PMID- 30659304 OWN - NLM STAT- MEDLINE DCOM- 20200120 LR - 20200120 IS - 1432-0843 (Electronic) IS - 0344-5704 (Linking) VI - 83 IP - 4 DP - 2019 Apr TI - Molecular targeting of HER2-overexpressing biliary tract cancer cells with trastuzumab emtansine, an antibody-cytotoxic drug conjugate. PG - 659-671 LID - 10.1007/s00280-019-03768-8 [doi] AB - PURPOSE: Trastuzumab emtansine (T-DM1) provides clinical benefit in breast cancers overexpressing human epidermal growth factor receptor 2 (HER2). However, its efficacy against biliary tract cancers (BTC) has not been evaluated. In this study, the effectiveness of T-DM1 in various BTC cell lines and xenograft models with different levels of HER2 expression was investigated. METHODS: HER2 expression status in xenografts and patient tissue microarrays was assessed by immunohistochemistry (IHC) or fluorescence in situ hybridization (FISH). Cell-surface HER2 expression levels and cell growth inhibition in response to T-DM1 were examined in 17 BTC cell lines. The antitumor activity of T-DM1 was evaluated in four xenograft mouse models with different levels of HER2 expression. The effects of T-DM1 on HER2 signaling, antibody-dependent cell-mediated cytotoxicity (ADCC), cell cycle, and apoptosis were assessed in vitro. RESULTS: Cell-surface expression of HER2 was observed in both gallbladder carcinoma and cholangiocarcinoma tissues. The anti-proliferative activity of T-DM1 was higher in BTC cell lines and breast cancer cell lines with higher levels of HER2 expression. The HER2 status (IHC score|HER2-to-CEP17 ratio by FISH testing) of each BTC xenograft was 3 +|8.3 for KMCH-1, 2 +|4.7 for Mz-ChA-1, 1 +/0|1.4 for OCUG-1, and 0|1.1 for KKU-100, and T-DM1 showed antitumor activity in proportion to the HER2 status. T-DM1 inhibited HER2 signaling and induced ADCC, mitotic arrest, and apoptosis in KMCH-1 cells. CONCLUSIONS: T-DM1 exhibited preclinical activity in HER2-overexpressing BTC. Further evaluation in clinical studies is warranted. FAU - Yamashita-Kashima, Yoriko AU - Yamashita-Kashima Y AD - Product Research Department, Chugai Pharmaceutical Co., Ltd., 200 Kajiwara, Kamakura, Kanagawa, 247-8530, Japan. FAU - Yoshimura, Yasushi AU - Yoshimura Y AD - Product Research Department, Chugai Pharmaceutical Co., Ltd., 200 Kajiwara, Kamakura, Kanagawa, 247-8530, Japan. FAU - Fujimura, Takaaki AU - Fujimura T AD - Product Research Department, Chugai Pharmaceutical Co., Ltd., 200 Kajiwara, Kamakura, Kanagawa, 247-8530, Japan. FAU - Shu, Sei AU - Shu S AD - Product Research Department, Chugai Pharmaceutical Co., Ltd., 200 Kajiwara, Kamakura, Kanagawa, 247-8530, Japan. FAU - Yanagisawa, Mieko AU - Yanagisawa M AD - Product Research Department, Chugai Pharmaceutical Co., Ltd., 200 Kajiwara, Kamakura, Kanagawa, 247-8530, Japan. FAU - Yorozu, Keigo AU - Yorozu K AD - Product Research Department, Chugai Pharmaceutical Co., Ltd., 200 Kajiwara, Kamakura, Kanagawa, 247-8530, Japan. FAU - Furugaki, Koh AU - Furugaki K AD - Product Research Department, Chugai Pharmaceutical Co., Ltd., 200 Kajiwara, Kamakura, Kanagawa, 247-8530, Japan. FAU - Higuchi, Ryota AU - Higuchi R AD - Department of Gastroenterological Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan. FAU - Shoda, Junichi AU - Shoda J AD - Department of Medical Sciences, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. FAU - Harada, Naoki AU - Harada N AUID- ORCID: 0000-0003-1468-0636 AD - Product Research Department, Chugai Pharmaceutical Co., Ltd., 200 Kajiwara, Kamakura, Kanagawa, 247-8530, Japan. haradanok@chugai-pharm.co.jp. LA - eng PT - Journal Article DEP - 20190118 PL - Germany TA - Cancer Chemother Pharmacol JT - Cancer chemotherapy and pharmacology JID - 7806519 RN - 0 (Antineoplastic Agents, Immunological) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - SE2KH7T06F (Ado-Trastuzumab Emtansine) SB - IM MH - Ado-Trastuzumab Emtansine/*administration & dosage/pharmacology MH - Animals MH - Antineoplastic Agents, Immunological/*administration & dosage/pharmacology MH - Apoptosis/drug effects MH - Biliary Tract Neoplasms/*drug therapy/genetics/pathology MH - Breast Neoplasms/drug therapy MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cholangiocarcinoma/drug therapy MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Nude MH - *Molecular Targeted Therapy MH - Receptor, ErbB-2/*genetics MH - Xenograft Model Antitumor Assays OTO - NOTNLM OT - Biliary tract cancer OT - HER2 OT - T-DM1 OT - Trastuzumab emtansine EDAT- 2019/01/20 06:00 MHDA- 2020/01/21 06:00 CRDT- 2019/01/20 06:00 PHST- 2018/07/24 00:00 [received] PHST- 2019/01/05 00:00 [accepted] PHST- 2019/01/20 06:00 [pubmed] PHST- 2020/01/21 06:00 [medline] PHST- 2019/01/20 06:00 [entrez] AID - 10.1007/s00280-019-03768-8 [pii] AID - 10.1007/s00280-019-03768-8 [doi] PST - ppublish SO - Cancer Chemother Pharmacol. 2019 Apr;83(4):659-671. doi: 10.1007/s00280-019-03768-8. Epub 2019 Jan 18.