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Updated: Jan 30, 2026

Building Up a High-throughput Screening Platform to Assess the Heterogeneity of HER2 Gene Amplification in Breast Cancers
Published on: December 5, 2017
Systemic analysis of tyrosine kinase signaling reveals a common adaptive response program in a HER2-positive breast
Martin Schwill1, Rastislav Tamaskovic1, Aaron S Gajadhar2
1Department of Biochemistry, University of Zurich, Winterthurerstr. 190, 8057 Zurich, Switzerland.
Abstract:
Drug-induced compensatory signaling and subsequent rewiring of the signaling pathways that support cell proliferation and survival promote the development of acquired drug resistance in tumors. Here, we sought to analyze the adaptive kinase response in cancer cells after distinct treatment with agents targeting human epidermal growth factor receptor 2 (HER2), specifically those that induce either only temporary cell cycle arrest or, alternatively, apoptosis in HER2-overexpressing cancers. We compared trastuzumab, ARRY380, the combination thereof, and a biparatopic, HER2-targeted designed ankyrin repeat protein (DARPin; specifically, 6L1G) and quantified the phosphoproteome by isobaric tagging using tandem mass tag liquid chromatography/tandem mass spectrometry (TMT LC-MS/MS). We found a specific signature of persistently phosphorylated tyrosine peptides after the nonapoptotic treatments, which we used to distinguish between different treatment-induced cancer cell fates. Next, we analyzed the activation of serine/threonine and tyrosine kinases after treatment using a bait peptide chip array and predicted the corresponding active kinases. Through a combined system-wide analysis, we identified a common adaptive kinase response program that involved the activation of focal adhesion kinase 1 (FAK1), protein kinase C-δ (PRKCD), and Ephrin (EPH) family receptors. These findings reveal potential targets to prevent adaptive resistance to HER2-targeted therapies.
Insights
Acquired resistance to HER2-targeted therapies involves adaptive kinase rewiring. Identifying key kinases like FAK1, PRKCD, and EPH receptors could help prevent drug resistance in HER2-overexpressing cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Acquired resistance to cancer therapies often arises from drug-induced signaling pathway rewiring.
- Human epidermal growth factor receptor 2 (HER2)-targeted therapies are crucial for HER2-overexpressing cancers but can elicit adaptive resistance.
- Understanding the adaptive kinase response is vital for overcoming treatment resistance.
Purpose of the Study:
- To analyze the adaptive kinase response in cancer cells following distinct treatments targeting HER2.
- To differentiate cancer cell fates based on treatment-induced signaling signatures.
- To identify potential therapeutic targets to overcome adaptive resistance to HER2-targeted therapies.
Main Methods:
- Quantitative phosphoproteomics using tandem mass tag (TMT) liquid chromatography/tandem mass spectrometry (LC-MS/MS).
- Analysis of kinase activation using a bait peptide chip array.
- System-wide analysis integrating phosphoproteome and kinase activation data.
Main Results:
- A distinct signature of persistently phosphorylated tyrosine peptides was identified, differentiating nonapoptotic from apoptotic treatment outcomes.
- Activation of focal adhesion kinase 1 (FAK1), protein kinase C-δ (PRKCD), and Ephrin (EPH) family receptors was identified as a common adaptive kinase response program.
- Specific kinase activation patterns correlated with different treatment-induced cancer cell fates.
Conclusions:
- Adaptive kinase reprogramming is a key mechanism in acquired resistance to HER2-targeted therapies.
- FAK1, PRKCD, and EPH receptors represent potential targets to overcome adaptive resistance.
- Targeting these adaptive pathways may improve the efficacy of HER2-targeted treatments.
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