PMID- 32140533 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 2352-5789 (Print) IS - 2352-5789 (Electronic) IS - 2352-5789 (Linking) VI - 32 DP - 2020 May TI - Selection of HER2/NEU negative tumor cells as a mechanism of resistance to trastuzumab in uterine serous carcinoma. PG - 100554 LID - 10.1016/j.gore.2020.100554 [doi] LID - 100554 AB - BACKGROUND: Uterine serous carcinoma (USC) is an aggressive variant of endometrial cancer overexpressing HER2/neu in about 30% of cases. Trastuzumab, a humanized monoclonal antibody targeting Her2/Neu, in combination with carboplatin/paclitaxel, is considered the preferred regimen for the treatment of advanced or recurrent HER2/Neu+ USC per NCCN guidelines. CASE: We describe two USC patients with overexpression of HER2/neu at 2+/3+ level by immunohistochemistry and c-erbB2 gene amplification by fluorescence in situ hybridization (FISH) assay that, after an initial clinical response to trastuzumab, developed resistance/progression. Post-treatment biopsy (collected at the time of clinical progression on trastuzumab) demonstrated loss of HER2/neu overexpression in the recurrent/progressing tumor cells in both patients. CONCLUSION: Selection of HER2/NEU negative tumor cells may represent a major mechanism of resistance to trastuzumab in USC patients. CI - (c) 2020 The Author(s). FAU - Pelligra, Silvia AU - Pelligra S AD - Department of Obstetrics, Gynecology, and Reproductive Sciences, New Haven, CT 06520, USA. FAU - Buza, Natalia AU - Buza N AD - Department of Pathology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Hui, Pei AU - Hui P AD - Department of Pathology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Bellone, Stefania AU - Bellone S AD - Department of Obstetrics, Gynecology, and Reproductive Sciences, New Haven, CT 06520, USA. FAU - Zeybek, Burak AU - Zeybek B AD - Department of Obstetrics, Gynecology, and Reproductive Sciences, New Haven, CT 06520, USA. FAU - Ratner, Elena AU - Ratner E AD - Department of Obstetrics, Gynecology, and Reproductive Sciences, New Haven, CT 06520, USA. FAU - Schwartz, Peter E AU - Schwartz PE AD - Department of Obstetrics, Gynecology, and Reproductive Sciences, New Haven, CT 06520, USA. FAU - Scambia, Giovanni AU - Scambia G AD - Division of Gynecologic Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. FAU - Santin, Alessandro D AU - Santin AD AD - Department of Obstetrics, Gynecology, and Reproductive Sciences, New Haven, CT 06520, USA. LA - eng GR - U01 CA176067/CA/NCI NIH HHS/United States GR - UL1 TR001863/TR/NCATS NIH HHS/United States PT - Case Reports DEP - 20200225 PL - Netherlands TA - Gynecol Oncol Rep JT - Gynecologic oncology reports JID - 101652231 EIN - Gynecol Oncol Rep. 2021 Jan 18;35:100703. PMID: 33614877 PMC - PMC7049633 OTO - NOTNLM OT - HER2/neu OT - Recurrent OT - Trastuzumab OT - Treatment-resistant OT - Uterine serous carcinoma EDAT- 2020/03/07 06:00 MHDA- 2020/03/07 06:01 PMCR- 2020/02/25 CRDT- 2020/03/07 06:00 PHST- 2020/01/06 00:00 [received] PHST- 2020/02/18 00:00 [revised] PHST- 2020/02/23 00:00 [accepted] PHST- 2020/03/07 06:00 [entrez] PHST- 2020/03/07 06:00 [pubmed] PHST- 2020/03/07 06:01 [medline] PHST- 2020/02/25 00:00 [pmc-release] AID - S2352-5789(20)30020-5 [pii] AID - 100554 [pii] AID - 10.1016/j.gore.2020.100554 [doi] PST - epublish SO - Gynecol Oncol Rep. 2020 Feb 25;32:100554. doi: 10.1016/j.gore.2020.100554. eCollection 2020 May.