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Updated: Mar 17, 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
A combination of two antibodies recognizing non-overlapping epitopes of HER2 induces kinase activity-dependent
Monika Szymanska1,2, Anne M Fosdahl1,2, Filip Nikolaysen1,2
1Department of Pathology, Oslo University Hospital, Oslo, Norway.
Abstract:
The human epidermal growth factor receptor 2 (HER2/ErbB2) is overexpressed in a number of human cancers. HER2 is the preferred heterodimerization partner for other epidermal growth factor receptor (EGFR) family members and is considered to be resistant to endocytic down-regulation, properties which both contribute to the high oncogenic potential of HER2. Antibodies targeting members of the EGFR family are powerful tools in cancer treatment and can function by blocking ligand binding, preventing receptor dimerization, inhibiting receptor activation and/or inducing receptor internalization and degradation. With respect to antibody-induced endocytosis of HER2, various results are reported, and the effect seems to depend on the HER2 expression level and whether antibodies are given as individual antibodies or as mixtures of two or more. In this study, the effect of a mixture of two monoclonal antibodies against non-overlapping epitopes of HER2 was investigated with respect to localization and stability of HER2. Individual antibodies had limited effect, but the combination of antibodies induced internalization and degradation of HER2 by multiple endocytic pathways. In addition, HER2 was phosphorylated and ubiquitinated upon incubation with the antibody combination, and the HER2 kinase activity was found to be instrumental in antibody-induced HER2 down-regulation.
Insights
A combination of two antibodies targeting human epidermal growth factor receptor 2 (HER2) effectively triggers its internalization and degradation, offering a promising cancer treatment strategy.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Human epidermal growth factor receptor 2 (HER2/ErbB2) overexpression is common in human cancers.
- HER2's resistance to endocytic down-regulation and role as a heterodimerization partner contribute to its oncogenic potential.
Purpose of the Study:
- To investigate the effect of a mixture of two monoclonal antibodies against non-overlapping HER2 epitopes on HER2 localization and stability.
- To understand the mechanisms of antibody-mediated HER2 internalization and degradation.
Main Methods:
- Treatment of cells with individual and combined monoclonal antibodies against HER2.
- Analysis of HER2 localization, stability, phosphorylation, and ubiquitination.
- Assessment of HER2 kinase activity's role in down-regulation.
Main Results:
- Individual antibodies showed limited effects on HER2.
- The antibody combination induced significant internalization and degradation of HER2 via multiple endocytic pathways.
- HER2 phosphorylation and ubiquitination were observed upon treatment with the antibody combination.
- HER2 kinase activity was crucial for antibody-induced HER2 down-regulation.
Conclusions:
- A combination of antibodies targeting distinct HER2 epitopes can overcome resistance to endocytic down-regulation.
- Antibody-induced HER2 internalization and degradation are dependent on its kinase activity.
- This combination therapy presents a potential strategy for targeting HER2-overexpressing cancers.
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