Cabergoline Suppresses Postpartum Breast Cancer by Enhancing Mammary Gland Involution in Brca1-Mutant Mice and Is Associated with Reduced Risk in Younger Women
Breast cancer that arises in the postpartum period often carries a poor prognosis and urgently requires chemoprevention strategies, particularly for women at elevated risk. Here, we report that a single post-lactation dose of cabergoline, a dopaminergic agonist that blocks prolactin secretion, delays the onset and reduces the incidence of postpartum mammary cancer in K14-Cre; Brca1F/F, Trp53F/F mice. In these mice, cabergoline treatment remodels the mammary gland by potentiating involution, reducing ductal area and proliferation, and reversing T cell exhaustion, potentially through modulation of ion channel expression. Notably, independent retrospective studies in two large cohorts of European women showed that cabergoline treatment was associated with a lower incidence of postpartum breast cancer, with a meta-analysis indicating an approximate 69% reduction in risk. Our work underscores the importance of targeting postlactational involution as a strategy for the prevention of postpartum breast cancer and positions cabergoline as a novel, low-risk chemoprevention strategy.
Authors
- Nhan L. T. Nguyen (ORCID: https://orcid.org/0009-0008-9879-6751)
- Eduardo J. Caleiras (ORCID: https://orcid.org/0000-0001-8768-3630)
- Roberto Corchado‐Cobos (ORCID: https://orcid.org/0000-0002-3452-2486)
- Adrián Blanco‐Gómez (ORCID: https://orcid.org/0000-0002-1956-088X)
- Natalia García‐Sancha (ORCID: https://orcid.org/0000-0001-7731-7020)
- Jesús Pérez‐Losada (ORCID: https://orcid.org/0000-0003-2400-624X)
- Miguel Ángel Pujana (ORCID: https://orcid.org/0000-0003-3222-4044)
- Diego Alonso‐López (ORCID: https://orcid.org/0000-0003-1015-9923)
- Sonia Castillo‐Lluva (ORCID: https://orcid.org/0000-0001-5357-7178)
- David Perera (ORCID: https://orcid.org/0009-0009-9631-5042)
- Mercè Marzo‐Castillejo (ORCID: https://orcid.org/0000-0002-1201-3090)
- Edoardo Botteri (ORCID: https://orcid.org/0000-0002-9023-8068)
- Ryan Ghorayeb (ORCID: https://orcid.org/0000-0001-5093-3368)
- Oriol Cunillera (ORCID: https://orcid.org/0000-0003-2891-099X)
- Manuel Jesús Pérez‐Baena (ORCID: https://orcid.org/0000-0001-6820-215X)
- Jian‐Hua Mao (ORCID: https://orcid.org/0000-0001-9320-6021)
- Isabel Peset (ORCID: https://orcid.org/0009-0004-9374-454X)
- Luís Palomero (ORCID: https://orcid.org/0000-0002-9144-1017)
- Hang Chang (ORCID: https://orcid.org/0000-0002-3773-6818)
- María Carmen Patino-Alonso (ORCID: https://orcid.org/0000-0001-8232-6685)
- Christopher A. Maxwell (ORCID: https://orcid.org/0000-0002-0713-7136)
- Brad H. Nelson (ORCID: https://orcid.org/0000-0002-4445-5539)
- Roderic Espín (ORCID: https://orcid.org/0000-0003-2494-0964)
- Katy Milne (ORCID: https://orcid.org/0000-0001-5616-1821)
- Patricia González‐García (ORCID: https://orcid.org/0009-0002-5808-7391)
- María Begoña García Cenador (ORCID: https://orcid.org/0000-0002-8950-8542)
- Francesca Mateo (ORCID: https://orcid.org/0000-0002-2342-7010)
- Jaime Pignatelli (ORCID: https://orcid.org/0000-0002-8431-2241)
- Alejandro Jiménez‐Navas (ORCID: https://orcid.org/0000-0001-7621-576X)
- Nathalie C. Støer (ORCID: https://orcid.org/0000-0001-8994-9332)
- Marina Mendiburu‐Eliçabe (ORCID: https://orcid.org/0000-0003-2573-8709)
- Ashok R. Venkitaraman (ORCID: https://orcid.org/0000-0002-6876-2672)
- Luis Félix Valero Juan (ORCID: https://orcid.org/0000-0002-0933-0837)
- Nélida Salvador (ORCID: https://orcid.org/0000-0002-6772-3647)
- Alberto Órfão (ORCID: https://orcid.org/0000-0002-0007-7230)
- Eva Sacristán-Horcajada (ORCID: https://orcid.org/0000-0002-3063-136X)
- Javier De Las Rivas (ORCID: https://orcid.org/0000-0002-0984-9946)
- Julio Pozo (ORCID: https://orcid.org/0009-0007-2237-6358)
- Francisco Javier García‐Criado (ORCID: https://orcid.org/0000-0003-1724-1233)
- Chelsey Lynn Gough (ORCID: https://orcid.org/0009-0008-8113-1526)
Institutions
- Universidad Complutense de Madrid (ES)
- BC Cancer Agency (CA)
- Norwegian Institute of Public Health (NO)
- University of British Columbia (CA)
- Lawrence Berkeley National Laboratory (US)
- National University of Singapore (SG)
- Universidad de Salamanca (ES)
- Instituto Cajal (ES)
- Institut d'Investigació Biomédica de Bellvitge (ES)
- Spanish National Cancer Research Centre (ES)
- MRC Cancer Unit (GB)
- Institut Català d'Oncologia (ES)
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (ES)
- Cancer Registry of Norway (NO)
- Instituto de Investigación Biomédica de Salamanca (ES)
- Centro de Investigación del Cáncer (ES)
- Institut Curie (FR)
Publication Details
- Journal
- Cancer Discovery
- Published
- 2026-10-15
- DOI
- https://doi.org/10.1158/2159-8290.cd-26-0187
- Primary Topic
- BRCA gene mutations in cancer
- Type
- article
- Field-Weighted Citation Impact
- 0.00