PMID- 17031648 OWN - NLM STAT- MEDLINE DCOM- 20070515 LR - 20151119 IS - 0344-5704 (Print) IS - 0344-5704 (Linking) VI - 59 IP - 6 DP - 2007 May TI - Antitumor activity of trastuzumab in combination with chemotherapy in human gastric cancer xenograft models. PG - 795-805 AB - PURPOSE: To clarify the antitumor activity of trastuzumab and its potential as an effective treatment for gastric cancer patients. METHODS: Levels of HER2 expression in tumor tissues of gastric cancer cell lines were examined using immunohistochemistry (IHC), fluorescence in situ hybridization (FISH), and mRNA quantification. Efficacy of trastuzumab was examined as a single agent or in combination with chemotherapeutic agents widely used clinically for gastric cancers in HER2-overexpressing human gastric cancer xenograft models. RESULTS: Two of nine human gastric cancer xenograft models, NCI-N87 and 4-1ST, showed overexpression of HER2 mRNA and protein by IHC (HercepTest) and HER2 gene amplification by FISH (Pathvysion). HER2 protein showed potent staining in peripheral membranes, similar to the staining pattern of breast cancer. FISH scores were also comparable to those of breast cancer models. Trastuzumab as a single agent inhibited the tumor growth in both of the HER2-overexpressing models but not in the HER2-negative models, GXF97 and MKN-45. In any combination with capecitabine, cisplatin, irinotecan, docetaxel, or paclitaxel, trastuzumab showed more potent antitumor activity than the anticancer agents alone. A three-drug combination of capecitabine, cisplatin, and trastuzumab showed remarkable tumor growth inhibition. In NCI-N87 in vitro, trastuzumab showed direct antiproliferative activity according to cell count or crystal violet dying, and showed indirect antitumor activity such as antibody-dependent cellular cytotoxicity. CONCLUSION: The antitumor activity of trastuzumab observed in human gastric cancer models warrants consideration of its use in clinical treatment regimens for human gastric cancer as a single agent or a combination drug with various chemotherapeutic agents. FAU - Fujimoto-Ouchi, Kaori AU - Fujimoto-Ouchi K AD - Product Research Department, Kamakura Research Center, Chugai Pharmaceuticals Co., Ltd, 200 Kajiwara Kamakura, Kanagawa, 247-8530, Japan. ohuchikor@chugai-pharm.co.jp FAU - Sekiguchi, Fumiko AU - Sekiguchi F FAU - Yasuno, Hideyuki AU - Yasuno H FAU - Moriya, Yoichiro AU - Moriya Y FAU - Mori, Kazushige AU - Mori K FAU - Tanaka, Yutaka AU - Tanaka Y LA - eng PT - Journal Article DEP - 20061010 PL - Germany TA - Cancer Chemother Pharmacol JT - Cancer chemotherapy and pharmacology JID - 7806519 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Animals MH - Antibodies, Monoclonal/*administration & dosage MH - Antibodies, Monoclonal, Humanized MH - Antibody-Dependent Cell Cytotoxicity MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Cell Proliferation/drug effects MH - Drug Evaluation, Preclinical/methods MH - Humans MH - Mice MH - Receptor, ErbB-2/metabolism MH - Stomach Neoplasms/*drug therapy/metabolism MH - Trastuzumab MH - Tumor Cells, Cultured MH - Xenograft Model Antitumor Assays EDAT- 2006/10/13 09:00 MHDA- 2007/05/16 09:00 CRDT- 2006/10/13 09:00 PHST- 2006/05/03 00:00 [received] PHST- 2006/08/15 00:00 [accepted] PHST- 2006/10/13 09:00 [pubmed] PHST- 2007/05/16 09:00 [medline] PHST- 2006/10/13 09:00 [entrez] AID - 10.1007/s00280-006-0337-z [doi] PST - ppublish SO - Cancer Chemother Pharmacol. 2007 May;59(6):795-805. doi: 10.1007/s00280-006-0337-z. Epub 2006 Oct 10.