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JNK Pathway Loss Drives Resistance to Endocrine and CDK4/6 Treatment in ER+ Breast Cancer

Researchers propose JNK activity testing to help match ER+ patients with the most effective treatments.

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Overview

  • A genome-wide CRISPR screen pinpointed JNK-pathway genes, including MAP2K7, whose loss let ER+ cancer cells keep proliferating under treatment.
  • In preclinical models, JNK-deficient cells kept growing despite endocrine therapy plus CDK4/6 inhibitors and formed more metastases.
  • Tumor analysis from 78 treated patients linked lower JNK activity with poorer response to the combination regimen.
  • The peer-reviewed paper, published August 18 in the Journal of Experimental & Clinical Cancer Research, identifies a context-dependent tumor-suppressor role for JNK in ER+ disease.
  • The team is developing ways to assess tumor JNK signaling clinically and is testing alternative therapies for patients with JNK-low tumors.