Abstract 5288: Soy isoflavone genistein reboosts targeted therapy sensitivity in triple negative breast cancer

Abstract Triple-negative breast cancer (TNBC) is a very aggressive type of breast cancer that does not expression important proteins called estrogen, progesterone and HER2. This makes TNBC hard to treat because it does not respond to common targeted treatments. However, recent treatments using the immune system to target key immune proteins such as PD-1 and PD-L1 have been successful in many types of cancer. This form of immunotherapy works by blocking PD-1/PD-L1 pathway and leads to stimulating the body's own immune system to recognize and attack cancer cells, thus providing a potential new treatment option for TNBC patients. Nevertheless, only approximately 30% of TNBC patients may respond to these drugs, suggesting the majority of TNBC patients would not benefit from these innovative immunotherapies. It is believed that low levels of immune cells and PD-L1 expression in tumors are the primary reasons for the lack of response or resistance to anti-PD-1/PD-L1 treatments. The use of nontoxic and healthy food and nutrition to increase treatment response is an emerging field of cancer research. Our studies showed that adding genistein (GE), a bioactive dietary component found in soybean products such as soy milk, soy protein and tofu, could significantly enhance the efficacy of anti-PD-1 immunotherapy in a TNBC mouse model that was previously not responsive to the treatment. Our research also found that soybean GE can increase tumor immune response by significantly recruiting active immune cells into the tumor and increasing PD-L1 expression. Our studies will help to establish a novel nutrition-based intervention targeting TNBC patients who might not qualify for this treatment initially. Eventually, we will develop a novel strategy of administering a tailored dietary plan to resensitize these patients to emerging anti-PD-1/PD-L1 immunotherapies. Citation Format: Taiwo Bankole, Zhenhai Li, Yuanyuan Li. Soy isoflavone genistein reboosts targeted therapy sensitivity in triple negative breast cancer abstract. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts) ; 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84 (6Suppl): Abstract nr 5288.