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Updated: May 23, 2026

Validated Immunochemical Assay for Comprehensive Determination of the Human Epidermal Growth Factor Receptor 2 Released from and Bound to Cells
Published on: May 9, 2025
HER3 is required for HER2-induced preneoplastic changes to the breast epithelium and tumor formation
David B Vaught1, Jamie C Stanford, Christian Young
1Department of Cancer Biology, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN 37232, USA.
Abstract:
Increasing evidence suggests that HER2-amplified breast cancer cells use HER3/ErbB3 to drive therapeutic resistance to HER2 inhibitors. However, the role of ErbB3 in the earliest events of breast epithelial transformation remains unknown. Using mouse mammary specific models of Cre-mediated ErbB3 ablation, we show that ErbB3 loss prevents the progressive transformation of HER2-overexpressing mammary epithelium. Decreased proliferation and increased apoptosis were seen in MMTV-HER2 and MMTV-Neu mammary glands lacking ErbB3, thus inhibiting premalignant HER2-induced hyperplasia. Using a transgenic model in which HER2 and Cre are expressed from a single polycistronic transcript, we showed that palpable tumor penetrance decreased from 93.3% to 6.7% upon ErbB3 ablation. Penetrance of ductal carcinomas in situ was also decreased. In addition, loss of ErbB3 impaired Akt and p44/42 phosphorylation in preneoplastic HER2-overexpressing mammary glands and in tumors, decreased growth of preexisting HER2-overexpressing tumors, and improved tumor response to the HER2 tyrosine kinase inhibitor lapatinib. These events were rescued by reexpression of ErbB3, but were only partially rescued by ErbB36F, an ErbB3 mutant harboring six tyrosine-to-phenylalanine mutations that block its interaction with phosphatidyl inositol 3-kinase. Taken together, our findings suggest that ErbB3 promotes HER2-induced changes in the breast epithelium before, during, and after tumor formation. These results may have important translational implications for the treatment and prevention of HER2-amplified breast tumors through ErbB3 inhibition.
Insights
The human epidermal growth factor receptor 3 (HER3/ErbB3) is crucial in preventing early breast cancer development in HER2-amplified models. Inhibiting HER3/ErbB3 may offer new therapeutic strategies for HER2-positive breast tumors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- HER2-amplified breast cancers often develop resistance to HER2 inhibitors, with HER3/ErbB3 implicated in this process.
- The role of HER3/ErbB3 in the initial stages of breast epithelial transformation is not well understood.
Purpose of the Study:
- To investigate the role of HER3/ErbB3 in the early development and progression of HER2-amplified breast cancer.
- To determine if targeting HER3/ErbB3 can impact tumor formation and response to HER2-targeted therapy.
Main Methods:
- Utilized mouse mammary-specific models with Cre-mediated ErbB3 ablation in conjunction with HER2 overexpression (MMTV-HER2, MMTV-Neu).
- Employed a transgenic model expressing HER2 and Cre from a single polycistronic transcript to assess tumor penetrance.
- Analyzed proliferation, apoptosis, signaling pathways (Akt, p44/42), tumor growth, and response to lapatinib upon ErbB3 manipulation.
Main Results:
- ErbB3 ablation prevented the progressive transformation of HER2-overexpressing mammary epithelium, reducing proliferation and increasing apoptosis.
- Loss of ErbB3 significantly decreased palpable tumor penetrance (93.3% to 6.7%) and ductal carcinoma in situ formation.
- ErbB3 deficiency impaired Akt and p44/42 phosphorylation, reduced tumor growth, and enhanced sensitivity to lapatinib, with partial rescue by a phosphatidylinositol 3-kinase-binding deficient mutant.
Conclusions:
- HER3/ErbB3 plays a critical role in promoting HER2-induced breast epithelial changes throughout tumor initiation, progression, and post-formation.
- Targeting HER3/ErbB3 is a promising strategy for preventing and treating HER2-amplified breast tumors, potentially overcoming therapeutic resistance.
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