Why the study?
New, effective targets are needed for triple-negative breast cancer, and the study explored whether hyperpolarization induced by opening potassium channels provides a new treatment strategy.
Does opening BK channels with BMS-191011 induce cell death and reduce tumor growth in triple-negative breast cancer models?
Does opening BK channels with BMS-191011 induce cell death and reduce tumor growth in triple-negative breast cancer models?
Opening BK channels hyperpolarizes the membrane potential and selectively induces apoptosis in triple-negative breast cancer cells, offering a potential targeted therapy.
Hypothesis-generating for BK channel activation in TNBC; prospective trials needed before clinical adoption.
Background Unlike other breast cancer subtypes that may be treated with a variety of hormonal or targeted therapies, there is a need to identify new, effective targets for triple-negative breast cancer (TNBC). It has recently been recognized that membrane potential is depolarized in breast cancer cells. The primary objective of the study is to explore whether hyperpolarization induced by opening potassium channels may provide a new strategy for treatment of TNBC. Methods Breast cancer datasets in cBioPortal for cancer genomics was used to search for ion channel gene expression. Immunoblots and immunohistochemistry were used for protein expression in culture cells and in the patient tissues. Electrophysiological patch clamp techniques were used to study properties of BK channels in culture cells. Flow cytometry and fluorescence microscope were used for cell viability and cell cycle studies. Ultrasound imaging was used to study xenograft in female NSG mice. Results In large datasets of breast cancer patients, we identified a gene, KCNMA1 (encoding for a voltage- and calcium-dependent large-conductance potassium channel, called BK channel), overexpressed in triple-negative breast cancer patients. Although overexpressed, 99% of channels are closed in TNBC cells. Opening BK channels hyperpolarized membrane potential, which induced cell cycle arrest in G2 phase and apoptosis via caspase-3 activation. In a TNBC cell induced xenograft model, treatment with a BK channel opener significantly slowed tumor growth without cardiac toxicity. Conclusions Our results support the idea that hyperpolarization induced by opening BK channel in TNBC cells can become a new strategy for development of a targeted therapy in TNBC.
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Sizemore et al. (2020) studied this question.
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