PMID- 29079660 OWN - NLM STAT- MEDLINE DCOM- 20190724 LR - 20220727 IS - 1557-3265 (Electronic) IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 24 IP - 2 DP - 2018 Jan 15 TI - Dual mTOR Kinase Inhibitor MLN0128 Sensitizes HR(+)/HER2(+) Breast Cancer Patient-Derived Xenografts to Trastuzumab or Fulvestrant. PG - 395-406 LID - 10.1158/1078-0432.CCR-17-1983 [doi] AB - Purpose: Therapeutic strategies against hormonal receptor-positive (HR(+))/HER2(+) breast cancers with poor response to trastuzumab need to be optimized.Experimental Design: Two HR(+)/HER2(+) patient-derived xenograft (PDX) models named as COH-SC1 and COH-SC31 were established to explore targeted therapies for HER2(+) breast cancers. RNA sequencing and RPPA (reverse phase protein array) analyses were conducted to decipher molecular features of the two PDXs and define the therapeutic strategy of interest, validated by in vivo drug efficacy examination and in vitro cell proliferation analysis.Results: Estrogen acted as a growth driver of trastuzumab-resistant COH-SC31 tumors but an accelerator in the trastuzumab-sensitive COH-SC1 model. In vivo trastuzumab efficacy examination further confirmed the consistent responses between PDXs and the corresponding tumors. Integrative omics analysis revealed that mammalian target of rapamycin (mTOR) and ERalpha signaling predominantly regulate tumor growth of the two HR(+)/HER2(+) PDXs. Combination of the dual mTOR complex inhibitor MLN0128 and anti-HER2 trastuzumab strongly suppressed tumor growth of COH-SC1 PDX accompanied by increasing ER-positive cell population in vivo Instead, MLN0128 in combination with antiestrogen fulvestrant significantly halted the growth of HR(+)/HER2(+) cancer cells in vitro and trastuzumab-resistant COH-SC31 as well as trastuzumab-sensitive COH-SC1 tumors in vivoConclusions: Compared with the standard trastuzumab treatment, this study demonstrates alternative therapeutic strategies against HR(+)/HER2(+) tumors through establishment of two PDXs coupled with integrative omics analyses and in vivo drug efficacy examination. This work presents a prototype of future "co-clinical" trials to tailor personalized medicine in clinical practice. Clin Cancer Res; 24(2); 395-406. (c)2017 AACR. CI - (c)2017 American Association for Cancer Research. FAU - Hsu, Pei-Yin AU - Hsu PY AD - Department of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California. FAU - Wu, Victoria Shang AU - Wu VS AD - Department of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California. FAU - Kanaya, Noriko AU - Kanaya N AD - Department of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California. FAU - Petrossian, Karineh AU - Petrossian K AD - Department of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California. FAU - Hsu, Hang-Kai AU - Hsu HK AD - Department of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California. FAU - Nguyen, Duc AU - Nguyen D AD - Department of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California. FAU - Schmolze, Daniel AU - Schmolze D AD - Department of Pathology, City of Hope Medical Center, Duarte, California. FAU - Kai, Masaya AU - Kai M AD - Department of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California. FAU - Liu, Chun-Yu AU - Liu CY AD - Department of Oncology, School of Medicine, National Yang-Ming University, Taipei, Taiwan. FAU - Lu, Hannah AU - Lu H AD - Department of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California. FAU - Chu, Peiguo AU - Chu P AD - Department of Pathology, City of Hope Medical Center, Duarte, California. FAU - Vito, Courtney A AU - Vito CA AD - Department of Surgery, City of Hope Medical Center, Duarte, California. FAU - Kruper, Laura AU - Kruper L AD - Department of Surgery, City of Hope Medical Center, Duarte, California. FAU - Mortimer, Joanne AU - Mortimer J AD - Department of Medical Oncology and Therapeutic Research, City of Hope Medical Center, Duarte, California. FAU - Chen, Shiuan AU - Chen S AD - Department of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California. schen@coh.org. LA - eng GR - P30 CA033572/CA/NCI NIH HHS/United States GR - R01 CA044735/CA/NCI NIH HHS/United States GR - R01 ES008258/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20171027 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Benzoxazoles) RN - 0 (Biomarkers, Tumor) RN - 0 (Estrogens) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyrimidines) RN - 22X328QOC4 (Fulvestrant) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - JGH0DF1U03 (sapanisertib) RN - P188ANX8CK (Trastuzumab) MH - Animals MH - Benzoxazoles/*pharmacology MH - Biomarkers, Tumor MH - Breast Neoplasms/drug therapy/*metabolism/mortality/pathology MH - Cell Line, Tumor MH - Disease Models, Animal MH - Estrogens/metabolism MH - Female MH - Fulvestrant/*pharmacology MH - Humans MH - Immunohistochemistry MH - Mice MH - Mice, Knockout MH - Protein Kinase Inhibitors/*pharmacology MH - Pyrimidines/*pharmacology MH - Receptor, ErbB-2/*antagonists & inhibitors MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors MH - Transcriptome MH - Trastuzumab/*pharmacology MH - Treatment Outcome MH - Xenograft Model Antitumor Assays PMC - PMC8820221 MID - NIHMS1772810 COIS- Conflicts of interest: The authors declare no potential conflicts of interest. EDAT- 2017/10/29 06:00 MHDA- 2019/07/25 06:00 PMCR- 2022/02/07 CRDT- 2017/10/29 06:00 PHST- 2017/07/10 00:00 [received] PHST- 2017/09/24 00:00 [revised] PHST- 2017/10/23 00:00 [accepted] PHST- 2017/10/29 06:00 [pubmed] PHST- 2019/07/25 06:00 [medline] PHST- 2017/10/29 06:00 [entrez] PHST- 2022/02/07 00:00 [pmc-release] AID - 1078-0432.CCR-17-1983 [pii] AID - 10.1158/1078-0432.CCR-17-1983 [doi] PST - ppublish SO - Clin Cancer Res. 2018 Jan 15;24(2):395-406. doi: 10.1158/1078-0432.CCR-17-1983. Epub 2017 Oct 27.