PMID- 28097652 OWN - NLM STAT- MEDLINE DCOM- 20170829 LR - 20220321 IS - 1096-9896 (Electronic) IS - 0022-3417 (Linking) VI - 241 IP - 5 DP - 2017 Apr TI - MDM4 is a rational target for treating breast cancers with mutant p53. PG - 661-670 LID - 10.1002/path.4877 [doi] AB - Mutation of the key tumour suppressor p53 defines a transition in the progression towards aggressive and metastatic breast cancer (BC) with the poorest outcome. Specifically, the p53 mutation frequency exceeds 50% in triple-negative BC. Key regulators of mutant p53 that facilitate its oncogenic functions are potential therapeutic targets. We report here that the MDM4 protein is frequently abundant in the context of mutant p53 in basal-like BC samples. Importantly, we show that MDM4 plays a critical role in the proliferation of these BC cells. We demonstrate that conditional knockdown (KD) of MDM4 provokes growth inhibition across a range of BC subtypes with mutant p53, including luminal, Her2(+) and triple-negative BCs. In vivo, MDM4 was shown to be crucial for the establishment and progression of tumours. This growth inhibition was mediated, at least in part, by the cell cycle inhibitor p27. Depletion of p27 together with MDM4 KD led to recovery of the proliferative capacity of cells that were growth-inhibited by MDM4 KD alone. Consistently, we identified low levels of p27 expression in basal-like tumours corresponding to high levels of MDM4 and p53. This predicts a signature for a subset of tumours that may be amenable to therapies targeted towards MDM4 and mutant p53. The therapeutic potential of MDM4 as a target in BC with mutant p53 was shown in vitro by use of a small-molecule inhibitor. Overall, our study supports MDM4 as a novel therapeutic target for BC expressing mutant p53. Copyright (c) 2017 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd. CI - Copyright (c) 2017 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd. FAU - Miranda, Panimaya Jeffreena AU - Miranda PJ AUID- ORCID: 0000-0002-1404-0754 AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia. FAU - Buckley, Daniel AU - Buckley D AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia. FAU - Raghu, Dinesh AU - Raghu D AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia. FAU - Pang, Jia-Min B AU - Pang JB AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - Department of Pathology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. FAU - Takano, Elena A AU - Takano EA AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - Department of Pathology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. FAU - Vijayakumaran, Reshma AU - Vijayakumaran R AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia. FAU - Teunisse, Amina Fas AU - Teunisse AF AD - Department of Molecular Cell Biology, University Medical Centre, Leiden, The Netherlands. FAU - Posner, Atara AU - Posner A AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia. FAU - Procter, Tahlia AU - Procter T AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia. FAU - Herold, Marco J AU - Herold MJ AD - Molecular Genetics of Cancer, The Walter and Eliza Hall Institute, Parkville, Victoria, Australia. AD - Department of Medical Biology, University of Melbourne, Parkville, Victoria, Australia. FAU - Gamell, Cristina AU - Gamell C AUID- ORCID: 0000-0003-0720-2652 AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia. FAU - Marine, Jean-Christophe AU - Marine JC AD - Laboratory for Molecular Cancer Biology, Center for Cancer Biology, VIB, Leuven, Belgium. AD - Laboratory for Molecular Cancer Biology, Department of Oncology, KULeuven, Leuven, Belgium. FAU - Fox, Stephen B AU - Fox SB AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - Department of Pathology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. FAU - Jochemsen, Aart AU - Jochemsen A AD - Department of Molecular Cell Biology, University Medical Centre, Leiden, The Netherlands. FAU - Haupt, Sue AU - Haupt S AUID- ORCID: 0000-0003-2484-1712 AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia. FAU - Haupt, Ygal AU - Haupt Y AUID- ORCID: 0000-0001-5925-0096 AD - Tumour Suppression Laboratory, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. AD - The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Victoria, Australia. AD - Department of Pathology, The University of Melbourne, Parkville, Victoria, Australia. AD - Department of Biochemistry and Molecular Biology, Monash University, Clayton, Australia. LA - eng PT - Journal Article DEP - 20170301 PL - England TA - J Pathol JT - The Journal of pathology JID - 0204634 RN - 0 ((10-methyl-9-anthryl)methyl imidothiocarbamate) RN - 0 (Anthracenes) RN - 0 (Cell Cycle Proteins) RN - 0 (MDM4 protein, human) RN - 0 (Nuclear Proteins) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Tumor Suppressor Protein p53) RN - GYV9AM2QAG (Thiourea) SB - IM MH - Anthracenes/pharmacology MH - Carcinogenesis/genetics MH - Cell Cycle Proteins MH - Cell Line MH - Cell Proliferation MH - Female MH - Gene Knockdown Techniques MH - Humans MH - Mutation MH - Nuclear Proteins/antagonists & inhibitors/genetics/*metabolism MH - Proto-Oncogene Proteins/antagonists & inhibitors/genetics/*metabolism MH - Thiourea/analogs & derivatives/pharmacology MH - Triple Negative Breast Neoplasms/drug therapy/*genetics/pathology MH - Tumor Suppressor Protein p53/*genetics/metabolism OTO - NOTNLM OT - MDM4 OT - TNBC OT - breast cancer OT - mutant p53 OT - p27 EDAT- 2017/01/18 06:00 MHDA- 2017/08/30 06:00 CRDT- 2017/01/19 06:00 PHST- 2016/08/19 00:00 [received] PHST- 2016/12/20 00:00 [revised] PHST- 2017/01/08 00:00 [accepted] PHST- 2017/01/18 06:00 [pubmed] PHST- 2017/08/30 06:00 [medline] PHST- 2017/01/19 06:00 [entrez] AID - 10.1002/path.4877 [doi] PST - ppublish SO - J Pathol. 2017 Apr;241(5):661-670. doi: 10.1002/path.4877. Epub 2017 Mar 1.