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ErbB-2 nuclear function in breast cancer growth, metastasis and resistance to therapy
Patricia V Elizalde1, Rosalía I Cordo Russo2, Maria F Chervo2
1Laboratory of Molecular Mechanisms of CarcinogenesisInstituto de Biología y Medicina Experimental, CONICET, Buenos Aires, Argentina patriciaelizalde@ibyme.conicet.gov.ar.
Abstract:
Approximately 15-20% of breast cancers (BC) show either membrane overexpression of ErbB-2 (MErbB-2), a member of the ErbBs family of receptor tyrosine kinases, or ERBB2 gene amplification. Until the development of MErbB-2-targeted therapies, this BC subtype, called ErbB-2-positive, was associated with increased metastatic potential and poor prognosis. Although these therapies have significantly improved overall survival and cure rates, resistance to available drugs is still a major clinical issue. In its classical mechanism, MErbB-2 activates downstream signaling cascades, which transduce its effects in BC. The fact that ErbB-2 is also present in the nucleus of BC cells was discovered over twenty years ago. Also, compelling evidence revealed a non-canonical function of nuclear ErbB-2 as a transcriptional regulator. As a deeper understanding of nuclear ErbB-2 actions would be crucial to the disclosure of its role as a biomarker and a target of therapy in BC, we will here review its function in BC, in particular, its role in growth, metastatic spreading and response to currently available MErbB-2-positive BC therapies.
Insights
Nuclear ErbB-2, a protein found in breast cancer cells, acts as a transcriptional regulator. Understanding its nuclear function is key to developing new therapies for ErbB-2-positive breast cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Approximately 15-20% of breast cancers (BC) exhibit ErbB-2 (also known as human epidermal growth factor receptor 2) membrane overexpression or gene amplification.
- ErbB-2-positive BC historically has a poor prognosis and increased metastatic potential, though targeted therapies have improved outcomes.
- Resistance to current ErbB-2-targeted therapies remains a significant clinical challenge.
Purpose of the Study:
- To review the non-canonical function of nuclear ErbB-2 in breast cancer.
- To elucidate the role of nuclear ErbB-2 in tumor growth, metastasis, and response to therapy.
- To highlight the potential of nuclear ErbB-2 as a biomarker and therapeutic target.
Main Methods:
- Literature review of studies investigating ErbB-2 localization and function in breast cancer cells.
- Analysis of evidence supporting nuclear ErbB-2's role as a transcriptional regulator.
- Synthesis of findings on the impact of nuclear ErbB-2 on breast cancer progression and treatment response.
Main Results:
- ErbB-2 is present in the nucleus of breast cancer cells, a finding known for over two decades.
- Nuclear ErbB-2 functions as a transcriptional regulator, influencing cellular processes.
- Understanding nuclear ErbB-2's actions is crucial for developing novel therapeutic strategies.
Conclusions:
- Nuclear ErbB-2 represents a critical, yet under-explored, aspect of ErbB-2-positive breast cancer.
- Targeting nuclear ErbB-2 may offer new avenues to overcome therapeutic resistance and improve patient outcomes.
- Further research into nuclear ErbB-2's mechanisms is warranted for its clinical application.
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