Minerva Biotechnologies, Waltham, MA, 02451, USA.
Breast Cancer Res Treat. 2009 Nov;118(1):113-24. doi: 10.1007/s10549-009-0412-3. Epub 2009 May 5.
In the United States, 211,000 women are diagnosed each year with breast cancer. Of the 42,000 breast cancer patients who overexpress the HER2 growth factor receptor, <35% are responsive to treatment with the HER2-disabling antibody, called trastuzumab (Herceptin). Despite those statistics, women diagnosed with breast cancer are now tested to determine how much of this important growth factor receptor is present in their tumor because patients whose treatment includes trastuzumab are three-times more likely to survive for at least 5 years and are two-times more likely to survive without a cancer recurrence. Unfortunately, even among the group whose cancers originally respond to trastuzumab, 25% of the metastatic breast cancer patients acquire resistance to trastuzumab within the first year of treatment. Follow-on "salvage" therapies have prolonged life for this group but have not been curative. Thus, it is critically important to understand the mechanisms of trastuzumab resistance and develop therapies that reverse or prevent it. Here, we report that molecular analysis of a cancer cell line that was induced to acquire trastuzumab resistance showed a dramatic increase in the amount of the cleaved form of the MUC1 protein, called MUC1*. We recently reported that MUC1* functions as a growth factor receptor on cancer cells and on embryonic stem cells. Here, we show that treating trastuzumab-resistant cancer cells with a combination of MUC1* antagonists and trastuzumab, reverses the drug resistance. Further, HER2-positive cancer cells that are intrinsically resistant to trastuzumab became trastuzumab-sensitive when treated with MUC1* antagonists and trastuzumab. Additionally, we found that tumor cells that had acquired Herceptin resistance had also acquired resistance to standard chemotherapy agents like Taxol, Doxorubicin, and Cyclophosphamide. Acquired resistance to these standard chemotherapy drugs was also reversed by combined treatment with the original drug plus a MUC1* inhibitor.
在美国,每年有 211000 名女性被诊断患有乳腺癌。在 42000 名过度表达 HER2 生长因子受体的乳腺癌患者中,只有<35%对 HER2 失活抗体曲妥珠单抗(赫赛汀)治疗有反应。尽管有这些统计数据,但现在对被诊断患有乳腺癌的女性进行检测,以确定其肿瘤中存在多少这种重要的生长因子受体,因为接受曲妥珠单抗治疗的患者至少有 5 年的生存率提高了三倍,且癌症复发的风险降低了两倍。不幸的是,即使在最初对曲妥珠单抗有反应的癌症患者中,也有 25%的转移性乳腺癌患者在接受曲妥珠单抗治疗的第一年就产生了耐药性。后续的“挽救”疗法延长了这组患者的生命,但并不能治愈。因此,了解曲妥珠单抗耐药的机制并开发逆转或预防耐药的疗法至关重要。在这里,我们报告说,对诱导获得曲妥珠单抗耐药的癌细胞系进行的分子分析显示,MUC1 蛋白的裂解形式 MUC1的含量显著增加。我们最近报道称,MUC1在癌细胞和胚胎干细胞上作为生长因子受体发挥作用。在这里,我们表明,用 MUC1拮抗剂和曲妥珠单抗联合治疗曲妥珠单抗耐药的癌细胞可以逆转耐药性。此外,对曲妥珠单抗固有耐药的 HER2 阳性癌细胞在用 MUC1拮抗剂和曲妥珠单抗处理后变得对曲妥珠单抗敏感。此外,我们发现,对赫赛汀产生耐药性的肿瘤细胞也对紫杉醇、多柔比星和环磷酰胺等标准化疗药物产生了耐药性。用原药加 MUC1*抑制剂联合治疗也可逆转这些标准化疗药物的获得性耐药。
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