Enhanced HER2 internalization by clathrin-dependent endocytosis in non-small cell lung cancer positive for HER2

Atsushi Shimauchi1, Eiji Iwama2, Ritsu Ibusuki1

  • 1Department of Respiratory Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

PubMed
Abstract

Insights

Enhanced HER2 (human epidermal growth factor receptor 2) internalization in non-small cell lung cancer (NSCLC) with mutations is driven by clathrin-dependent endocytosis, explaining antibody-drug conjugate efficacy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cellular Biology

Background:

  • HER2-targeted antibody-drug conjugates (ADCs) demonstrate significant efficacy in HER2 mutation-positive non-small cell lung cancer (NSCLC).
  • The intracellular trafficking mechanisms of mutant HER2 remain incompletely understood.

Purpose of the Study:

  • To elucidate the intracellular trafficking dynamics of mutant HER2 in NSCLC.
  • To investigate the mechanisms underlying enhanced HER2 internalization in mutant NSCLC cells.

Main Methods:

  • Live cell imaging and in situ proximity ligation assays were employed to study HER2 dynamics in cells expressing wild-type (WT) or mutant HER2.
  • Proteins involved in mutant HER2 trafficking were identified using liquid chromatography-tandem mass spectrometry.

Main Results:

  • Mutant HER2 exhibited enhanced internalization in NSCLC cells compared to HER2(WT).
  • HER2(WT) homodimers localized primarily at the cell surface, while mutant HER2 homodimers were predominantly cytoplasmic.
  • EGFR or HER3 knockdown affected HER2(WT) internalization but not mutant HER2 internalization.
  • Enhanced mutant HER2 internalization involved clathrin-dependent endocytosis, increased c-Cbl binding and ubiquitination, and was reduced by the HER2 inhibitor zongertinib.

Conclusions:

  • Upregulated HER2 phosphorylation promotes clathrin-dependent endocytosis of mutant HER2.
  • This enhanced internalization mechanism likely contributes to the therapeutic effectiveness of HER2-targeted ADCs in HER2-mutated NSCLC.