Biology subjects

Cichowski, K.

Publications and source records attributed to Cichowski, K..

3 recordsLinked to original sources

bioRxiv2026

MAPK signaling links BRD2 chromatin occupancy to PI3K/AKT inhibitor sensitivity

Bromodomain and extra-terminal (BET) proteins, BRD2, BRD3, BRD4, and BRDT, couple histone acetylation to transcription by recruiting elongation and transcription factor complexes to chromatin. Although BET proteins are promising therapeutic targets, the functions of individual family members remain incompletely understood. We identify BRD2 as a co-targetable vulnerability with PI3K/AKT inhibition in breast cancer. Pan-BET inhibition and BRD2 knockout synergized with PI3K pathway inhibitors in breast cancer cell lines, patient-derived organoids, and in vivo models. BRD2 knockout impaired proliferation of triple-negative breast cancer cells and upregulated signaling and stress-response pathways, including the DNA damage response. Mechanistically, BRD2 is phosphorylated at Ser37 by the mitogen- and stress-activated kinases MSK and RSK, and Ser37 phosphorylation is required for chromatin binding and reader function. Finally, mechanistic digital twin modeling identified BETi-PI3Ki regimens that maintained efficacy while reducing drug exposure. Together, these findings identify BRD2 as a phosphorylation-dependent, co-targetable vulnerability in PI3K-inhibited breast cancer.

cancer biology↗

bioRxiv2026

A mechanistic digital twin model for epigenetic therapy optimization in triple-negative breast cancer

Epigenetic therapies offer a promising approach to cancer treatment by modulating chromatin states that govern tumor cell identity, plasticity and therapeutic response. However, predicting and optimizing the effects of such interventions remains challenging. Here, we developed a digital twin framework that integrates mechanistic models of chromatin regulation, in vitro cell-state and treatment response data, and pharmacokinetics to simulate tumor progression and therapeutic response. We applied this framework to triple-negative breast cancer (TNBC), an aggressive disease in which chromatin dysregulation contributes to tumor progression, and investigated combination treatment with an EZH2 inhibitor promiting chromatin opening and an AKT inhibitor, which together enhance expression of GATA3 and BMF. Parameterized and validated using in vitro treatment response data, the model enables in silico clinical trials of alternative combination regimens and treatment schedules. These simulations identify regimens that achieve comparable therapeutic effects to reference schedules while substantially reducing cumulative drug exposure. We further demonstrated the digitan twin's ability of identifying personalized therapeutic strategies by incorporating patient-specific treatment-response data. Our work establishes a mechanistic digital twin framework for predicting tumor responses to chromatin-modifying therapies and provides a quantitative approach for optimizing treatment combinations and schedules across diverse cancer contexts.

cancer biology↗

bioRxiv2024

Cholesterol biosynthesis inhibition synergizes with AKT inhibitors in triple-negative breast cancer

Triple-negative breast cancer (TNBC) is responsible for a disproportionate number of breast cancer deaths due to its molecular heterogeneity, high recurrence rate and lack of targeted therapies. Dysregulation of the phosphoinositide 3-kinase (PI3K)/AKT pathway occurs in approximately 50% of TNBC patients. We performed a genome-wide CRISPR/Cas9 screen with PI3K and AKT inhibitors to find targetable synthetic lethalities in TNBC. We identified cholesterol homeostasis as a collateral vulnerability with AKT inhibition. Disruption of cholesterol homeostasis with pitavastatin synergized with AKT inhibition to induce TNBC cytotoxicity in vitro, in mouse TNBC xenografts and in patient-derived, estrogen receptor (ER)-negative breast cancer organoids. Neither ER-positive breast cancer cell lines nor ER-positive organoids were sensitive to combined AKT inhibitor and pitavastatin. Mechanistically, TNBC cells showed impaired sterol regulatory element-binding protein 2 (SREBP-2) activation in response to single agent or combination treatment with AKT inhibitor and pitavastatin. This was rescued by inhibition of the cholesterol trafficking protein Niemann-Pick C1 (NPC1). NPC1 loss caused lysosomal cholesterol accumulation, decreased endoplasmic reticulum cholesterol levels and promoted SREBP-2 activation. Taken together, these data identify a TNBC-specific vulnerability to the combination of AKT inhibitors and pitavastatin mediated by dysregulated cholesterol trafficking. Our work motivates combining AKT inhibitors with pitavastatin as a therapeutic modality in TNBC.

cancer biology↗