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AKT-aro 和 HER2-aro,用于从头开始对芳香酶抑制剂产生耐药性的模型;分子特征和抑制剂反应研究。

AKT-aro and HER2-aro, models for de novo resistance to aromatase inhibitors; molecular characterization and inhibitor response studies.

机构信息

Division of Tumor Cell Biology, Beckman Research Institute of the City of Hope, 1500 East Duarte Road, Duarte, CA 91010, USA.

出版信息

Breast Cancer Res Treat. 2012 Jul;134(2):671-81. doi: 10.1007/s10549-012-2105-6. Epub 2012 Jun 16.

Abstract

Aromatase inhibitors (AI) are currently the first line therapy for estrogen receptor (ER)-positive postmenopausal women. De novo AI resistance is when a patient intrinsically does not respond to an AI therapy as well as other targeted endocrine therapy. To characterize this type of resistance and to examine potential therapies for treatment, we have generated two cell models for de novo resistance. These models derive from MCF-7 cells that stably overexpress aromatase and Akt (AKT-aro) or HER2 (HER2-aro). Evaluation of these cell lines revealed that the activities of aromatase and ER were inhibited by AI and ICI 187280 (ICI) treatment, respectively; however, cell growth was resistant to therapy. Proliferation in the presence of the pure anti-estrogen ICI, indicates that these cells do not require ER for cell growth and distinguishes these cells from the acquired AI resistant cells. We further determined that the HSP90 inhibitor 17-DMAG suppressed the growth of the AI-resistant cell lines studied. Our analysis revealed 17-DMAG-mediated decreased expression of growth promoting signaling proteins. It was found that de novo AI resistant AKT-aro and HER2-aro cells could not be resensitized to letrozole or ICI by treatment with 17-DMAG. In summary, we have generated two cell lines which display the characteristics of de novo AI resistance. Together, these data indicate the possibility that HSP90 inhibitors may be a viable therapy for endocrine therapy resistance although additional clinical evaluation is needed.

摘要

芳香酶抑制剂 (AI) 目前是治疗雌激素受体 (ER) 阳性绝经后妇女的一线药物。新出现的 AI 耐药性是指患者对 AI 治疗以及其他靶向内分泌治疗没有内在反应。为了描述这种类型的耐药性并研究潜在的治疗方法,我们生成了两种用于新出现耐药性的细胞模型。这些模型源自 MCF-7 细胞,这些细胞稳定过表达芳香酶和 Akt(AKT-aro)或 HER2(HER2-aro)。对这些细胞系的评估表明,芳香酶和 ER 的活性分别被 AI 和 ICI 187280(ICI)治疗抑制;然而,细胞生长对治疗具有抗性。在纯抗雌激素 ICI 的存在下增殖表明这些细胞不需要 ER 进行细胞生长,这将这些细胞与获得性 AI 耐药细胞区分开来。我们进一步确定 HSP90 抑制剂 17-DMAG 抑制了所研究的 AI 耐药细胞系的生长。我们的分析显示,17-DMAG 介导的促进生长信号蛋白表达降低。结果发现,新出现的 AI 耐药 AKT-aro 和 HER2-aro 细胞不能通过用 17-DMAG 处理来重新对来曲唑或 ICI 敏感。总之,我们已经生成了两种显示新出现的 AI 耐药特征的细胞系。这些数据表明,尽管需要更多的临床评估,但 HSP90 抑制剂可能是内分泌治疗耐药的可行治疗方法。

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