PMID- 29113154 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1792-1074 (Print) IS - 1792-1082 (Electronic) IS - 1792-1074 (Linking) VI - 14 IP - 5 DP - 2017 Nov TI - Synergistic inhibitory effects of an engineered antibody-like molecule ATF-Fc and trastuzumab on tumor growth and invasion in a human breast cancer xenograft mouse model. PG - 5189-5196 LID - 10.3892/ol.2017.6896 [doi] AB - The overexpression of the oncogene human epidermal growth factor receptor 2 (HER-2) has been associated with decreased disease-free survival and is a marker of poor prognosis of invasive breast cancer. Although the high efficacy of trastuzumab, a drug that targets the HER-2 oncogene, has been widely recognized, the efficiency of the treatment remains at ~30%. Therefore, novel effective treatments are required for patients with recurrent metastatic breast cancer. The present study aimed to investigate the effects of an engineered antibody-like molecule administered alone or in combination with trastuzumab on the tumor growth and metastasis of HER-2-positive breast cancer. Another aim was to investigate novel cancer therapies for HER-2-positive breast cancer. The engineered antibody-like molecule consists of the amino-terminal fragment (ATF) of human urokinase-type plasminogen (uPA) and is conjugated with the Fc fragment of human immunoglobulin G1 (ATF-Fc). The anti-cancer effect of ATF-Fc (alone and in combination with trastuzumab) on tumor cells and in a nude mouse tumor model was evaluated by detecting the expression of uPA, urokinase plasminogen activator receptor (uPAR) and HER-2. In vitro experiments demonstrated that specifically blocking the uPA-uPAR and HER-2 signaling pathways may effectively promote the apoptosis of breast cancer cells. Additionally, ATF-Fc-induced cell death in HER-2-positive breast cancer cells was observed in vivo. When ATF-Fc was administered in combination with trastuzumab, cell death was increased and breast cancer metastasis was reduced. The novel engineered antibody-like molecule ATF-Fc was able to inhibit HER-2-positive breast cancer cell growth and metastasis by interfering with uPA and its receptor (uPA-uPAR) system. Additionally, the antibody-like molecule exhibits a synergistic inhibitory effect when administered in combination with trastuzumab. FAU - Zhou, Hongwei AU - Zhou H AD - Department of Geriatric Oncology, The First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, P.R. China. FAU - Wang, Hongwei AU - Wang H AD - Department of Pathology, The First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, P.R. China. FAU - Yu, Guangyuan AU - Yu G AD - Department of Medicine, The First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, P.R. China. FAU - Wang, Zhihong AU - Wang Z AD - Department of Geriatric Oncology, The First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, P.R. China. FAU - Zheng, Xi AU - Zheng X AD - Department of Geriatric Oncology, The First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, P.R. China. FAU - Duan, Haifeng AU - Duan H AD - Beijing Institute of Radiation Medicine, Beijing 100039, P.R. China. FAU - Sun, Junzhong AU - Sun J AD - Department of Geriatric Oncology, The First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, P.R. China. LA - eng PT - Journal Article DEP - 20170906 PL - Greece TA - Oncol Lett JT - Oncology letters JID - 101531236 PMC - PMC5656026 OTO - NOTNLM OT - biological therapy OT - breast cancer OT - human epidermal growth factor receptor 2 OT - therapeutic antibody OT - urokinase EDAT- 2017/11/09 06:00 MHDA- 2017/11/09 06:01 PMCR- 2017/09/06 CRDT- 2017/11/09 06:00 PHST- 2016/02/10 00:00 [received] PHST- 2017/05/11 00:00 [accepted] PHST- 2017/11/09 06:00 [entrez] PHST- 2017/11/09 06:00 [pubmed] PHST- 2017/11/09 06:01 [medline] PHST- 2017/09/06 00:00 [pmc-release] AID - OL-0-0-6896 [pii] AID - 10.3892/ol.2017.6896 [doi] PST - ppublish SO - Oncol Lett. 2017 Nov;14(5):5189-5196. doi: 10.3892/ol.2017.6896. Epub 2017 Sep 6.