PMID- 21324925 OWN - NLM STAT- MEDLINE DCOM- 20110421 LR - 20230202 IS - 1538-7445 (Electronic) IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 71 IP - 5 DP - 2011 Mar 1 TI - Trastuzumab has preferential activity against breast cancers driven by HER2 homodimers. PG - 1871-82 LID - 10.1158/0008-5472.CAN-10-1872 [doi] AB - In breast cancer cells with HER2 gene amplification, HER2 receptors exist on the cell surface as monomers, homodimers, and heterodimers with EGFR/HER3. The therapeutic antibody trastuzumab, an approved therapy for HER2(+) breast cancer, cannot block ligand-induced HER2 heterodimers, suggesting it cannot effectively inhibit HER2 signaling. Hence, HER2 oligomeric states may predict the odds of a clinical response to trastuzumab in HER2-driven tumors. To test this hypothesis, we generated nontransformed human MCF10A mammary epithelial cells stably expressing a chimeric HER2-FKBP molecule that could be conditionally induced to homodimerize by adding the FKBP ligand AP1510, or instead induced to heterodimerize with EGFR or HER3 by adding the heterodimer ligands EGF/TGFalpha or heregulin. AP1510, EGF, and heregulin each induced growth of MCF10A cells expressing HER2-FKBP. Trastuzumab inhibited homodimer-mediated but not heterodimer-mediated cell growth. In contrast, the HER2 antibody pertuzumab, which blocks HER2 heterodimerization, inhibited growth induced by heregulin but not AP1510. Lastly, the HER2/EGFR tyrosine kinase inhibitor lapatinib blocked both homodimer- and heterodimer-induced growth. AP1510 triggered phosphorylation of Erk1/2 but not AKT, whereas trastuzumab inhibited AP1510-induced Erk1/2 phosphorylation and Shc-HER2 homodimer binding, but not TGFalpha-induced AKT phosphorylation. Consistent with these observations, high levels of HER2 homodimers correlated with longer time to progression following trastuzumab therapy in a cohort of patients with HER2-overexpressing breast cancer. Together, our findings confirm the notion that HER2 oligomeric states regulate HER2 signaling, also arguing that trastuzumab sensitivity of homodimers may reflect their inability to activate the PI3K (phosphoinositide 3-kinase)/AKT pathway. A clinical implication of our results is that high levels of HER2 homodimers may predict a positive response to trastuzumab. CI - (c)2011 AACR. FAU - Ghosh, Ritwik AU - Ghosh R AD - Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, Tennessee 37232, USA. FAU - Narasanna, Archana AU - Narasanna A FAU - Wang, Shizhen Emily AU - Wang SE FAU - Liu, Shuying AU - Liu S FAU - Chakrabarty, Anindita AU - Chakrabarty A FAU - Balko, Justin M AU - Balko JM FAU - Gonzalez-Angulo, Ana Maria AU - Gonzalez-Angulo AM FAU - Mills, Gordon B AU - Mills GB FAU - Penuel, Elicia AU - Penuel E FAU - Winslow, John AU - Winslow J FAU - Sperinde, Jeff AU - Sperinde J FAU - Dua, Rajiv AU - Dua R FAU - Pidaparthi, Sailaja AU - Pidaparthi S FAU - Mukherjee, Ali AU - Mukherjee A FAU - Leitzel, Kim AU - Leitzel K FAU - Kostler, Wolfgang J AU - Kostler WJ FAU - Lipton, Allan AU - Lipton A FAU - Bates, Michael AU - Bates M FAU - Arteaga, Carlos L AU - Arteaga CL LA - eng GR - R01 CA080195/CA/NCI NIH HHS/United States GR - P50 CA98131/CA/NCI NIH HHS/United States GR - P30 CA68485/CA/NCI NIH HHS/United States GR - P50 CA098258/CA/NCI NIH HHS/United States GR - P50 CA098131/CA/NCI NIH HHS/United States GR - U54 CA112970/CA/NCI NIH HHS/United States GR - R01 CA080195-12/CA/NCI NIH HHS/United States GR - P30 CA068485/CA/NCI NIH HHS/United States GR - CA80195/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20110215 PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (Quinazolines) RN - 0VUA21238F (Lapatinib) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - K16AIQ8CTM (pertuzumab) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Monoclonal/*pharmacology MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/*pharmacology MH - Breast Neoplasms/chemistry/drug therapy/*metabolism MH - Cells, Cultured MH - Female MH - Gene Expression MH - Gene Expression Profiling MH - Humans MH - Immunoblotting MH - Immunoprecipitation MH - Lapatinib MH - Middle Aged MH - Oligonucleotide Array Sequence Analysis MH - Protein Multimerization/*physiology MH - Quinazolines/pharmacology MH - Receptor, ErbB-2/chemistry/*metabolism MH - Signal Transduction/drug effects/physiology MH - Trastuzumab PMC - PMC3221734 MID - NIHMS260803 EDAT- 2011/02/18 06:00 MHDA- 2011/04/22 06:00 PMCR- 2012/03/01 CRDT- 2011/02/18 06:00 PHST- 2011/02/18 06:00 [entrez] PHST- 2011/02/18 06:00 [pubmed] PHST- 2011/04/22 06:00 [medline] PHST- 2012/03/01 00:00 [pmc-release] AID - 0008-5472.CAN-10-1872 [pii] AID - 10.1158/0008-5472.CAN-10-1872 [doi] PST - ppublish SO - Cancer Res. 2011 Mar 1;71(5):1871-82. doi: 10.1158/0008-5472.CAN-10-1872. Epub 2011 Feb 15.