The concept of cancer stemness is largely known and based on the hypothesis that a rare population of cells (cancer stem cells) is able to promote tumour growth, metastasis formation and recurrence after therapy. Triple negative breast cancers (TNBCs) are largely treated with broad-based chemotherapies, such as taxanes and anthracyclines while no specific compound is available. TNBC patients, representing 10 to 15% of all breast cancer cases, often encounter tumour recurrence and metastasis formation, including in brain. The present offer proposes a new family of 25 Salinomycin derivatives that was created to improve the original product profile and then evaluated against TNBC cancer stem cells in vitro and in vivo for the best one. Preliminary administration and toxicities studies were performed. The demonstrated mechanism of action is original. The hit compound is able to disrupt, both in vitro and in vivo, cancer stem cell iron homeostasis leading to reactive oxygen species production and lysosomal cell death. It also strongly reduces cancer stem cell population and its seeding capacity in two PDXs (patient-derived xenografts) models during in vivo limiting-dilution assays.
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Keywords : Cancer stem cells, Iron homeostasis, Salinomycine derivatives, Triple negative breast cancer, Reactive oxygen species