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Published on: June 18, 2013
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.
Abstract:
HER2 overexpression is identified on 20-30% breast cancer and other cancers at different levels. Although HER2 targeted monoclonal antibody combined with chemical drugs has shown improved outcomes in HER2 expressing patients, drug resistance and toxicity have limited their efficacy. To overcome drug resistance, cotargeting multiple HER receptors was proven to be effective. EGFR/HER2 dimerization can active PI3K/AKT pathway, and resistance to HER2-targeted drugs is associated with upregulation of EGFR. Here, we developed a novel HER2/EGFR targeted nucleic acid therapeutic to address current drug limits. The new therapeutic is constructed by fusing HER2 aptamer-EGFR siRNA sense strand with HER2 aptamer-EGFR siRNA antisense strand into one molecule: a bivalent HER2 aptamer-EGFR siRNA aptamer chimera (HEH). In breast cancer cell lines, HEH can be selectively taken up into HER2 expressing cells and successfully silence EGFR gene and down regulate HER2 expression. In breast cancer xenograft models, HEH is capable of triggering cell apoptosis, decreasing HER2 and EGFR expression, and suppressing tumor growth. The therapeutic efficacy of HEH is superior to HER2 aptamer only, which suggests that HEH has synergistic effect by targeting HER2 and EGFR. This study demonstrated that HEH has great potential as a new HER2 targeted drug to address toxicity and resistance of current drugs and may provide a cure for many HER2 positive cancers.
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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