po 344 mir 302b as adjuvant therapeutic tool to improve chemotherapy efficacy in human triple negative breast cancer

Introduction MiRNAs are a class of non-coding regulatory RNAs playing key roles in different biological processes including cancer. Triple-negative breast cancer (TNBC) accounts for 15%–20% of all breast cancer cases, with the worst outcome of all subtypes. For TNBC, still lacking targeted therapies, the only therapeutic option is chemotherapy. MiRNAs can modulate chemotherapy response by affecting DNA repair, cell cycle progression, apoptosis and also tumour microenvironment. Macrophages constitute a major component of the immune microenvironment of cancer and pro-tumour M2 macrophages have been associated with response to chemotherapeutic treatments. Here, we investigated the potential of miR-302b as a therapeutic tool to enhance cisplatin sensitivity in a TNBC mouse model and which pathways are involved in this mechanism both in tumour cells and microenvironment. Material and methods TNBC cells were injected into the mammary fat pad of female SCID mice and then treated with lipid nanoparticles containing miR-302b or cel-67 control, alone or in combination with cisplatin. Gene expression profile on collected tumours was performed by microarray. ITGA6 expression was assessed on tumour samples and siRNA tranfection was performed to evaluate the cisplatin response. Tumour sections were stained with anti-arginase 1 (M2 marker) to assess the number of M2 macrophages, and luciferase assay was used to evaluate Irf4 (M2 marker) as a direct target of miR-302b. Results and discussions Our results show that combination of miR-302b with cisplatin significantly impaired tumour growth in comparison with control cel-67. Gene expression profile identified ITGA6 as a regulatory target of miR-302b and cisplatin activity. Indeed, ITGA6 expression is down-modulated in mice treated with miR-302b plus cisplatin compared with control mice. Furthermore, TNBC cell lines increase their cisplatin sensitivity upon ITGA6 silencing. These data confirm the role of ITGA6 in cisplatin response mediated by miR-302b. Moreover, in xenograft tumours collected from the in vivo miR-302b delivery experiment, we observed a reduced number of M2 macrophages in the tumour microenvironment and gene expression confirm immune system modulation. Finally, luciferase assay validate Irf4, a key gene involved in M2 recruitment, as a direct target of miR-302b. Conclusion Our data demonstrate that miR-302b can be exploited as a new therapeutic tool to improve the response to chemotherapy, modulating ITGA6 expression in tumour cells and M2 recruitment in tumour microenvironment