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Published on: December 19, 2018
Differential binding patterns of monoclonal antibody 2C4 to the ErbB3-p185her2/neu and the EGFR-p185her2/neu
1Department of Pathology/Lab Medicine, University of Pennsylvania School of Medicine, Hamilton Walk, Philadelphia, PA 19104, USA.
Abstract:
2C4 (Pertuzumab, Omnitarg) is a monoclonal antibody targeting p185(her2/neu), which is overexpressed in 30% of invasive breast cancer. 2C4 is currently in phase II clinical trials for several types of cancers. This antibody has been reported to disrupt the association between p185(her2/neu) and ErbB3. In our studies of epidermal growth factor receptor (EGFR)-p185(her2/neu) heterodimerization, we noted that 2C4 formed associations with the EGFR-p185(her2/neu) receptor complex. Our data argue against 2C4 as a universal heterodimerization blocker for p185(her2/neu), but indicate that cocktails of monoclonal antibodies binding distinct interaction surfaces of p185(her2/neu) will emerge as the most potent targeted therapy.
Insights
Pertuzumab (2C4) targets HER2-positive breast cancer by disrupting HER2-ErbB3 interactions. However, it also associates with the EGFR-HER2 complex, suggesting combination therapies may be more effective.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- HER2 (human epidermal growth factor receptor 2) is overexpressed in approximately 30% of invasive breast cancers.
- Pertuzumab (2C4) is a monoclonal antibody targeting p185(HER2/neu) and is in Phase II clinical trials.
- Pertuzumab has been reported to inhibit the association between p185(HER2/neu) and ErbB3.
Purpose of the Study:
- To investigate the interaction of Pertuzumab (2C4) with the epidermal growth factor receptor (EGFR)-p185(HER2/neu) receptor complex.
- To evaluate the potential of Pertuzumab as a universal heterodimerization blocker for p185(HER2/neu).
Main Methods:
- Studied the effects of Pertuzumab (2C4) on EGFR-p185(HER2/neu) heterodimerization.
- Analyzed the association of 2C4 with the EGFR-p185(HER2/neu) receptor complex.
Main Results:
- Pertuzumab (2C4) was observed to form associations with the EGFR-p185(HER2/neu) receptor complex.
- The data suggest that 2C4 does not act as a universal blocker of p185(HER2/neu) heterodimerization.
Conclusions:
- Pertuzumab's interaction profile indicates it may not be a universal heterodimerization inhibitor for p185(HER2/neu).
- Combination therapies using multiple monoclonal antibodies targeting distinct surfaces of p185(HER2/neu) are proposed as a potent targeted therapy strategy.

