Synergistic therapeutic effects of pertuzumab and pyrrolitinib in HER-2-positive breast cancer: modulation of the PI3K/AKT pathway

  • 0Department of Thyroid and Breast Surgery, Suqian Clinical College of Xuzhou Medical University Suqian 223800, Jiangsu, China.

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Summary

This summary is machine-generated.

Pertuzumab and pyrrolizinib target HER-2 (human epidermal growth factor receptor 2) to inhibit breast cancer cell growth. This combination therapy downregulates the PI3K/AKT signaling pathway, offering a potential new treatment strategy.

Area Of Science

  • Oncology
  • Molecular Biology
  • Biochemistry

Background

  • Human epidermal growth factor receptor 2 (HER-2) is frequently overexpressed in breast cancer, driving tumor growth and progression.
  • Targeted therapies aim to inhibit specific molecular pathways involved in cancer development.
  • Understanding the synergistic effects of drug combinations is crucial for developing effective breast cancer treatments.

Purpose Of The Study

  • To elucidate the mechanism of action of pertuzumab in combination with pyrrolitinib for breast cancer treatment.
  • To investigate the role of HER-2 and the PI3K/AKT pathway in the efficacy of this drug combination.

Main Methods

  • Real-time PCR and Western blot (WB) were used to assess HER-2 expression in breast cancer cells.
  • BT-474 cells were treated with varying concentrations of pertuzumab, pyrrolitinib, or their combination.
  • Cell viability, migration, invasion, and apoptosis were evaluated using CCK-8, colony formation, wound healing, Transwell assays, and TUNEL assays. KEGG pathway analysis and String database were employed to analyze signaling pathways.

Main Results

  • Elevated HER-2 expression was confirmed in breast cancer cells.
  • The combination of pertuzumab and pyrrolitinib significantly reduced HER-2 levels, inhibited cell viability, proliferation, migration, and invasion, while promoting apoptosis.
  • HER-2 knockdown mimicked these effects and downregulated PI3K/AKT signaling, which was reversed by IGF-1.

Conclusions

  • Pertuzumab and pyrrolitinib act by targeting HER-2, leading to the downregulation of the PI3K/AKT signaling pathway.
  • This targeted inhibition effectively suppresses breast cancer cell proliferation, migration, and invasion.
  • The findings support the potential of this combination therapy for breast cancer treatment.

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