Background

Breast cancer is the most common cancer in women worldwide, and its incidence is increasing yearly [1]. At present, chemotherapy and surgery are the main methods for breast cancer treatment; especially, chemotherapy is the only option for triple negative breast cancer [2]. However, tumor relapse and chemoresistance constitute a major detriment to patients’ treatment and survival, and the mechanisms underpinning these phenomena remain elusive, which is an urgent need to solve. Since tumor relapse and chemoresistance are a complex network that integrates multiple growth control signals through an expanding set of core elements, a single factor could not make a good assessment of chemotherapy or tumor recurrence. In fact, we have only a scattered understanding of the molecular mechanisms that are responsible for tumor relapse and chemoresistance.

Cancer stem cells (CSCs) are proposed to drive tumor relapse and chemoresistance [49].

In this work, we showed that STARD13-correlated ceRNA network could regulate CSC traits of breast cancer cells through two independent pathways, which collaboratively led to the nucleus-cytoplasm translocation of YAP/TAZ. Despite the more details that need to be elucidated, we proposed that verteporfin, an inhibitor of YAP-TEAD binding, might target breast CSCs and could be used as a combinative treatment with doxorubicin in breast cancer therapy. However, we must admit that other first-line drugs in breast cancer treatment were not examined in this work, which could be performed in our future work.

Conclusions

Our work reveals an unpredicted layer of YAP regulation and put the activation of STARD13-correlated ceRNA network as a potential novel therapeutic strategy to specifically target breast CSCs.