Unveiling the molecular dance behind chemotherapy resistance in aneuploid breast cancer
Every 14 seconds, somewhere in the world, someone dies from breast cancer. While treatments have advanced, triple-negative breast cancer (TNBC) remains notoriously aggressive, with a 5-year survival rate below 30% for metastatic cases.
At the heart of this brutality lies genomic instabilityâa chaotic reshuffling of chromosomes that fuels cancer's evolution. Recent research reveals a master orchestrator of this chaos: a protein called CEP55 (Centrosomal Protein 55). Once considered just a "midbody mechanic" during cell division, CEP55 now emerges as a molecular puppeteer driving drug resistance through an unexpected partnership with the stress sensor HSF1 (Heat Shock Factor 1) 1 5 .
Normally, CEP55 ensures clean cell division by anchoring proteins at the midbodyâthe bridge connecting daughter cells. But in breast cancer, it's hijacked:
| Context | Normal Role | Cancer Role | Consequence |
|---|---|---|---|
| Cell Division | Guides final separation (abscission) | Causes multipolar spindles | Aneuploid daughter cells |
| DNA Damage | Minimal involvement | Suppresses Chk1 checkpoint | Replication errors pile up |
| Signaling | Inactive | Hyperactivates PI3K/Akt & MEK/PLK1 | Cell survival & drug resistance |
| Stress Response | None known | Binds HSF1; upregulates heat shock proteins | Chemotherapy protection |
When researchers engineered mice to overexpress Cep55, the results were startling:
Could blocking CEP55's upstream activators (MEK/PLK1) force aneuploid TNBC cells into mitotic catastrophe?
Aggressive TNBC lines (MDA-MB-231, BT-549) vs. milder ER+ lines (MCF-7)
siRNA knocks down CEP55 in TNBC cells
Exposed cells to:
Tracked caspase-3 activation (cell suicide marker) and aberrant mitosis
TNBC xenografts in mice treated with selumetinib + BI2536 combo vs. single agents
| Treatment Group | Tumor Shrinkage | Mitotic Catastrophe Rate | HSF1 Activity |
|---|---|---|---|
| Control (no drug) | 0% | 5% | Baseline |
| Selumetinib alone | 15% | 20% | Reduced 30% |
| BI2536 alone | 18% | 25% | Unchanged |
| Selumetinib + BI2536 | 62% | 75% | Reduced 65% |
The duo recruits HSP70/90, preventing protein misfolding during chemotherapy
| Reagent | Function | Application Example |
|---|---|---|
| siRNA against CEP55 | Knocks down CEP55 mRNA | Sensitizes TNBC cells to BI2536 5 |
| Selumetinib | MEK1/2 inhibitor; reduces CEP55 transcription | Blocks CEP55 upstream signaling 5 |
| HSF1 Phospho-Sensors | Detect HSF1 activation (e.g., S326-P) | Maps CEP55-HSF1 binding 4 |
| HSP70 Inhibitors | Block downstream effectors (e.g., JG-98) | Synergizes with anti-mitotics 6 |
| CEP55 Transgenic Mice | Overexpress Cep55 in tissues | Models spontaneous tumors 3 |
The CEP55-HSF1 axis offers three actionable strategies:
Selumetinib/BI2536 combos in Phase I/II trials for TNBC (NCT04191421)
Emerging degrader molecules like CEP55-PROTACs
Compounds like KRIBB11 inhibit HSF1's transactivation domain 6
CEP55 and HSF1 exemplify how cancer coopts cellular stress managers into allies of chaos. By dismantling their partnership, we turn cancer's strengths into fatal weaknesses.