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Gefitinib prevents cancer progression in mice expressing the activated rat HER2/neu
Marie P Piechocki1, Susan K Dibbley, Fulvio Lonardo
1Department of Otolaryngology-Head and Neck Surgery, Wayne State University and Karmanos Cancer Center, Detroit, MI 48201, USA. piechock@karmanos.org
Abstract:
We tested the efficacy of gefitinib in the prevention of HER2/neu-mediated breast cancer development in BALB-NeuT transgenic mice. Oral administration of gefitinib to female transgenic mice from 5 to 14 weeks of age reduced tumor multiplicity from 9.6 +/- 0.82 to 0.58 +/- 1.1 (83%). We observed a decrease in the number and size of lobules and lobular nodules in treated mice with a reduction in the overall disease burden per gland. Normal duct development in the mammary glands was not affected by gefitinib. The development of acinic cell carcinoma in the parotid glands of these animals was also reduced coincident with decreased stromal involvement during progression. Gefitinib eliminated phosphorylation of HER2 and HER3 and signaling through MAPK and Akt in lobular hyperplasias and carcinomas. At the same time MAPK activity and cytokine production in splenocytes and lymph nodes was increased in gefitinib-treated animals coincident with an increase in lymph node size. Delaying gefitinib treatment until mammary glands exhibited atypical lobular hyperplasias reduced efficacy. These studies demonstrate the critical role of HER2 signal transduction in the onset and progression of HER2/neu-dependent breast cancer and suggest a role for specific inhibitors to prevent the outgrowth of early hyperplastic disease.
Insights
Gefitinib effectively prevented HER2/neu-mediated breast cancer in mice by inhibiting tumor development and signaling pathways. Early intervention with gefitinib is crucial for preventing HER2-driven cancer progression.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- HER2/neu overexpression drives breast cancer development.
- Targeting HER2 signaling is a key strategy in breast cancer treatment.
Purpose of the Study:
- To evaluate the efficacy of gefitinib in preventing HER2/neu-mediated breast cancer.
- To investigate the effects of gefitinib on HER2 signaling pathways and immune responses.
Main Methods:
- BALB-NeuT transgenic mice were treated orally with gefitinib from 5 to 14 weeks of age.
- Tumor multiplicity, lobule development, and histopathology were assessed.
- Phosphorylation of HER2/HER3, MAPK, and Akt signaling pathways were analyzed.
- Immune responses in splenocytes and lymph nodes were evaluated.
Main Results:
- Gefitinib reduced tumor multiplicity by 83% and decreased the size and number of lobules.
- Normal mammary duct development was unaffected.
- Gefitinib inhibited HER2/HER3 phosphorylation and downstream signaling (MAPK, Akt).
- Immune responses, including MAPK activity and cytokine production, were increased in treated animals.
Conclusions:
- Gefitinib is effective in preventing HER2/neu-driven breast cancer in a mouse model.
- Early gefitinib treatment is critical for efficacy, with delayed treatment showing reduced effectiveness.
- Targeting HER2 signal transduction is vital for preventing HER2-dependent breast cancer onset and progression.
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