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Updated: May 26, 2026

Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
Published on: November 22, 2021
Overexpressed HER2 in NSCLC is a possible therapeutic target of EGFR inhibitors
Nobuyuki Ise1, Kazuya Omi, Daisuke Nambara
1Biotechnology Research Group, Fundamental Research Department, Fujirebio Inc, Tokyo, Japan.
Background:
"Oncogene addiction" is a concept in which tumor cells exhibit dependence on certain oncogene(s) for their sustained proliferation and survival, thus providing the rationale for molecular targeted therapies. Cancer cells addicted to epidermal growth factor receptor (EGFR) bear activated mutations in the EGFR gene, and these mutations are used as the markers for predicting carcinomas susceptible to EGFR inhibitors such as gefitinib and erlotinib. However, other unknown mechanisms underlying susceptibility to EGFR inhibitors have also been suggested.
Materials And Methods:
The susceptibility of non-small-cell lung cancer (NSCLC) cell lines to EGFR inhibitors and the pattern of their oncogene addiction was examined. The effect of EGFR inhibitors on the activation of the oncogene was analyzed. The possible use of the oncogene protein expression as a biomarker was assessed.
Results:
HER2 addicted, non-EGFR expressing NSCLC cell line NCI-H2170 was susceptible to EGFR inhibitors. EGFR inhibitor treatment led to markedly decreased phosphorylation levels of activated HER2 and its downstream effector AKT. Furthermore, the soluble form of HER2 was secreted by NCI-H2170 cells and was positively detected in the blood of xenografted mice.
Conclusion:
HER2 seems to be a valid therapeutic target of EGFR inhibitors in HER2-addicted lung carcinomas, and soluble HER2 may be an effective biomarker to guide the appropriate treatment of such cancer cells.
Insights
HER2-addicted lung cancer cells respond to EGFR inhibitors, suggesting HER2 as a therapeutic target. Soluble HER2 in blood may guide treatment for these specific cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Oncogene addiction describes tumor cell dependence on oncogenes for survival, underpinning targeted therapies.
- Epidermal growth factor receptor (EGFR) mutations predict response to EGFR inhibitors in certain cancers.
- Alternative mechanisms of EGFR inhibitor susceptibility remain under investigation.
Purpose of the Study:
- To investigate the susceptibility of non-small-cell lung cancer (NSCLC) cell lines to EGFR inhibitors.
- To analyze oncogene addiction patterns and the effect of EGFR inhibitors on oncogene activation.
- To assess the potential of oncogene protein expression as a predictive biomarker.
Main Methods:
- Examined NSCLC cell line susceptibility to EGFR inhibitors and their oncogene addiction profiles.
- Analyzed the impact of EGFR inhibitors on oncogene activation.
- Assessed oncogene protein expression as a potential biomarker.
Main Results:
- A HER2-addicted NSCLC cell line (NCI-H2170), lacking EGFR expression, showed susceptibility to EGFR inhibitors.
- EGFR inhibitor treatment significantly reduced phosphorylation of activated HER2 and its downstream target AKT.
- Soluble HER2 was secreted by NCI-H2170 cells and detected in mouse blood, indicating a potential biomarker.
Conclusions:
- HER2 is a viable therapeutic target for EGFR inhibitors in HER2-addicted lung carcinomas.
- Soluble HER2 shows promise as a biomarker for guiding treatment selection in these specific lung cancer cases.
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