PMID- 20664936 OWN - NLM STAT- MEDLINE DCOM- 20101130 LR - 20190606 IS - 1791-2423 (Electronic) IS - 1019-6439 (Linking) VI - 37 IP - 3 DP - 2010 Sep TI - Pathway-focused proteomic signatures in HER2-overexpressing breast cancer with a basal-like phenotype: new insights into de novo resistance to trastuzumab (Herceptin). PG - 669-78 AB - Pioneering clinical studies in de novo refractoriness to the anti-HER2 monoclonal antibody trastuzumab have suggested that HER2 gene-amplification can take place also in a basal-like molecular background to generate basal/HER2+ tumors intrinsically resistant to trastuzumab. Here, we first investigated the unique histogenesis of the basal/HER2+ phenotype in breast carcinomas. The presence of basal CK5/CK6 cytokeratin expression in HER2+ tumors revealed a significant overlap in the histological features of HER2+/CK5/6+ and basal-like breast carcinomas. Basal/HER2+ tumors were typically poorly differentiated, high-grade invasive ductal carcinomas with large geographic necrosis, pushing margins of invasion, syncytial arrangement of tumor cells, ribbon- or festoon-like architecture, squamous metaplasia, stromal lymphocytic infiltrates, high mitotic index and strong p53 positivity. Secondly, we performed low-scale proteomic approaches in JIMT-1 cells, a unique model of HER2-gene amplified trastuzumab-resistant breast carcinoma with a basal-like phenotype, to develop biomarker signatures that may differentiate trastuzumab-responsive from non-responsive tumors. When applying antibody-based array technology to the extracellular milieu of trastuzumab-refractory JIMT-1 and trastuzumab-sensitive SKBR3 cell cultures, JIMT-1 cells were found to secrete higher amounts of several growth factors including amphiregulin, EGF, IGFBP-6, PDGF-AA, neurotrophins, TGFbeta and VEGF. Semi-quantitative signaling node multi-target sandwich ELISAs revealed that JIMT-1 cells drastically overactivate RelA, the prosurvival subunit of NF-kappaB as compared to trastuzumab-sensitive luminal/HER2+ SKBR3 cells. When simultaneously assessing the activation status of 42 receptor tyrosine kinases (RTK) using a human phospho-RTK array, JIMT-1 cells were found to constitutively display hyperactivation of the insulin-like growth factor-I receptor (IGF-1R). High-content immunofluorescence imaging revealed that activated IGF-1R mainly localized at focal adhesion-like structures in JIMT-1 cells. In vitro wound healing assays suggested that this functional reorganization of the JIMT-1 cytoskeletal reorganization may account for an exacerbated trastuzumab-refractory 'migratogenic' phenotype. Forthcoming studies should validate the notion that identification of basal-like immunophenotypes and/or basal-like molecular signatures within HER2+ breast carcinomas may provide rapid means to define subgroups of breast cancer patients likely to display resistance to trastuzumab ab initio. FAU - Oliveras-Ferraros, Cristina AU - Oliveras-Ferraros C AD - Catalan Institute of Oncology (ICO), E-17007 Girona, Catalonia, Spain. FAU - Vazquez-Martin, Alejandro AU - Vazquez-Martin A FAU - Martin-Castillo, Begona AU - Martin-Castillo B FAU - Perez-Martinez, Maria Carmen AU - Perez-Martinez MC FAU - Cufi, Silvia AU - Cufi S FAU - Del Barco, Sonia AU - Del Barco S FAU - Bernado, Luis AU - Bernado L FAU - Brunet, Joan AU - Brunet J FAU - Lopez-Bonet, Eugeni AU - Lopez-Bonet E FAU - Menendez, Javier A AU - Menendez JA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 2.7.10.1 (Receptor, IGF Type 1) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Antibodies, Monoclonal/*pharmacology MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/*pharmacology MH - Biomarkers, Tumor/analysis/metabolism MH - Breast Neoplasms/*drug therapy/*enzymology/genetics/pathology MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm MH - Female MH - Gene Amplification MH - Humans MH - Immunophenotyping MH - Proteomics MH - Receptor, ErbB-2/*antagonists & inhibitors/*biosynthesis/genetics/metabolism MH - Receptor, IGF Type 1/metabolism MH - Trastuzumab EDAT- 2010/07/29 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/07/29 06:00 PHST- 2010/07/29 06:00 [entrez] PHST- 2010/07/29 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - 10.3892/ijo_00000716 [doi] PST - ppublish SO - Int J Oncol. 2010 Sep;37(3):669-78. doi: 10.3892/ijo_00000716.