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Updated: Mar 25, 2026

Induction and Analysis of Epithelial to Mesenchymal Transition
Published on: August 27, 2013
Identification of novel pathways linking epithelial-to-mesenchymal transition with resistance to HER2-targeted
Helen Creedon1, Laura Gómez-Cuadrado1, Žygimantė Tarnauskaitė1
1Edinburgh Cancer Research Centre, Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh EH4 2XR, UK.
Abstract:
Resistance to human epidermal growth factor receptor 2 (HER2)-targeted therapies in the treatment of HER2-positive breast cancer is a major clinical problem. To identify pathways linked to resistance, we generated HER2-positive breast cancer cell lines which are resistant to either lapatinib or AZD8931, two pan-HER family kinase inhibitors. Resistance was HER2 independent and was associated with epithelial-to-mesenchymal transition (EMT), resulting in increased proliferation and migration of the resistant cells. Using a global proteomics approach, we identified a novel set of EMT-associated proteins linked to HER2-independent resistance. We demonstrate that a subset of these EMT-associated genes is predictive of prognosis within the ERBB2 subtype of human breast cancers. Furthermore, targeting the EMT-associated kinases Src and Axl potently inhibited proliferation of the resistant cells, and inhibitors to these kinases may provide additional options for the treatment of HER2-independent resistance in tumors.
Insights
Resistance to HER2-targeted therapies in breast cancer can be overcome by targeting epithelial-to-mesenchymal transition (EMT). New strategies inhibiting Src and Axl kinases show promise for treating HER2-independent resistance in tumors.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Resistance to human epidermal growth factor receptor 2 (HER2)-targeted therapies poses a significant challenge in treating HER2-positive breast cancer.
- Understanding the mechanisms underlying this resistance is crucial for developing effective treatment strategies.
Purpose of the Study:
- To identify molecular pathways associated with resistance to HER2-targeted therapies.
- To investigate the role of epithelial-to-mesenchymal transition (EMT) in HER2-independent resistance.
- To explore potential therapeutic targets for overcoming treatment resistance.
Main Methods:
- Generation of HER2-positive breast cancer cell lines resistant to lapatinib or AZD8931.
- Global proteomics analysis to identify EMT-associated proteins.
- Prognostic analysis of EMT-associated genes in ERBB2-subtype breast cancers.
- In vitro studies targeting Src and Axl kinases.
Main Results:
- Acquired resistance to pan-HER kinase inhibitors was independent of HER2 and associated with EMT.
- Proteomics identified novel EMT-associated proteins linked to HER2-independent resistance.
- A subset of EMT-associated genes predicted prognosis in ERBB2-positive breast cancer.
- Targeting Src and Axl kinases effectively inhibited proliferation in resistant cells.
Conclusions:
- EMT is a key mechanism driving HER2-independent resistance to HER2-targeted therapies.
- Specific EMT-associated proteins and genes are potential biomarkers for prognosis.
- Inhibitors of Src and Axl kinases represent promising therapeutic options for overcoming resistance in HER2-positive breast cancer.
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