Let-7 microrna and mimetics thereof as therapeutics for cancer
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[0307]Low-dose chemotherapy selects for tumor-initiating breast cancer cells. Resistance to chemotherapy distinguishes tumor-initiating cells from other cancer cells1,2,17. Accordingly, treatment with chemotherapy should enrich for tumor stem cells compared to more differentiated progeny. To examine this, the inventors compared the proportion of self-renewing cancer cells in primary breast cancer tissues surgically removed from patients with poorly differentiated invasive breast cancer who received four cycles of preoperative chemotherapy with tumors from matched untreated patients. Freshly isolated cells were cultured in suspension in medium supplemented with epidermal growth factor (EGF), B27 and insulin to generate mammospheres (or emboid bodies), a previously described method for culturing both mammary gland progenitor cells25 and breast tumor-initiating cells10. The self-renewal potential of breast tumor-initiating cells can be gauged by their capacity to give rise to mammosphe...
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[0310]Breast tumor-initiating cells have reduced expression of let-7 miRNAs and let-7 homologues or let-7 mimetics. The inventors used miRNA microarrays to compare miRNA expression in mammosphere-derived SK-3rd with their in vitro differentiated progeny and the parental SKBR3 cells. As has been reported for ES cells22,27, most of the 52 miRNAs that were reproducibly expressed above background in any of the 3 cell lines had reduced expression in SK-3rd compared with either the differentiated SK-3rd cells or SKBR3 (FIG. 2a). Cluster analysis of multiple samples showed a clear distinction between mammospheric cells and the other two adherent lines (data not shown). Using ANOVA analysis on the normalized chip data, we identified a number of human miRNAs whose expression in mammospheric cells was significantly different from the differentiated and parent cells. Among them, the let-7 family emerged as the most consistently and significantly reduced miRNAs. let-7 was initially identified a...
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[0311]let-7 activity is low in breast cancer stem cells and increases during differentiation. To investigate let-7 function, the inventors transfected a luciferase reporter vector containing a let-7 target sequence in its 3′UTR into SK-3rd, differentiated SK-3rd and SKBR3. Luciferase activity was suppressed by 52% in differentiated SK-3rd cells (Pd). Infection of SK-3rd with a lentivirus expressing let-7a pre-miRNA enhanced miRNA expression and function comparably to that of the differentiated progeny cells (FIG. 2b-d). Co-transfection of differentiated SK-3rd cells, SKBR3 or let-7a lentivirus-infected SK-3rd with a let-7 antisense oligonucleotide (ASO) significantly reduced the suppression in luciferase activity mediated by endogenous or exogenous let-7 (Pd).
[0312]Since RAS is a major target of let-7 miRNAs31, the inventors next compared HRAS1 mRNA and protein expression in the 3 cell lines. H-RAS protein was highly expressed in SK-3rd stem cells, but was greatly reduced in differe...
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