ERBB Signaling Interrupted: Targeting Ligand-Induced Pathway Activation

Frederick H Wilson1,2,3, Katerina Politi1,3,4

  • 1Department of Medicine, Section of Medical Oncology, Yale School of Medicine, New Haven, Connecticut. katerina.politi@yale.edu frederick.wilson@yale.edu.

Cancer Discovery
|June 3, 2018
PubMed

Insights

A patient with a specific gene rearrangement (CD74-NRG1) in lung cancer responded exceptionally well to an experimental ERBB3 antibody. This finding highlights NRG1 rearrangements as potential targets for cancer therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Lung adenocarcinoma can harbor specific gene rearrangements.
  • CD74-NRG1 rearrangements activate ERBB2-ERBB3 signaling pathways.
  • NRG1 rearrangements are found in various solid tumors at low frequencies.

Purpose of the Study:

  • To investigate the therapeutic potential of targeting ERBB3 in patients with CD74-NRG1 rearrangements.
  • To assess the clinical response to an anti-ERBB3 antibody in a patient with advanced lung adenocarcinoma and this specific gene rearrangement.

Main Methods:

  • Case study of a patient with advanced lung adenocarcinoma.
  • Analysis of tumor genomics for gene rearrangements.
  • Administration of an experimental anti-ERBB3 antibody therapy.
  • Evaluation of therapeutic response.

Main Results:

  • The patient exhibited an exceptional therapeutic response to the anti-ERBB3 antibody.
  • The CD74-NRG1 rearrangement was identified as the underlying molecular driver.
  • This specific rearrangement promotes ERBB2-ERBB3 heterodimerization and downstream signaling activation.

Conclusions:

  • Targeting ERBB3 is a viable therapeutic strategy for cancers with CD74-NRG1 rearrangements.
  • NRG1 rearrangements represent actionable targets across various solid tumors.
  • Personalized medicine approaches can yield significant clinical benefits for patients with rare genetic alterations.

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