# The long non-coding RNA LINC01133 as a novel determinant of immune evasion in triple-negative breast cancer

> **NIH VA I01** · VA BOSTON HEALTH CARE SYSTEM · 2024 · —

## Abstract

Triple-negative breast cancers (TNBCs) afflict younger women of African and Latino descent, present with
aggressive clinical behavior, and are in their majority unresponsive to systemic treatments. Patients with
refractory disease exhibit dismal survival rates with reliable therapies still undefined. To identify novel, disease-
relevant therapeutic targets, we conducted transcriptomic analyses of highly metastatic and tumor-initiating
TNBC cells, focusing specifically on long non-coding RNAs (lncRNAs), an emerging RNA family with
pleiotropic contributions to essential cellular processes. These efforts identified the lncRNA LINC01133, which
we found induced malignant tumor development by promoting the expansion of cancer stem cells (CSCs):
tumor-initiating cells at the origin of metastasis and therapy resistance. Importantly, LINC01133 associated
tightly with clinical TNBC and prognosticated poor patient survival. Further, LINC01133 expression, on its own,
promoted cancer growth in vitro and tumorigenesis in vivo. Importantly, LINC01133 inhibition by anti-sense
oligonucleotides (ASO) inhibited cancer cell growth, altogether ascribing LINC01133 critical role as a credible
therapeutic target in TNBC. Interestingly, LINC01133 exerted additional, paracrine activities that regulated how
TNBC cells interfaced with the tumor immune microenvironment (TIME). Indeed, LINC01133-generated
syngeneic murine mammary tumors exhibited evident immune-suppressed phenotypes with increased
myeloid-derived suppressor cells, M2 macrophages, and anergized 2B4+CD3+ T-cells, concomitant with
striking PD-L1 induction in LINC01133-cancer cells. These results allow us to hypothesize that LINC01133
regulated immune evasion, in addition to CSC genesis, representing an opportune and novel dual target in
immuno-oncology, and our objective is to verify these notions using three concerted aims. In Aim1, we will
determine how LINC01133 promotes the expression of the checkpoint protein PD-L1 by probing the molecular
events that foster PD-L1 accumulation (1.1), and by delineating the direct proximal molecular networks through
which LINC01133 regulates PD-L1 expression (1.2 and 1.3). In Aim2, we will comprehensively determine the
TIME constituents in LINC01133-expressing syngeneic immune-competent murine TNBC models using FACS
and immunohistochemistry (IHC) (2.1). Then, we will use ex vivo phenotypic and functional assays to
determine the extent to which tumor-purified infiltrating lymphocytes are exhausted/anergized in LINC01133-
expressing tumors (2.2) and determine LINC01133 impact on metastasis (2.3). To clinically validate these
findings, we will use quantitative PCR on cancer cells laser-captured from TNBC specimens to determine if
LINC0113 levels correlate with patient metastasis and survival history and/or IHC-determined T-cell-specific
exhaustion phenotypes in their tumors (2.4). In Aim 3, we will determine if LINC01133 inhibition stunts
tumor/metastasis growth by reawakening ...

## Key facts

- **NIH application ID:** 10586976
- **Project number:** 1I01BX005980-01A1
- **Recipient organization:** VA BOSTON HEALTH CARE SYSTEM
- **Principal Investigator:** Antoine Elias Karnoub
- **Activity code:** I01 (R01, R21, SBIR, etc.)
- **Funding institute:** VA
- **Fiscal year:** 2024
- **Award amount:** —
- **Award type:** 1
- **Project period:** 2024-01-01 → 2027-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10586976

## Citation

> US National Institutes of Health, RePORTER application 10586976, The long non-coding RNA LINC01133 as a novel determinant of immune evasion in triple-negative breast cancer (1I01BX005980-01A1). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10586976. Licensed CC0.

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