Resistance to HER2-targeted therapies: a potential role for FOXM1
Bridgette F Peake1, Rita Nahta2
1Molecular & Systems Pharmacology Program, Graduate Division of Biological and Biomedical Sciences, Emory University.
Abstract:
Despite the tremendous efficacy of trastuzumab against HER2-overexpressing metastatic breast cancers, a significant fraction of women demonstrate progressive disease during treatment. Multiple mechanisms have been proposed to mediate trastuzumab resistance. In this mini-review, we discuss the evidence supporting FOXM1 as a mediator of resistance and potential new therapeutic target in trastuzumab-refractory breast cancer. FOXM1 expression is significantly elevated in multiple breast cancer data sets. Some studies suggest a direct correlation between FOXM1 and HER2 expression levels. In addition, overexpression of FOXM1 reduces the sensitivity of HER2-positive breast cancer cells to trastuzumab or lapatinib. Conversely, knockdown or pharmacological inhibition of FOXM1 rescues resistance to HER2-targeted therapies. Current pre-clinical information supports further investigation of the role of FOXM1 in trastuzumab-resistant breast cancer.
Insights
FOXM1 may drive resistance to trastuzumab in HER2-overexpressing breast cancer. Inhibiting FOXM1 could restore sensitivity to HER2-targeted therapies, offering a new treatment strategy for refractory cases.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Trastuzumab is effective for HER2-overexpressing metastatic breast cancer, but resistance is a clinical challenge.
- Mechanisms of trastuzumab resistance are actively being investigated to improve patient outcomes.
- Identifying novel therapeutic targets is crucial for overcoming treatment failure.
Purpose of the Study:
- To review the evidence linking FOXM1 to trastuzumab resistance in breast cancer.
- To explore FOXM1 as a potential therapeutic target in trastuzumab-refractory breast cancer.
- To summarize pre-clinical findings on FOXM1's role in overcoming resistance.
Main Methods:
- Review of existing scientific literature and pre-clinical data.
- Analysis of breast cancer gene expression datasets.
- Evaluation of studies investigating FOXM1's impact on HER2-targeted therapy sensitivity.
Main Results:
- FOXM1 expression is elevated in breast cancer and may correlate with HER2 levels.
- Overexpression of FOXM1 decreases sensitivity to trastuzumab and lapatinib.
- Knockdown or inhibition of FOXM1 can reverse resistance to HER2-targeted therapies.
Conclusions:
- FOXM1 is implicated as a mediator of trastuzumab resistance in HER2-positive breast cancer.
- Targeting FOXM1 presents a promising strategy for overcoming resistance to HER2-targeted therapies.
- Further pre-clinical investigation into FOXM1's role is warranted for clinical translation.
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