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  2. Inter- and intra-tumoral ALDH1 heterogeneity in breast cancer identifies therapeutic opportunities for ALDH1A-specific inhibitors

Inter- and intra-tumoral ALDH1 heterogeneity in breast cancer identifies therapeutic opportunities for ALDH1A-specific inhibitors

  • Cell Chem Biol. 2025 Sep 30:S2451-9456(25)00268-5. doi: 10.1016/j.chembiol.2025.09.003.
Raquel Pequerul 1 Andrada Constantinescu 2 Bassam Janji 3 Akinchan Kumar 3 Céline Baier 2 Iris Manosalva 4 Xavier Parés 5 Oscar Palacios 6 Salvatore Spicuglia 4 Delphine Colignon 7 Axelle Berrou 8 Guy Fournet 7 Paul Berchard 2 Guillaume Martin 2 Ismail Ceylan 2 Rocio Rebollido-Rios 9 Jaume Farrés 10 Mileidys Perez-Alea 11
Affiliations

Affiliations

  • 1 Department of Biochemistry and Molecular Biology, Faculty of Biosciences, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, 08193 Barcelona, Spain; Advanced BioDesign, 69800 Saint Priest, France.
  • 2 Advanced BioDesign, 69800 Saint Priest, France.
  • 3 Department of Cancer Research, Tumor Immunotherapy and Microenvironment (TIME) Group, Luxembourg Institute of Health (LIH), 1210 Luxembourg City, Luxembourg.
  • 4 Aix-Marseille University, INSERM, TAGC, UMR1090, 13266 Marseille, France.
  • 5 Department of Biochemistry and Molecular Biology, Faculty of Biosciences, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, 08193 Barcelona, Spain.
  • 6 Department of Chemistry, Faculty of Sciences, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, 08193 Barcelona, Spain.
  • 7 Institut de Chimie et Biochimie Moléculaires et Supramoléculaires, CNRS, Université de Lyon 1, 69622 Lyon, France.
  • 8 CEISAM Laboratory, UMR CNRS 6230, Nantes University, 2 Chemin de la Houssinière, 44322 Nantes, France.
  • 9 University of Cologne, Faculty of Medicine and University Hospital Cologne, Department I of Internal Medicine, CECAD Research Center, 50931 Cologne, Germany. Electronic address: rocio.rebollido-rios@uk-koeln.de.
  • 10 Department of Biochemistry and Molecular Biology, Faculty of Biosciences, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, 08193 Barcelona, Spain. Electronic address: jaume.farres@uab.cat.
  • 11 Advanced BioDesign, 69800 Saint Priest, France. Electronic address: mileidys.perez@a-biodesign.com.
Abstract

Basal-like breast Cancer is an aggressive subtype with limited therapeutic options. Here, transcriptomic analysis of public datasets suggested distinct subtype- and cell-specific expression patterns of ALDH1A isoforms in breast tumors, with ALDH1A3 predominantly expressed in the epithelial cells of basal-like tumors, whereas ALDH1A2 and ALDH1A1 were enriched in stromal and immune-associated subpopulations. High expression of ALDH1A3 and ALDH1A2, but not ALDH1A1, is associated with poor prognosis in high-grade, lymph-node-positive tumors. To evaluate therapeutic targeting, we developed ABD0171, an irreversible, selective ALDH1A3 inhibitor with additional ALDH1A1 activity. ABD0171 disrupted key oncogenic pathways, including IL6/JAK/STAT3, tPA, and Src/FAK, resulting in robust antitumor and antimetastatic effects in vitro and in vivo, with a favorable safety profile. These findings establish ALDH1A3 as a therapeutic target in breast cancers with epithelial-basal traits and validate ABD0171 as a promising clinical candidate to address current treatment challenges.

Keywords

ALDH; ALDH1A2; ALDH1A3; TNBC; aldehyde dehydrogenase; breast cancer; bulk and single-cell transcriptomic analysis; chemoresistance; isoform-specific inhibition; prognostic biomarker; triple-negative breast cancer.

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