PMID- 23311575 OWN - NLM STAT- MEDLINE DCOM- 20130627 LR - 20151119 IS - 1362-3095 (Electronic) IS - 0955-3002 (Linking) VI - 89 IP - 5 DP - 2013 May TI - Gamma-irradiation induces HER-2/neu overexpression in breast cancer cell lines and sensitivity to treatment with trastuzumab. PG - 319-25 LID - 10.3109/09553002.2013.765617 [doi] AB - PURPOSE: Overexpression of human epidermal growth factor receptor-2 (HER-2/neu) in breast cancer patients is a prerequisite for treatment with trastuzumab. In the present study, we demonstrate by fluorescence in situ hybridization (FISH) analysis that HER-2/neu gene amplification and chromosome 17 (CEP17) polysomy can be induced by irradiation in human breast cancer cell lines with low basal level of HER-2/neu. MATERIALS AND METHODS: The irradiation-induced HER-2/neu gene amplification and CEP17 polysomy enhanced HER-2/neu at the protein level in both human MDA-MB-231 and MDA-MB-435 breast cancer cell lines which was determined by immunohistochemistry and fluorescence analysis and was correlated with mRNA levels. RESULTS: Irradiation affected to a high degree the responsiveness of both cell lines to in vitro treatment with trastuzumab. The direct antiproliferative effect of trastuzumab, as well as its capacity to induce natural killer (NK) cell-mediated antibody-dependent cell-mediated cytotoxicity (ADCC), was considerably higher in the irradiated tumor cells compared to their non-irradiated counterparts. CONCLUSION: Our data demonstrate that irradiation induces HER-2/neu gene amplification and CEP17 polysomy thereby enhancing expression of this protein in breast cancer cell lines rendering them susceptible to treatment with trastuzumab. They also suggest that patients with HER-2/neu negative inoperable tumors undergoing local radiation therapy may benefit from treatment with trastuzumab. FAU - Voutsas, Ioannis F AU - Voutsas IF AD - Cancer Immunology and Immunotherapy Center, Saint Savas Cancer Hospital, Athens, Greece. FAU - Mahaira, Louisa G AU - Mahaira LG FAU - Fotopoulou, Katerina AU - Fotopoulou K FAU - Kapranos, Nikiforos AU - Kapranos N FAU - Reclos, John G AU - Reclos JG FAU - Gritzapis, Angelos D AU - Gritzapis AD FAU - Papamichail, Michail AU - Papamichail M FAU - Perez, Sonia A AU - Perez SA FAU - Baxevanis, Constantin N AU - Baxevanis CN LA - eng PT - Journal Article DEP - 20130201 PL - England TA - Int J Radiat Biol JT - International journal of radiation biology JID - 8809243 RN - 0 (Antibodies, Monoclonal, Humanized) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Antibodies, Monoclonal, Humanized/*pharmacology/therapeutic use MH - Breast Neoplasms/*pathology MH - Cell Line, Tumor MH - Cell Proliferation/drug effects/radiation effects MH - Chromosome Aberrations/drug effects/radiation effects MH - Chromosomes, Human, Pair 17/drug effects/genetics/radiation effects MH - Combined Modality Therapy/*methods MH - Drug Resistance, Neoplasm/radiation effects MH - Gamma Rays/*therapeutic use MH - Gene Expression Regulation, Neoplastic/*drug effects/*radiation effects MH - Humans MH - In Situ Hybridization, Fluorescence MH - Receptor, ErbB-2/*metabolism MH - Trastuzumab EDAT- 2013/01/15 06:00 MHDA- 2013/06/29 06:00 CRDT- 2013/01/15 06:00 PHST- 2013/01/15 06:00 [entrez] PHST- 2013/01/15 06:00 [pubmed] PHST- 2013/06/29 06:00 [medline] AID - 10.3109/09553002.2013.765617 [doi] PST - ppublish SO - Int J Radiat Biol. 2013 May;89(5):319-25. doi: 10.3109/09553002.2013.765617. Epub 2013 Feb 1.