Synergistic Targeting HER2 and EGFR with Bivalent Aptamer-siRNA Chimera Efficiently Inhibits HER2-Positive Tumor

Lu Xue1,2, Nita J Maihle1, Xiaolin Yu1

  • 1Georgia Cancer Center, Department of Biochemistry and Molecular Biology, Medical College of Georgia , Augusta University , Augusta , Georgia 30912 , United States.

Molecular Pharmaceutics
|September 18, 2018
PubMed

Insights

A novel dual-targeting therapy, HEH, effectively silences EGFR and HER2 in breast cancer cells, overcoming drug resistance and toxicity. This promising treatment shows potential for HER2-positive cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biotechnology

Background:

  • HER2 overexpression occurs in 20-30% of breast and other cancers.
  • Current HER2-targeted therapies face limitations due to drug resistance and toxicity.
  • EGFR upregulation is linked to resistance in HER2-targeted drug treatments.

Purpose of the Study:

  • To develop a novel nucleic acid therapeutic targeting both HER2 and EGFR.
  • To overcome limitations of current HER2-targeted drugs, including resistance and toxicity.
  • To evaluate the efficacy of the bivalent HER2 aptamer-EGFR siRNA aptamer chimera (HEH) in preclinical models.

Main Methods:

  • Constructed a bivalent HER2 aptamer-EGFR siRNA aptamer chimera (HEH).
  • Tested HEH's cellular uptake and gene silencing in HER2-expressing breast cancer cell lines.
  • Assessed HEH's anti-tumor efficacy, including apoptosis induction and gene expression modulation, in breast cancer xenograft models.

Main Results:

  • HEH selectively targets and is internalized by HER2-expressing cancer cells.
  • HEH effectively silences the EGFR gene and downregulates HER2 expression.
  • In vivo studies showed HEH suppresses tumor growth, induces apoptosis, and reduces HER2/EGFR expression, outperforming HER2 aptamer alone.

Conclusions:

  • HEH demonstrates synergistic effects by co-targeting HER2 and EGFR.
  • HEH exhibits superior therapeutic efficacy compared to HER2 aptamer monotherapy.
  • HEH shows significant potential as a novel therapeutic agent for HER2-positive cancers, addressing current drug limitations.

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