Differences in radiosensitivity between three HER2 overexpressing cell lines

Ann-Charlott Steffen1, Lovisa Göstring, Vladimir Tolmachev

  • 1Department of Oncology, Radiology and Clinical Immunology, Rudbeck Laboratory, Uppsala University, Uppsala, 751 85, Sweden.

Abstract

Insights

HER2-overexpressing breast cancer cells show varying inherent radiosensitivity to both conventional and alpha-particle radiation. This radiosensitivity difference is linked to affibody molecule internalization and cell nucleus size, impacting targeted radionuclide therapy effectiveness.

Area of Science:

  • Oncology
  • Radiation Biology
  • Molecular Imaging

Background:

  • Human Epidermal growth factor Receptor 2 (HER2) is a key target in breast cancer therapy.
  • Resistance to Herceptin(R) highlights the need for alternative therapeutic strategies, such as radionuclide therapy.
  • Understanding inherent tumor cell radiosensitivity is crucial for optimizing treatment outcomes.

Purpose of the Study:

  • To investigate the inherent radiosensitivity of HER2-overexpressing breast cancer cell lines.
  • To compare the response of these cell lines to low and high Linear Energy Transfer (LET) radiation.
  • To explore the correlation between radiosensitivity, HER2-targeted radionuclide uptake, and cellular characteristics.

Main Methods:

  • Utilized three HER2-overexpressing cell lines: SKOV-3, SKBR-3, and BT-474.
  • Assessed radiosensitivity using clonogenic survival and growth extrapolation assays after photon (low LET) irradiation.
  • Evaluated response to alpha particles (high LET) from (211)At decays, delivered via a HER2-binding affibody molecule ((211)At-(Z(HER2:4))(2)).
  • Studied affibody molecule internalization using specific assays.

Main Results:

  • Significant differences in radiosensitivity were observed among cell lines following photon irradiation, with SKOV-3 being most radioresistant and BT-474 most sensitive.
  • While HER2-dependent uptake of (211)At was similar across cell lines, sensitivity to alpha particle radiation varied.
  • SKOV-3 cells demonstrated the highest resistance, and BT-474 the highest sensitivity to alpha particles, correlating with affibody internalization and nuclear size.

Conclusions:

  • HER2-overexpressing breast cancer cells exhibit differential inherent radiosensitivity.
  • This variability in radiosensitivity, particularly to high-LET radiation, is influenced by affibody molecule internalization and cell nucleus size.
  • Findings have significant implications for both conventional radiotherapy and the development of HER2-targeted radionuclide therapies.

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