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Low-dose taxanes induce γδ-T cell reprogramming and ANXA6/PPP2R1A release to synergistically treat triple-negative breast cancer

Triple-negative breast cancer (TNBC) lacks well-defined molecular targets, and taxane-based chemotherapy remains the mainstay of treatment, limited by dose-dependent toxicity and acquired resistance. γδ-T cells kill tumor cells directly without MHC restriction, and their infiltration in TNBC is associated with better prognosis, but whether they act synergistically with taxanes has been unclear. Using TNBC cell lines and their paclitaxel-resistant sublines, patient-derived organoids and mouse xenograft models, together with transcriptomic and proteomic profiling, gene knockdown and in vivo treatment experiments, the authors found that low-dose paclitaxel and docetaxel suppressed tumor cell proliferation without harming γδ-T cells; instead, the drugs promoted their expansion and enhanced their effector function, and the combination showed synergistic antitumor activity both in vitro and in vivo. Mechanistically, taxane treatment induced γδ-T cells to secrete ANXA6 and PPP2R1A. Both proteins are highly expressed in breast cancer, correlate with better survival and are enriched in cell death-related pathways; knocking down either gene reduced the killing capacity of the conditioned medium, adding recombinant protein restored it, and both proteins induced apoptosis in TNBC cells directly. The synergy held in resistant cell lines, in organoids from chemotherapy-refractory patients and in resistant xenografts, and it eliminated cancer stem cell-like populations. The authors conclude that low-dose taxanes reprogram γδ-T cells to couple chemotherapy with immune killing, offering a route to overcoming resistance in TNBC while reducing chemotherapy toxicity.
AtaGenix supplied recombinant ANXA6 (rANXA6) and recombinant PPP2R1A (rPPP2R1A) for the functional validation experiments. The two proteins served three purposes: first, direct treatment of TNBC and resistant TNBC cells (rANXA6 0–10 μg/mL, rPPP2R1A 0–20 μg/mL, 48 hours), with luciferase-based killing assays and Annexin V/PI staining used to assess their independent antitumor and pro-apoptotic effects; second, use in add-back experiments, where the recombinant proteins were added to conditioned medium from ANXA6- or PPP2R1A-knockdown γδ-T cells to test whether killing capacity could be restored; and third, treatment of MDA-MB-231 cells followed by RNA sequencing to identify the downstream pathways involved.











