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  4. LOX inhibition disrupts a collagen-integrin–MYC axis as a translatable targeting strategy in invasive lobular carcinoma
 
preprint

LOX inhibition disrupts a collagen-integrin–MYC axis as a translatable targeting strategy in invasive lobular carcinoma

Flaherty, Renée L.
•
Hughes, Francis M.
•
Sflomos, George  
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September 1, 2025

Invasive lobular carcinoma (ILC) accounts for 15% of breast cancers yet lacks specific therapy because ILCs are underrepresented in clinical trials and preclinical models are lacking. We established intraductal xenograft models to test whether the clinical pan-lysyl-oxidase PXS-5505, now in phase trials for myelofibrosis can exploit the collagen-rich matrix dependency created by CDH1 loss. PXS-5505 remodels fibrillar collagen, and halts tumor expansion and metastatic seeding across ER+ and triple negative models without systemic toxicity. Genome-wide CRISPR screens reveal ITGAV and ITGB5 as synthetic lethal partners of CDH1 and LOX inhibition downregulates their expression together with MYC, NF-κB, and AP-1 transcriptional programmes. Collagen fibre density/alignment, and MYC/AP-1 gene signatures serve as pharmacodynamic readouts of drug activity. These data uncover a tractable ECM-integrin-MYC axis in ILC and nominate PXS-5505, alone or with endocrine therapy, for window of opportunity trials in this understudied breast cancer subtype. One Sentence Summary Targeting matrix remodelling in ILC inhibits ILC progression and alters multiple molecular endpoints, providing a translatable therapeutic strategy for this understudied subtype that requires better treatments.

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Type
preprint
DOI
10.1101/2025.08.27.672618
Author(s)
Flaherty, Renée L.

Breast Cancer Now

Hughes, Francis M.

Breast Cancer Now

Sflomos, George  

École Polytechnique Fédérale de Lausanne

Ronchi, Carlos  

École Polytechnique Fédérale de Lausanne

Kemp, Harriet

Breast Cancer Now

Roumeliotis, Theo

Cancer Research UK

Nicholas, Anya A

Breast Cancer Now

Ambrosini, Giovanna  

École Polytechnique Fédérale de Lausanne

Ziehme, Amelie

The Francis Crick Institute

Becker, Sarah

University of Brighton

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Date Issued

2025-09-01

Publisher

bioRxiv

Written at

EPFL

EPFL units
UPBRI  
BICC  
Available on Infoscience
February 18, 2026
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/259733
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