Effect of p95HER2/611CTF on the response to trastuzumab and chemotherapy

Josep Lluís Parra-Palau, Beatriz Morancho, Vicente Peg, Marta Escorihuela, Maurizio Scaltriti, Rocio Vicario, Mariano Zacarias-Fluck, Kim Pedersen, Atanasio Pandiella, Paolo Nuciforo, Violeta Serra, Javier Cortés, José Baselga, Charles M. Perou, Aleix Prat, Isabel T. Rubio, Joaquín Arribas

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26 Citations (Scopus)

Abstract

© The Author 2014. Human epidermal growth factor receptor 2 (HER2) positive breast cancers are currently treated with trastuzumab, an anti-HER2 antibody. About 30% of these tumors express a group of HER2 fragments collectively known as p95HER2. Our previous work indicated that p95HER2-positive tumors are resistant to trastuzumab monotherapy. However, recent results showed that tumors expressing the most active of these fragments, p95HER2/611CTF, respond to trastuzumab plus chemotherapy. To clarify this discrepancy, we analyzed the response to chemotherapy of cell lines transfected with p95HER2/611CTF and patient-derived xenografts (n = 7 mice per group) with different levels of the fragment. All statistical tests were two-sided. p95HER2/611CTFnegative and positive tumors showed different responses to various chemotherapeutic agents, which are particularly effective on p95HER2/611CTF-positive cells. Furthermore, chemotherapy sensitizes p95HER2/611CTF-positive patient-derived xenograft tumors to trastuzumab (mean tumor volume, trastuzumab alone: 906 mm 3 , 95% confidence interval = 1274 to 538 mm 3 ; trastuzumab+doxorubicin: 259 mm 3 , 95% confidence interval = 387 to 131 mm 3 ; P .001). This sensitization may be related to HER2 stabilization induced by chemotherapy in p95HER2/611CTF-positive cells.
Original languageEnglish
Article numberdju291
JournalJournal of the National Cancer Institute
Volume106
Issue number11
DOIs
Publication statusPublished - 1 Nov 2014

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