Research Updates 2014/2015 Resent Advances from Breast Cancer Ireland funded programmes Phenomenal advances in targeted therapy over the past ten years have had a significant impact on breast cancer survival. Within these excellent survival rates however lie a significant group of patients (>30%) who will have disease recurrence. The challenge now is to understand the pathophysiology of acquired endocrine resistance to ensure that metastatic disease is detected early and treated effectively. Uncovering the key mechanisms of resistance will provide predictive markers of disease recurrence which will enable us to tailor existing therapies to improve outcome in specific patient groups within ten years. Using next generation sequencing our group have uncovered new biomarkers which have the potential to predict the efficacy of endocrine therapy in breast cancer patients. These biomarkers are currently in a multi-centre national clinical trial to assess their strength to predict outcome on tamoxifen and aromatase inhibitor therapy in patients with estrogen receptor (ER) positive disease. Our group is collaborating with ALMAC, the multi-national diagnostic company to bring these biomarker assays into clinical use. Currently there is no targeted treatment for ER-positive metastatic breast cancer. Our group have identified a cell surface therapeutic target which provides the opportunity to develop new treatment strategies. A new small peptide is currently in pre-clinical assessment in our laboratories to investigate its efficacy in treating metastatic disease. This new drug along with its specific companion diagnostic has clear advantages over current clinical management of ER positive metastatic breast cancer. Our research is conducted by a translational team of clinicians and research scientists. Part of our mission is to train the next generation of clinical researchers. This year Jarlath Bolger and Damir Vareslija were awarded their PhDs for research supported by Breast Cancer Ireland. Both Jarlath and Damir have published their work in high impact journals and are continuing to conduct research into the causes of resistance to therapy in breast cancer patients. Specific Outputs Publications Genomic interaction between ER and HMGB2 identifies DDX18 as a novel driver of endocrine resistance in breast cancer cells. Redmond AM, Byrne C, Bane FT, Brown GD, Tibbitts P, O'Brien K, Hill AD, Carroll JS, Young LS. Oncogene. 2014 Oct 6. doi: 10.1038/onc.2014.323. NCOA1 Directly Targets M-CSF1 Expression to Promote Breast Cancer Metastasis. Qin L, Wu YL, Toneff MJ, Li D, Liao L, Gao X, Bane FT, Tien JC, Xu Y, Feng Z, Yang Z, Xu Y, Theissen SM, Li Y, Young L, Xu J. Cancer Res. 2014 Jul 1;74(13):3477-88. doi: 10.1158/0008-5472.CAN-13-2639. Epub 2014 Apr 25. Research Updates 2014/2015 Global gene repression by the steroid receptor coactivator SRC-1 promotes oncogenesis. Walsh CA, Bolger JC, Byrne C, Cocchiglia S, Hao Y, Fagan A, Qin L, Cahalin A, McCartan D, McIlroy M, O'Gaora P, Xu J, Hill AD, Young LS. Cancer Res. 2014 May 1;74(9):2533-44. doi: 10.1158/0008-5472.CAN-13-2133. Epub 2014 Mar 19. Growth factor receptor/steroid receptor cross talk in trastuzumab-treated breast cancer. Collins DC, Cocchiglia S, Tibbitts P, Solon G, Bane FT, McBryan J, Treumann A, Eustace A, Hennessy B, Hill AD, Young LS. Oncogene. 2015 Jan 22;34(4):525-30. doi: 10.1038/onc.2013.586. Epub 2014 Jan 27. Book Chapters: ADAM22 as a prognostic and therapeutic drug target in the treatment of endocrine-resistant breast cancer. Bolger JC, Young LS. Vitam Horm. 2013;93:307-21. doi: 10.1016/B978-0-12-416673-8.00014-9. Review. Ligand-independent signaling through estrogen receptor pathways in breast cancer Jean McBryan and Leonie S. Young Resistance to Aromatase Inhibitors in Breast Cancer, in press PhD Graduations 2014 Damir Vareslija: Estrogen independent ER signalling in aromatase inhibitor resistant breast cancer is target gene specific Jarlath Bolger: Investigating novel mechanisms of metastasis in endocrine resistant breast cancer. Research Updates 2014/2015 Left to right: Professor Arnold Hill, Dr Jarlath Bolger, Professor Leonie Young and Dr Marie McIlroy Invited Presentation: 2014 Professor Leonie Young was invited to speak at the Endocrine Society ICE/ENDO 2014 which was held in Chicago in June 2014. Professor Leonie Young was invited to speak at the Break-Through Breast Cancer at Manchester Breast Centre, February 2014. Oral Presentations: 2014 Azlena Ali: Oral Presentation in the Patey Prize category inSociety of Academic & Research Surgery (SARS) conference on 8-9th January 2014 in Cambridge, UK Azlena Ali: Oral Presentation in the Plenary Prize category in Sylvester O’Halloran Scientific Surgical Symposium on 28th February-1st March 2014 in Limerick, Ireland Azlena Ali: Oral Presentation in the Registrar’s Prize category at RAMI-Section for Surgery on 4th April 2014 in RCSI, Dublin Azlena Ali: Oral presentation in SARS meeting 7th January-8th January 2015 in Durham, UK Research Updates 2014/2015 Azlena Ali: Accepted for Oral presentation in the Plenary Prize category in Sylvester O’Halloran meeting on 6th March 2015 in Limerick, Ireland Damir Vareslija: Oral presentation in IACR 27-28th February 2014 in Galway, Ireland Damir Vareslija: Breast Predict, Conway Institute, September 2014 Poster Presentations: Azlena Ali: Display Poster presentation in IACR 27-28th February 2014 in Galway, Ireland Jean Mc Bryan: Display poster at The 2014 San Antonio Breast Cancer Symposium, December 2014 Damir Vareslija: Display poster at The 2014 San Antonio Breast Cancer Symposium, December 2014