Breast cancer patients with
tumors lacking the three diagnostic markers (ER, PR, and HER2) are classified as triple-negative (primarily basal-like) and have poor prognosis because there is no disease-specific
therapy available. To address this unmet medical need, gene expression analyses using more than a thousand
breast cancer samples were conducted, which identified elevated
centromere protein E (CENP-E) expression in the basal-a molecular subtype relative to other subtypes. CENP-E, a mitotic
kinesin component of the spindle assembly checkpoint, is shown to be induced in basal-a tumor cell lines by the mitotic spindle inhibitor
drug docetaxel. CENP-E knockdown by inducible
shRNA reduces basal-a
breast cancer cell viability. A potent, selective CENP-E inhibitor (PF-2771) was used to define the contribution of CENP-E motor function to basal-like
breast cancer. Mechanistic evaluation of
PF-2771 in basal-a
tumor cells links CENP-E-dependent molecular events (e.g., phosphorylation of
histone H3 Ser-10; phospho-HH3-Ser10) to functional outcomes (e.g., chromosomal congression defects). Across a diverse panel of breast cell lines, CENP-E inhibition by
PF-2771 selectively inhibits proliferation of basal
breast cancer cell lines relative to premalignant ones and its response correlates with the degree of
chromosomal instability. Pharmacokinetic-pharmacodynamic efficacy analysis in a basal-a xenograft
tumor model shows that
PF-2771 exposure is well correlated with increased phospho-HH3-Ser10 levels and
tumor growth regression. Complete
tumor regression is observed in a patient-derived, basal-a
breast cancer xenograft
tumor model treated with
PF-2771.
Tumor regression is also observed with
PF-2771 in a
taxane-resistant basal-a model. Taken together, CENP-E may be an effective therapeutic target for patients with triple-negative/basal-a
breast cancer.