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Antitumor activities of the synthetic retinoid ST1926 in two-dimensional and three-dimensional human breast cancer models

Aouad, Patricka,b; Saikali, Melodyb; Abdel-Samad, Ranab; Fostok, Sabreena; El-Houjeiri, Leeannab; Pisano, Claudioc; Talhouk, Rabiha; Darwiche, Nadineb

doi: 10.1097/CAD.0000000000000511

Despite recent advances in chemotherapy, aggressive and metastatic breast cancers remain refractory to targeted therapy and the development of novel drugs is urgently needed. Retinoids are crucial regulators of cellular proliferation, differentiation, and cell death, and have shown potent chemotherapeutic and chemopreventive properties. The major drawback of the use of all-trans retinoic acid (ATRA) in cancer therapy is disease relapse. Therefore, synthetic retinoids, specifically ST1926, have emerged as potent anticancer agents. Given the importance of the microenvironment in modulating the response of cancer cells to chemotherapeutic drugs, we investigated the antitumor activities of ST1926 in two-dimensional (2D) and different three-dimensional (3D) human breast cancer models and compared them with ATRA. We have shown that in 2D cell culture models, ATRA-resistant MCF-7 and MDA-MB-231 cells were sensitive to ST1926 at submicromolar concentrations that spared the ‘normal-like’ breast epithelial cells. ST1926 induced apoptosis and S-phase arrest, caused DNA damage, and downregulated the Wnt/β-catenin pathway in breast cancer cells in 2D and 3D cell culture models. ST1926-mediated growth inhibition was independent of the retinoid receptor-signaling pathway. Long-term treatments with low submicromolar ST1926 concentrations reduced the anchorage-independent growth and decreased the sphere-forming ability of breast cancer progenitor cells in the sphere formation assay. Furthermore, ST1926 potently induced cell death of breast cancer cells under 3D conditions and spared the lumen-forming ability of normal-like breast epithelial cells. In tested 3D models, ATRA had minimal effects on the growth of breast cancer cells compared with ST1926. In summary, our results highlight the therapeutic potential of ST1926 in breast cancer and warrant its further clinical development.

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Departments of aBiology

bBiochemistry and Molecular Genetics, American University of Beirut, Beirut, Lebanon

cMedicinal Investigational Research, BIOGEM, Ariano Irpino, Italy

Correspondence to Nadine Darwiche, PhD, Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut 1107 2020, Lebanon Tel: +961 3 860 548; fax: +961 1 343 450; e-mail:

Received November 29, 2016

Accepted April 7, 2017

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