PMID- 28723928 OWN - NLM STAT- MEDLINE DCOM- 20170926 LR - 20181202 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 12 IP - 7 DP - 2017 TI - ErbB activation signatures as potential biomarkers for anti-ErbB3 treatment in HNSCC. PG - e0181356 LID - 10.1371/journal.pone.0181356 [doi] LID - e0181356 AB - Head and neck squamous cell carcinoma (HNSCC) accounts for 3-5% of all tumor types and remains an unmet medical need with only two targeted therapies approved to date. ErbB3 (HER3), the kinase-impaired member of the EGFR/ErbB family, has been implicated as a disease driver in a number of solid tumors, including a subset of HNSCC. Here we show that the molecular components required for ErbB3 activation, including its ligand neuregulin-1 (NRG1), are highly prevalent in HNSCC and that HER2, but not EGFR, is the major activating ErbB3 kinase partner. We demonstrate that cetuximab treatment primarily inhibits the ERK signaling pathway and KTN3379, an anti-ErbB3 monoclonal antibody, inhibits the AKT signaling pathway, and that dual ErbB receptor inhibition results in enhanced anti-tumor activity in HNSCC models. Surprisingly, we found that while NRG1 is required for ErbB3 activation, it was not sufficient to fully predict for KTN3379 activity. An evaluation of HNSCC patient samples demonstrated that NRG1 expression was significantly associated with expression of the EGFR ligands amphiregulin (AREG) and transforming growth factor alpha (TGFalpha). Furthermore, NRG1-positive HNSCC cell lines that secreted high levels of AREG and TGFalpha or contained high levels of EGFR homodimers (H11D) demonstrated a better response to KTN3379. Although ErbB3 and EGFR activation are uncoupled at the receptor level, their respective signaling pathways are linked through co-expression of their respective ligands. We propose that NRG1 expression and EGFR activation signatures may enrich for improved efficacy of anti-ErbB3 therapeutic mAb approaches when combined with EGFR-targeting therapies in HNSCC. FAU - Alvarado, Diego AU - Alvarado D AUID- ORCID: 0000-0002-5878-1730 AD - Kolltan Pharmaceuticals., New Haven, Connecticut, United States of America. FAU - Ligon, Gwenda F AU - Ligon GF AD - Kolltan Pharmaceuticals., New Haven, Connecticut, United States of America. FAU - Lillquist, Jay S AU - Lillquist JS AD - Kolltan Pharmaceuticals., New Haven, Connecticut, United States of America. FAU - Seibel, Scott B AU - Seibel SB AD - Kolltan Pharmaceuticals., New Haven, Connecticut, United States of America. FAU - Wallweber, Gerald AU - Wallweber G AD - Monogram Biosciences, Laboratory Corporation of America(R) Holdings, South San Francisco, California, United States of America. FAU - Neumeister, Veronique M AU - Neumeister VM AD - Yale Pathology Tissue Services, Yale University, New Haven, Connecticut, United States of America. FAU - Rimm, David L AU - Rimm DL AD - Yale Pathology Tissue Services, Yale University, New Haven, Connecticut, United States of America. FAU - McMahon, Gerald AU - McMahon G AD - Kolltan Pharmaceuticals., New Haven, Connecticut, United States of America. FAU - LaVallee, Theresa M AU - LaVallee TM AD - Kolltan Pharmaceuticals., New Haven, Connecticut, United States of America. LA - eng PT - Journal Article DEP - 20170719 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - 0 (Neuregulin-1) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (ERBB3 protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 2.7.10.1 (Receptor, ErbB-3) RN - PQX0D8J21J (Cetuximab) SB - IM MH - Antineoplastic Agents/*pharmacology/therapeutic use MH - Biomarkers, Tumor/metabolism MH - Carcinoma, Squamous Cell/drug therapy/*metabolism/pathology MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cetuximab/*pharmacology/therapeutic use MH - ErbB Receptors/*metabolism MH - Head and Neck Neoplasms/drug therapy/*metabolism/pathology MH - Humans MH - Neuregulin-1/metabolism MH - Receptor, ErbB-2/metabolism MH - Receptor, ErbB-3/*metabolism MH - Signal Transduction/drug effects PMC - PMC5517012 COIS- Competing Interests: DA, GFL, JSL, SBS AND TML are full time employees of Celldex Therapeutics (http://www.celldex.com/), which acquired Kolltan Pharmaceuticals in 2016. DA and TML are inventors in patent applications WO/2016/168634A1 and WO/2016/040622A1. The anti-ErbB3 mAb KTN3379 (now CDX-3379) is in clinical development at the time of this submission. GW is a full time employee of Monogram Biosciences. This does not alter our adherence to PLOS ONE policies on sharing data and materials. EDAT- 2017/07/21 06:00 MHDA- 2017/09/28 06:00 PMCR- 2017/07/19 CRDT- 2017/07/21 06:00 PHST- 2017/01/11 00:00 [received] PHST- 2017/06/29 00:00 [accepted] PHST- 2017/07/21 06:00 [entrez] PHST- 2017/07/21 06:00 [pubmed] PHST- 2017/09/28 06:00 [medline] PHST- 2017/07/19 00:00 [pmc-release] AID - PONE-D-17-01411 [pii] AID - 10.1371/journal.pone.0181356 [doi] PST - epublish SO - PLoS One. 2017 Jul 19;12(7):e0181356. doi: 10.1371/journal.pone.0181356. eCollection 2017.