Dll1 quiescent tumor stem cells drive chemoresistance in breast cancer through NF-κB survival pathway. Author Sushil Kumar, Ajeya Nandi, Snahlata Singh, Rohan Regulapati, Ning Li, John Tobias, Christian Siebel, Mario Blanco, Andres Klein-Szanto, Christopher Lengner, Alana Welm, Yibin Kang, Rumela Chakrabarti Publication Year 2021 Type Journal Article Abstract Development of chemoresistance in breast cancer patients greatly increases mortality. Thus, understanding mechanisms underlying breast cancer resistance to chemotherapy is of paramount importance to overcome this clinical challenge. Although activated Notch receptors have been associated with chemoresistance in cancer, the specific Notch ligands and their molecular mechanisms leading to chemoresistance in breast cancer remain elusive. Using conditional knockout and reporter mouse models, we demonstrate that tumor cells expressing the Notch ligand Dll1 is important for tumor growth and metastasis and bear similarities to tumor-initiating cancer cells (TICs) in breast cancer. RNA-seq and ATAC-seq using reporter models and patient data demonstrated that NF-κB activation is downstream of Dll1 and is associated with a chemoresistant phenotype. Finally, pharmacological blocking of Dll1 or NF-κB pathway completely sensitizes Dll1 tumors to chemotherapy, highlighting therapeutic avenues for chemotherapy resistant breast cancer patients in the near future. Keywords Animals, Disease Models, Animal, Mice, Humans, Signal Transduction, Membrane Proteins, Cell Proliferation, Female, Mice, Knockout, Cell Line, Tumor, Cell Survival, Receptors, Notch, Breast Neoplasms, Calcium-Binding Proteins, Gene Expression Regulation, Neoplastic, Drug Resistance, Neoplasm, Neoplastic Stem Cells, Datasets as Topic, RNA-Seq, Benzamides, Antineoplastic Combined Chemotherapy Protocols, Breast, Doxorubicin, NF-kappa B p50 Subunit Journal Nat Commun Volume 12 Issue 1 Pages 432 Date Published 2021 Jan 18 ISSN Number 2041-1723 DOI 10.1038/s41467-020-20664-5 Alternate Journal Nat Commun PMCID PMC7813834 PMID 33462238 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML