# Activation of Inflammatory Responses Upon Replication Stress in Basal-Like Breast Cancer

> **NIH NIH F30** · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2022 · $51,752

## Abstract

Project Summary
Breast cancer accounts for the second most cancer-related deaths in U.S. women despite the
availability of improved treatment options and increased screening. A particularly aggressive
subtype that represents a disproportionate number of these mortality cases is basal-like breast
cancer (BLBC). The high mortality of BLBC stems from a lack of effective, sustainable
chemotherapeutic treatment options with tumors often developing resistance to treatment despite
encouraging treatment responses. This higher relapse rate among BLBC patients calls for the
development of more effective therapeutic regimens targeting distinct molecular alterations of
basal-like tumors. Strikingly, we find that BLBC, but not luminal breast cancer cell lines, exhibit a
severe sensitivity to partial suppression of leading strand replicative polymerase, DNA
polymerase epsilon (POLE). POLE suppression in BLBC cells leads to replication fork stalling,
DNA damage, and a senescence-like state or cell death. Our preliminary data, which form the
premise of my application, reveals that suppression of POLE in a BLBC cell line, but not other
breast cancer cell lines, results in an increase in inflammatory cytokine transcripts known to be
targeted by the NF-𝜅B transcription factor, a phenotype that is dependent upon RELA expression.
This cytokine production is sufficient to impact the tumor immune microenvironment, as I
observed significant infiltration of F4/80 positive macrophages in BLBC xenografts upon POLE
suppression. Therefore, my central hypothesis is that NF-𝜅B activation upon POLE inhibition
activates a cytokine secretion program selectively in BLBC cells. In aim 1, I will analyze activation
of pattern recognition receptors (PRRs) and NF-𝜅B via immunoblot, immunofluorescence for NF-
𝜅B subcellular localization, and an NF-𝜅B luciferase reporter. I will delineate which PRRs (cGAS-
STING, MAVS-RIG-I) and NF-𝜅B components (IKK-g, p65, RELB) are triggered by replication
stress, and use CRISPR/Cas9 to generate cell lines lacking key signaling components to uncover
those responsible for NF-𝜅B activation. In aim 2, I will determine the impact of POLE suppression
on intra-tumoral cytokine expression and tumor cell composition. If immune infiltration is altered,
I will determine the degree of cooperation with immune checkpoint inhibitors. This work is
impactful because it will discriminate whether replication stress induced by inhibiting leading
strand replication triggers an immunostimulatory or immunosuppressive environment that could
be targeted to enhance future anti-cancer therapies.

## Key facts

- **NIH application ID:** 10465640
- **Project number:** 1F30CA271623-01
- **Recipient organization:** NEW YORK UNIVERSITY SCHOOL OF MEDICINE
- **Principal Investigator:** Elizabeth Frances Gorodetsky
- **Activity code:** F30 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $51,752
- **Award type:** 1
- **Project period:** 2022-03-04 → 2026-03-03

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10465640

## Citation

> US National Institutes of Health, RePORTER application 10465640, Activation of Inflammatory Responses Upon Replication Stress in Basal-Like Breast Cancer (1F30CA271623-01). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10465640. Licensed CC0.

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