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Building Up a High-throughput Screening Platform to Assess the Heterogeneity of HER2 Gene Amplification in Breast Cancers
Published on: December 5, 2017
A recombinant human protein targeting HER2 overcomes drug resistance in HER2-positive breast cancer
Lu Yang1, Yun Li1,2, Arup Bhattacharya1
1Department of Pharmacology and Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA.
Abstract:
Resistance to current human epidermal growth factor receptor 2 (HER2) inhibitors, such as trastuzumab (Ttzm), is a major unresolved clinical problem in HER2-positive breast cancer (HER2-BC). Because HER2 remains overexpressed in drug-resistant HER2-BC cells, we investigated whether PEPDG278D can overcome the resistance. PEPDG278D is a recombinant enzymatically inactive mutant of human peptidase D, which strongly inhibits HER2 in cancer cells by binding to its extracellular domain. Here, we show that PEPDG278D is highly active in preclinical models of HER2-BC resistant to Ttzm and other HER2 inhibitors and also enhances the therapeutic efficacy of paclitaxel. The therapeutic activity is underscored by its ability to bind to HER2 and free it from protection by mucin 4, disrupt its interplay with other receptor tyrosine kinases, and subsequently direct HER2 for degradation. PEPDG278D also down-regulates epidermal growth factor receptor, which contributes to drug resistance in HER2-BC. In contrast, Ttzm, whose therapeutic activity also depends on its binding to the extracellular domain of HER2, cannot perform any of these functions of PEPDG278D PEPDG278D inhibits HER2-BC cells and tumors that carry clinically relevant molecular changes that confer resistance to Ttzm. Our results show that HER2 remains a critical target in drug-resistant HER2-BC and that PEPDG278D is a promising agent for overcoming drug resistance in this disease.
Insights
A novel agent, PEPDG278D, shows promise in overcoming resistance to human epidermal growth factor receptor 2 (HER2) inhibitors in HER2-positive breast cancer. This agent effectively targets HER2, offering a new therapeutic avenue for resistant tumors.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Resistance to human epidermal growth factor receptor 2 (HER2) inhibitors like trastuzumab is a significant challenge in HER2-positive breast cancer (HER2-BC).
- HER2 overexpression persists in drug-resistant HER2-BC, indicating it remains a viable therapeutic target.
Purpose of the Study:
- To investigate the potential of PEPDG278D, a mutant of human peptidase D, in overcoming resistance to HER2 inhibitors in HER2-BC.
- To elucidate the mechanisms by which PEPDG278D exerts its therapeutic effects in resistant HER2-BC models.
Main Methods:
- Utilized preclinical models of HER2-BC resistant to trastuzumab and other HER2 inhibitors.
- Assessed the binding of PEPDG278D to HER2 and its effects on HER2 downstream signaling and degradation pathways.
- Evaluated the combination therapy of PEPDG278D with paclitaxel.
Main Results:
- PEPDG278D demonstrated high activity in preclinical models of HER2-BC resistant to existing HER2 inhibitors.
- PEPDG278D binds to HER2, disengages it from Mucin 4, disrupts its interaction with other receptor tyrosine kinases, and promotes HER2 degradation.
- PEPDG278D also down-regulates epidermal growth factor receptor (EGFR), a contributor to drug resistance, and enhances paclitaxel efficacy.
Conclusions:
- HER2 remains a critical target in drug-resistant HER2-BC.
- PEPDG278D exhibits significant therapeutic potential for overcoming resistance to current HER2-targeted therapies in breast cancer.
- PEPDG278D offers a novel strategy to combat drug resistance in HER2-positive breast cancer.
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