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Updated: Feb 12, 2026

Building Up a High-throughput Screening Platform to Assess the Heterogeneity of HER2 Gene Amplification in Breast Cancers
Published on: December 5, 2017
Trastuzumab-Resistant HER2+ Breast Cancer Cells Retain Sensitivity to Poly (ADP-Ribose) Polymerase (PARP) Inhibition
Monica E Wielgos1, Zhuo Zhang1, Rajani Rajbhandari1
1Department of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama.
Abstract:
HER2-targeted therapies, such as trastuzumab, have increased the survival rates of HER2+ breast cancer patients. However, despite these therapies, many tumors eventually develop resistance to these therapies. Our lab previously reported an unexpected sensitivity of HER2+ breast cancer cells to poly (ADP-ribose) polymerase inhibitors (PARPi), agents that target homologous recombination (HR)-deficient tumors, independent of a DNA repair deficiency. In this study, we investigated whether HER2+ trastuzumab-resistant (TR) breast cancer cells were susceptible to PARPi and the mechanism behind PARPi induced cytotoxicity. We demonstrate that the PARPi ABT-888 (veliparib) decreased cell survival in vitro and tumor growth in vivo of HER2+ TR breast cancer cells. PARP-1 siRNA confirmed that cytotoxicity was due, in part, to PARP-1 inhibition. Furthermore, PARP-1 silencing had variable effects on the expression of several NF-κB-regulated genes. In particular, silencing PARP-1 inhibited NF-κB activity and reduced p65 binding at the IL8 promoter, which resulted in a decrease in IL8 mRNA and protein expression. Our results provide insight in the potential mechanism by which PARPi induces cytotoxicity in HER2+ breast cancer cells and support the testing of PARPi in patients with HER2+ breast cancer resistant to trastuzumab. Mol Cancer Ther; 17(5); 921-30. ©2018 AACR.
Insights
Poly (ADP-ribose) polymerase inhibitors (PARPi) show promise against HER2-positive breast cancer resistant to trastuzumab. PARPi reduced tumor growth by inhibiting PARP-1 and affecting NF-κB signaling, suggesting a new therapeutic avenue.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- HER2-targeted therapies like trastuzumab improve survival for HER2-positive breast cancer.
- Tumor resistance to trastuzumab remains a significant clinical challenge.
- Previous studies indicated an unexpected sensitivity of HER2-positive cells to PARP inhibitors (PARPi).
Purpose of the Study:
- To investigate the efficacy of PARPi in HER2-positive trastuzumab-resistant (TR) breast cancer cells.
- To elucidate the underlying mechanisms of PARPi-induced cytotoxicity in this context.
Main Methods:
- Utilized the PARPi ABT-888 (veliparib) in vitro and in vivo models of HER2-positive TR breast cancer.
- Employed PARP-1 siRNA to confirm the role of PARP-1 inhibition.
- Assessed NF-κB pathway activity, including p65 binding and IL8 gene/protein expression.
Main Results:
- Veliparib demonstrated significant reduction in cell survival and tumor growth of HER2-positive TR cells.
- PARP-1 inhibition was confirmed as a key contributor to PARPi's cytotoxic effects.
- PARP-1 silencing modulated NF-κB activity, decreasing IL8 expression.
Conclusions:
- PARPi exhibit anti-tumor activity in HER2-positive trastuzumab-resistant breast cancer.
- PARPi-induced cytotoxicity involves PARP-1 inhibition and subsequent effects on NF-κB signaling.
- These findings support the clinical investigation of PARPi for patients with refractory HER2-positive breast cancer.
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