P27(kip1) down-regulation is associated with trastuzumab resistance in breast cancer cells
Rita Nahta1, Takeshi Takahashi, Naoto T Ueno
1Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030-4009, USA.
Abstract:
Trastuzumab (Herceptin) is a recombinant humanized monoclonal antibody directed against HER-2. The objective response rate to trastuzumab monotherapy is 12-34% for a median duration of 9 months, by which point most patients become resistant to treatment. We created two trastuzumab-resistant (TR) pools from the SKBR3 HER-2-overexpressing breast cancer cell line to study the mechanisms by which breast cancer cells escape trastuzumab-mediated growth inhibition. Both pools maintained her-2 gene amplification and protein overexpression. Resistant cells demonstrated a higher S-phase fraction by flow cytometry and a faster doubling time of 24-36 h compared with 72 h for parental cells. The cyclin-dependent kinase inhibitor p27(kip1) was decreased in TR cells, and cyclin-dependent kinase 2 activity was increased. Importantly, exogenous addition of p27(kip1) increased trastuzumab sensitivity. Additionally, resistant cells displayed heightened sensitivity to the proteasome inhibitor MG132, which induced p27(kip1) expression. Thus, we propose that trastuzumab resistance may be associated with decreased p27(kip1) levels and may be susceptible to treatments that induce p27(kip1) expression.
Insights
Trastuzumab resistance in breast cancer may stem from reduced p27(kip1) levels. Restoring p27(kip1) or using proteasome inhibitors like MG132 could overcome this resistance.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Trastuzumab (Herceptin) targets HER-2 in breast cancer.
- Resistance to trastuzumab limits its long-term efficacy.
- Mechanisms of trastuzumab resistance require further investigation.
Purpose of the Study:
- To investigate the molecular mechanisms underlying trastuzumab resistance in HER-2-overexpressing breast cancer.
- To identify potential therapeutic strategies to overcome trastuzumab resistance.
Main Methods:
- Developed trastuzumab-resistant (TR) SKBR3 breast cancer cell line pools.
- Analyzed cell proliferation, cell cycle (S-phase fraction), and protein levels (p27(kip1)).
- Assessed the impact of p27(kip1) repletion and proteasome inhibition (MG132) on trastuzumab sensitivity.
Main Results:
- TR cells maintained HER-2 amplification but exhibited faster proliferation.
- Resistant cells showed decreased p27(kip1) and increased CDK2 activity.
- Exogenous p27(kip1) restored trastuzumab sensitivity; MG132 increased p27(kip1) and sensitivity.
Conclusions:
- Trastuzumab resistance is associated with diminished p27(kip1) levels.
- Therapies that induce p27(kip1) expression may overcome trastuzumab resistance.
- Proteasome inhibitors represent a potential strategy to re-sensitize resistant breast cancer cells.
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