Triple-negative breast cancer (TNBC) remains difficult to treat and urgently needs new therapeutic options.
Nintedanib, a multikinase inhibitor, has exhibited efficacy in early clinical trials for HER2-negative
breast cancer. In this study, we examined a new molecular mechanism of
nintedanib in TNBC. The results demonstrated that
nintedanib enhanced TNBC cell apoptosis, which was accompanied by a reduction of p-STAT3 and its downstream
proteins. STAT3 overexpression suppressed
nintedanib-mediated apoptosis and further increased the activity of purified SHP-1
protein. Moreover, treatment with either a specific inhibitor of SHP-1 or SHP-1-targeted
siRNA reduced the apoptotic effects of
nintedanib, which validates the role of SHP-1 in
nintedanib-mediated apoptosis. Furthermore,
nintedanib-induced apoptosis was attenuated in TNBC cells expressing SHP-1 mutants with constantly open conformations, suggesting that the autoinhibitory mechanism of SHP-1 attenuated the effects of
nintedanib. Importantly,
nintedanib significantly inhibited
tumor growth via the SHP-1/p-STAT3 pathway. Clinically, SHP-1 levels were downregulated, whereas p-STAT3 was upregulated in
tumor tissues, and SHP-1 transcripts were associated with improved disease-free survival in TNBC patients. Our findings revealed that
nintedanib induces TNBC apoptosis by acting as a SHP-1 agonist, suggesting that targeting STAT3 by enhancing SHP-1 expression could be a viable therapeutic strategy against TNBC.