M. Schnell, Bhuvaneswari Ramaswamy, Gina M. Sizemore, Mark P. Rubinstein, Mathew A. Cherian
Format: Article
Language:English
Published: BMC 2024-11-01
Series:Breast Cancer Research
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Online Access:https://doi.org/10.1186/s13058-024-01906-6
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author Jasmine M. Manouchehri
Jharna Datta
Lynn M. Marcho
Jesse J. Reardon
Daniel Stover
Robert Wesolowski
Uma Borate
Ting-Yuan David Cheng
Patrick M. Schnell
Bhuvaneswari Ramaswamy
Gina M. Sizemore
Mark P. Rubinstein
Mathew A. Cherian
author_facet Jasmine M. Manouchehri
Jharna Datta
Lynn M. Marcho
Jesse J. Reardon
Daniel Stover
Robert Wesolowski
Uma Borate
Ting-Yuan David Cheng
Patrick M. Schnell
Bhuvaneswari Ramaswamy
Gina M. Sizemore
Mark P. Rubinstein
Mathew A. Cherian
author_sort Jasmine M. Manouchehri
collection DOAJ
description Abstract Background Breast cancer, one of the most common forms of cancer, is associated with the highest cancer-related mortality among women worldwide. In comparison to other types of breast cancer, patients diagnosed with the triple-negative breast cancer (TNBC) subtype have the worst outcome because current therapies do not produce long-lasting responses. Hence, innovative therapies that produce persisting responses are a critical need. We previously discovered that hyperactivating purinergic receptors (P2RXs) by increasing extracellular adenosine triphosphate (eATP) concentrations enhances TNBC cell lines’ response to chemotherapy. Heparan sulfate inhibits multiple extracellular ATPases, so it is a molecule of interest in this regard. In turn, heparanase degrades polysulfated polysaccharide heparan sulfate. Importantly, previous work suggests that breast cancer and other cancers express heparanase at high levels. Hence, as heparan sulfate can inhibit extracellular ATPases to facilitate eATP accumulation, it may intensify responses to chemotherapy. We postulated that heparanase inhibitors would exacerbate chemotherapy-induced decreases in TNBC cell viability by increasing heparan sulfate in the cellular microenvironment and hence, augmenting eATP. Methods We treated TNBC cell lines MDA-MB 231, Hs 578t, and MDA-MB 468 and non-tumorigenic immortal mammary epithelial MCF-10A cells with paclitaxel (cytotoxic chemotherapeutic) with or without the heparanase inhibitor OGT 2115 and/or supplemental heparan sulfate. We evaluated cell viability and the release of eATP. Also, we compared the expression of heparanase protein in cell lines and tissues by immunoblot and immunohistochemistry, respectively. In addition, we examined breast-cancer-initiating cell populations using tumorsphere formation efficiency assays on treated cells. Results We found that combining heparanase inhibitor OGT 2115 with chemotherapy decreased TNBC cell viability and tumorsphere formation through increases in eATP and activation of purinergic receptors as compared to TNBC cells treated with single-agent paclitaxel. Conclusion Our data shows that by preventing heparan sulfate breakdown, heparanase inhibitors make TNBC cells more susceptible to chemotherapy by enhancing eATP concentrations.
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spelling doaj-art-43956b4eb5884e51bd8d76ab76b808d62025-08-20T02:13:30ZengBMCBreast Cancer Research1465-542X2024-11-0126111410.1186/s13058-024-01906-6The role of heparan sulfate in enhancing the chemotherapeutic response in triple-negative breast cancerJasmine M. Manouchehri0Jharna Datta1Lynn M. Marcho2Jesse J. Reardon3Daniel Stover4Robert Wesolowski5Uma Borate6Ting-Yuan David Cheng7Patrick M. Schnell8Bhuvaneswari Ramaswamy9Gina M. Sizemore10Mark P. Rubinstein11Mathew A. Cherian12Division of Medical Oncology, The Ohio State University Comprehensive Cancer CenterDivision of Medical Oncology, The Ohio State University Comprehensive Cancer CenterDivision of Medical Oncology, The Ohio State University Comprehensive Cancer CenterDepartment of Radiation Oncology, The Ohio State University Comprehensive Cancer CenterDivision of Medical Oncology, The Ohio State University Comprehensive Cancer CenterDivision of Medical Oncology, The Ohio State University Comprehensive Cancer CenterDivision of Hematology, The Ohio State University Comprehensive Cancer CenterDivision of Cancer Prevention and Control, Department of Internal Medicine, The Ohio State UniversityDivision of Biostatistics, The Ohio State University College of Public HealthDivision of Medical Oncology, The Ohio State University Comprehensive Cancer CenterDepartment of Radiation Oncology, The Ohio State University Comprehensive Cancer CenterDivision of Medical Oncology, The Ohio State University Comprehensive Cancer CenterDivision of Medical Oncology, The Ohio State University Comprehensive Cancer CenterAbstract Background Breast cancer, one of the most common forms of cancer, is associated with the highest cancer-related mortality among women worldwide. In comparison to other types of breast cancer, patients diagnosed with the triple-negative breast cancer (TNBC) subtype have the worst outcome because current therapies do not produce long-lasting responses. Hence, innovative therapies that produce persisting responses are a critical need. We previously discovered that hyperactivating purinergic receptors (P2RXs) by increasing extracellular adenosine triphosphate (eATP) concentrations enhances TNBC cell lines’ response to chemotherapy. Heparan sulfate inhibits multiple extracellular ATPases, so it is a molecule of interest in this regard. In turn, heparanase degrades polysulfated polysaccharide heparan sulfate. Importantly, previous work suggests that breast cancer and other cancers express heparanase at high levels. Hence, as heparan sulfate can inhibit extracellular ATPases to facilitate eATP accumulation, it may intensify responses to chemotherapy. We postulated that heparanase inhibitors would exacerbate chemotherapy-induced decreases in TNBC cell viability by increasing heparan sulfate in the cellular microenvironment and hence, augmenting eATP. Methods We treated TNBC cell lines MDA-MB 231, Hs 578t, and MDA-MB 468 and non-tumorigenic immortal mammary epithelial MCF-10A cells with paclitaxel (cytotoxic chemotherapeutic) with or without the heparanase inhibitor OGT 2115 and/or supplemental heparan sulfate. We evaluated cell viability and the release of eATP. Also, we compared the expression of heparanase protein in cell lines and tissues by immunoblot and immunohistochemistry, respectively. In addition, we examined breast-cancer-initiating cell populations using tumorsphere formation efficiency assays on treated cells. Results We found that combining heparanase inhibitor OGT 2115 with chemotherapy decreased TNBC cell viability and tumorsphere formation through increases in eATP and activation of purinergic receptors as compared to TNBC cells treated with single-agent paclitaxel. Conclusion Our data shows that by preventing heparan sulfate breakdown, heparanase inhibitors make TNBC cells more susceptible to chemotherapy by enhancing eATP concentrations.https://doi.org/10.1186/s13058-024-01906-6ATPChemotherapyHeparanasePurinergic signalingBreast cancerHeparan sulfate
spellingShingle Jasmine M. Manouchehri
Jharna Datta
Lynn M. Marcho
Jesse J. Reardon
Daniel Stover
Robert Wesolowski
Uma Borate
Ting-Yuan David Cheng
Patrick M. Schnell
Bhuvaneswari Ramaswamy
Gina M. Sizemore
Mark P. Rubinstein
Mathew A. Cherian
The role of heparan sulfate in enhancing the chemotherapeutic response in triple-negative breast cancer
Breast Cancer Research
ATP
Chemotherapy
Heparanase
Purinergic signaling
Breast cancer
Heparan sulfate
title The role of heparan sulfate in enhancing the chemotherapeutic response in triple-negative breast cancer
title_full The role of heparan sulfate in enhancing the chemotherapeutic response in triple-negative breast cancer
title_fullStr The role of heparan sulfate in enhancing the chemotherapeutic response in triple-negative breast cancer
title_full_unstemmed The role of heparan sulfate in enhancing the chemotherapeutic response in triple-negative breast cancer
title_short The role of heparan sulfate in enhancing the chemotherapeutic response in triple-negative breast cancer
title_sort role of heparan sulfate in enhancing the chemotherapeutic response in triple negative breast cancer
topic ATP
Chemotherapy
Heparanase
Purinergic signaling
Breast cancer
Heparan sulfate
url https://doi.org/10.1186/s13058-024-01906-6
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