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Combining epitope-distinct antibodies to HER2: cooperative inhibitory effects on invasive growth
A Emde1, C-R Pradeep, D A Ferraro
1Department of Biological Regulation, The Weizmann Institute of Science, Rehovot, Israel.
Abstract:
Monoclonal antibodies (mAbs) to HER2 are currently used to treat breast cancer, but low clinical efficacy, along with primary and acquired resistance to therapy, commonly limit clinical applications. We previously reported that combinations of antibodies directed at non-overlapping epitopes of HER2 are endowed with enhanced antitumor effects, probably due to accelerated receptor degradation. Here, we extend these observations to three-dimensional mammary cell models, and compare the effects of single mAbs with the effects of antibody combinations. Collectively, our in vitro assays and computational image analyses indicate that combining mAbs against different epitopes of HER2 better inhibits invasive growth. Importantly, while growth factors are able to reduce intraluminal apoptosis and induce an invasive phenotype, combinations of mAbs better than single mAbs can reverse the growth factor-induced phenotypes of HER2-overexpressing spheroids. In conclusion, our studies propose that mAb combinations negate the biological effects of growth factors on invasive growth of HER2-overexpressing cells. Hence, combining mAbs offers a therapeutic strategy, potentially able to enhance clinical efficacy of existing antireceptor immunotherapeutics.
Insights
Combining monoclonal antibodies (mAbs) against HER2 improves breast cancer treatment by inhibiting invasive growth and reversing growth factor effects. This strategy enhances antitumor efficacy compared to single mAbs.
Area of Science:
- Oncology
- Immunology
- Cell Biology
Background:
- Monoclonal antibodies (mAbs) targeting HER2 are used for breast cancer but face limitations due to low efficacy and resistance.
- HER2-targeted therapies can be improved by overcoming resistance mechanisms and enhancing antitumor responses.
Purpose of the Study:
- To evaluate the efficacy of combining mAbs against different HER2 epitopes in three-dimensional (3D) mammary cell models.
- To compare the effects of single mAbs versus antibody combinations on HER2-overexpressing cells, particularly in response to growth factors.
Main Methods:
- Utilized 3D mammary cell culture models to mimic in vivo conditions.
- Performed in vitro assays and computational image analyses to assess invasive growth and cellular phenotypes.
- Investigated the impact of growth factors on HER2-overexpressing spheroids and the ability of mAb combinations to reverse these effects.
Main Results:
- Combinations of mAbs targeting distinct HER2 epitopes demonstrated superior inhibition of invasive growth compared to single mAbs.
- Antibody combinations effectively reversed growth factor-induced phenotypes, including reduced apoptosis and increased invasiveness, in HER2-overexpressing spheroids.
- Computational image analysis provided quantitative insights into the anti-invasive effects of mAb combinations.
Conclusions:
- Combining mAbs against different HER2 epitopes represents a promising therapeutic strategy to enhance antitumor effects in HER2-overexpressing breast cancers.
- This approach may overcome resistance mechanisms and improve the clinical efficacy of existing HER2-targeted immunotherapeutics.
- The findings suggest that mAb combinations can negate the pro-invasive biological effects of growth factors on HER2-driven cancer cells.
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