Phenotypic changes of HER2-positive breast cancer during and after dual HER2 blockade

Autor: Noelia Martínez, Paolo Nuciforo, Begoña Bermejo, Laia Paré, Patricia Villagrasa, Serafin Morales, J. Alarcón, Eva Ciruelos, Olga Martínez, Tomás Pascual, Aleix Prat, Montserrat Muñoz, Barbara Adamo, I Garau, Sara Gregorio, Fara Brasó-Maristany, Gaia Griguolo, Javier Cortes, Roger R. Gomis, Nuria Chic, Rafael López, Sonia Pernas, Maria Vidal, Antonio Llombart-Cussac, Mafalda Oliveira, Patricia Galván, Eduardo Martínez, Luis Manso
Přispěvatelé: Institut Català de la Salut, [Brasó-Maristany F] Department of Medical Oncology, Hospital Clínic de Barcelona, Carrer de Villarroel, 170, 08036 Barcelona, Spain. Translational Genomics and Targeted Therapeutics in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Carrer del Rosselló, 149-153, 08036 Barcelona, Spain. [Griguolo G] Department of Medical Oncology, Hospital Clínic de Barcelona, Carrer de Villarroel, 170, 08036 Barcelona, Spain. Translational Genomics and Targeted Therapeutics in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Carrer del Rosselló, 149-153, 08036 Barcelona, Spain. Department of Surgery, Oncology and Gastroenterology, University of Padova, Via Giustiniani, 2, 35124 Padova, Italy. Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Via Gattamelata, 64, 35128 Padova, Italy. [Pascual T] Department of Medical Oncology, Hospital Clínic de Barcelona, Carrer de Villarroel, 170, 08036 Barcelona, Spain. Translational Genomics and Targeted Therapeutics in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Carrer del Rosselló, 149-153, 08036 Barcelona, Spain. SOLTI Breast Cancer Research Group, Carrer de Balmes, 115, 08008 Barcelona, Spain. [Paré L] SOLTI Breast Cancer Research Group, Carrer de Balmes, 115, 08008 Barcelona, Spain. [Nuciforo P, Oliveira M] Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain. [Llombart-Cussac A] Hospital Universitario Arnau de Vilanova, Carrer de Sant Clement, 12, 46015 Valencia, Spain, Vall d'Hebron Barcelona Hospital Campus
Rok vydání: 2020
Předmět:
0301 basic medicine
Receptor
ErbB-2

Biopsy
Neoplasms::Neoplasms by Site::Breast Neoplasms [DISEASES]
humanos
resistencia a medicamentos
Drug Resistance
General Physics and Astronomy
Medicaments antineoplàstics - Ús terapèutic
neoplasias de la mama
Disease
Drug resistance
supervivencia celular
Antineoplastic Agents
Immunological

0302 clinical medicine
Breast cancer
Mama - Càncer
Trastuzumab
Antineoplastic Combined Chemotherapy Protocols
Medicine
antineoplásicos
Breast
Other subheadings::/therapeutic use [Other subheadings]
Receptor
skin and connective tissue diseases
neoplasias::neoplasias por localización::neoplasias de la mama [ENFERMEDADES]
Multidisciplinary
resultado del tratamiento
protocolos de quimioterapia antineoplásica combinada
línea celular
adulto
Phenotype
Neoadjuvant Therapy
Fenotip
Treatment Outcome
Oncology
mama
030220 oncology & carcinogenesis
Female
medicine.drug
Adult
Cell Survival
Science
biopsia
Antineoplastic Agents
Breast Neoplasms
Lapatinib
Article
General Biochemistry
Genetics and Molecular Biology

Cell Line
Càncer de mama
03 medical and health sciences
Cell Line
Tumor

mental disorders
Biomarkers
Tumor

Humans
perfiles de expresión génica
terapéutica::protocolos clínicos::protocolos antineoplásicos::protocolos de quimioterapia antineoplásica combinada [TÉCNICAS Y EQUIPOS ANALÍTICOS
DIAGNÓSTICOS Y TERAPÉUTICOS]

neoplasms
tratamiento neoadyuvante
business.industry
Otros calificadores::/uso terapéutico [Otros calificadores]
Gene Expression Profiling
General Chemistry
Therapeutics::Clinical Protocols::Antineoplastic Protocols::Antineoplastic Combined Chemotherapy Protocols [ANALYTICAL
DIAGNOSTIC AND THERAPEUTIC TECHNIQUES
AND EQUIPMENT]

medicine.disease
Blockade
030104 developmental biology
Drug Resistance
Neoplasm

Cancer research
Gene expression
business
Zdroj: Dipòsit Digital de la UB
Universidad de Barcelona
Scientia
Nature Communications
r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname
r-FHPC. Repositorio Institucional de Producción Científica de la Fundación del Hospital Provincial de Castellón
NATURE COMMUNICATIONS
r-FISABIO. Repositorio Institucional de Producción Científica
r-FISABIO: Repositorio Institucional de Producción Científica
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Nature Communications, Vol 11, Iss 1, Pp 1-11 (2020)
ISSN: 2041-1723
Popis: The HER2-enriched (HER2-E) subtype within HER2-positive (HER2+) breast cancer is highly addicted to the HER2 pathway. However, similar to 20-60% of HER2+/HER2-E tumors do not achieve a complete response following anti-HER2 therapies. Here we evaluate gene expression data before, during and after neoadjuvant treatment with lapatinib and trastuzumab in HER2+/HER2-E tumors of the PAMELA trial and breast cancer cell lines. Our results reveal that dual HER2 blockade in HER2-E disease induces a low-proliferative Luminal A phenotype both in patient's tumors and in vitro models. These biological changes are more evident in hormone receptor-positive (HR+) disease compared to HR-negative disease. Interestingly, increasing the luminal phenotype with anti-HER2 therapy increased sensitivity to CDK4/6 inhibition. Finally, discontinuation of HER2-targeted therapy in vitro, or acquired resistance to anti-HER2 therapy, leads to restoration of the original HER2-E phenotype. Our findings support the use of maintenance anti-HER2 therapy and the therapeutic exploitation of subtype switching with CDK4/6 inhibition.
This study was funded by the project P116/00904, integrated in the Plan Estatal I+D+I and co-funded by Instituto de Salud Carlos III -Subdireccion General de Evaluacion and European Regional Development Fund (ERDF) (to A.P.), Pas a Pas (to A.P.), Save the Mama (to A.P.), Breast Cancer Now -2018NOVPCC1294 (to A.P.), and Fundacion Cientifica Asociacion Espanola Contra el Cancer -Ayuda Postdoctoral AECC 2017 (to F. B-M). We are indebted to the Biobank and the Cytometry and cell sorting core facilities of the Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS) for their technical help.
Databáze: OpenAIRE