Development of a Doxorubicin Resistance Model in HER2- and HER2+ Breast Cancer to Analyze Potential Therapy Targets

Sara Molenda1,2,3, Katarzyna Gryska1,2, Igor Piotrowski4

  • 1Department of Cancer Immunology, Poznan University of Medical Sciences, 60-806 Poznan, Poland.

Cells
|August 13, 2026
PubMed

Insights

Chemoresistance in breast cancer is complex. Targeting signal transducer and activator of transcription 3 (Stat3) alone is insufficient, but Stat3-targeted silk spheres show potential for HER2+ cancer drug delivery.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Chemoresistance remains a significant challenge in breast cancer treatment, hindering therapeutic efficacy.
  • Understanding the molecular mechanisms underlying acquired chemoresistance is crucial for developing effective treatment strategies.

Purpose of the Study:

  • To investigate the mechanisms of doxorubicin resistance in HER2-negative and HER2-positive breast cancer cells.
  • To explore the role of signal transducer and activator of transcription 3 (Stat3) in chemoresistance and identify potential therapeutic targets.

Main Methods:

  • Development of doxorubicin-resistant models (D2F2/Dox and D2F2E2/Dox) from HER2- and HER2+ breast cancer cells.
  • Analysis of cellular morphology, migratory potential, proliferation rates, and gene expression profiles.
  • Gene silencing of Stat3 using siRNA and assessment of its effects on chemoresistance and migratory potential.
  • Evaluation of targeted delivery of Stat3-silencing therapeutics using silk spheres.

Main Results:

  • Doxorubicin-resistant cells exhibited altered morphology, increased migration, elevated Stat3 levels, and differential gene expression related to stemness, apoptosis, and drug efflux.
  • Stat3 silencing partially reversed gene expression changes and reduced migration in HER2-negative cells but did not restore doxorubicin sensitivity.
  • HER2+ cancer cells demonstrated potential for selective delivery of Stat3-silencing therapeutics via silk spheres.

Conclusions:

  • Acquired doxorubicin resistance is associated with Stat3 status, but mechanisms differ between HER2-negative and HER2-positive breast cancer cells.
  • Stat3 is not a sole determinant of chemoresistance, suggesting combination therapies are necessary.
  • Silk sphere-based delivery systems show promise for targeted Stat3 inhibition in HER2-positive breast cancer.