Target points in trastuzumab resistance
Sahar Shojaei1, Mossa Gardaneh, Abbas Rahimi Shamabadi
1National Institute of Genetic Engineering and Biotechnology (NIGEB), Pajoohesh Boulevard, Tehran-Karaj HWY, Km 15, Tehran 1497716316, Iran.
Abstract:
Epidermal growth factor (EGF) family of receptors is involved in cell growth and differentiation. The human EGF2 (HER2) lacks natural ligands, and correlation between HER2 levels and carcinogenesis makes the receptor an ideal candidate for targeted therapy in breast cancer. Trastuzumab is a humanized antibody applied against HER2-positive breast tumors in clinic. Metastatic tumors respond well to trastuzumab therapy for the first year, but development of antibody resistance helps the tumors to regrow allowing the disease to progress. Trastuzumab resistance is shaped via a range of intracellular signaling pathways that are interconnected and share in key effector molecules. Identification of a common node central to these resistance pathways could provide an ultimate solution for trastuzumab resistance in breast and other cancers.
Insights
Targeted therapy for HER2-positive breast cancer using trastuzumab faces resistance. Identifying a common signaling node could overcome resistance, improving treatment outcomes for breast and other cancers.
Area of Science:
- Oncology
- Molecular Biology
- Immunotherapy
Background:
- Epidermal growth factor (EGF) receptors, including human EGF receptor 2 (HER2), regulate cell growth and differentiation.
- HER2 overexpression correlates with carcinogenesis, making it a target for breast cancer therapy.
- Trastuzumab, a HER2-targeted antibody, is effective against HER2-positive breast tumors but resistance develops.
Purpose of the Study:
- To investigate the mechanisms of trastuzumab resistance in HER2-positive breast cancer.
- To identify a common central node in the interconnected intracellular signaling pathways driving resistance.
- To explore potential therapeutic strategies to overcome trastuzumab resistance.
Main Methods:
- Analysis of intracellular signaling pathways involved in trastuzumab resistance.
- Identification of key effector molecules shared across different resistance mechanisms.
- Exploration of potential common nodes central to these pathways.
Main Results:
- Trastuzumab resistance involves complex, interconnected intracellular signaling pathways.
- These pathways share common key effector molecules.
- A central node coordinating these resistance mechanisms is hypothesized.
Conclusions:
- Understanding the interconnected signaling pathways is crucial for overcoming trastuzumab resistance.
- Identifying a common node could lead to novel therapeutic strategies for HER2-positive cancers.
- Targeting this common node may offer a universal solution for trastuzumab resistance in breast and other cancers.
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