Department of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Clinical Research Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Cancer Sci. 2018 Dec;109(12):3774-3782. doi: 10.1111/cas.13810. Epub 2018 Oct 22.
Endocrine therapy and radiotherapy are the main treatments for luminal A breast cancer. However, drug and radiotherapy resistance could occur during long-term treatment, leading to local recurrence and distant metastasis. Some studies have found that drug resistance might be related to human epidermal growth factor receptor-3 (HER3) overexpression. However, whether HER3 plays a role in radiotherapy resistance is unknown. The purpose of this study is to elucidate the effect of HER3 in radiotherapy and to assess whether HER3 could be a potential target for radiosensitivity. We used retroviruses to construct stable low expression of HER3 in MCF-7 and ZR75-1cells. The CCK-8 assay was used to observe proliferation. Colony-forming assay was used to detect radiosensitivity. Flow cytometry was used to observe the cell cycle and apoptosis. Immunofluorescence assay was used to detect the number of γH2AX foci in the nucleus with or without ionizing radiation (IR). Western blot analysis was used to verify the change of relative proteins. Nude mice were used to observe tumor growth in vivo. In our study, silencing HER3 reduced cell proliferation and clone formation ability after IR, so silencing HER3 increased the sensitivity of luminal A breast cancer cells to radiotherapy. In terms of radiosensitivity mechanisms, it is suggested that the silencing of HER3 enhanced IR-induced DNA damage, reduced DNA repair, and increased apoptosis and G /M arrest. In addition, silencing HER3 combined with IR clearly inhibited the transplanted tumor growth in vivo. Therefore, we concluded that HER3 played a role in radiotherapy resistance. Silencing HER3 increased the radiosensitivity of luminal A breast cancer cells and HER3 could be a potential target for radiosensitivity.
内分泌治疗和放疗是 luminal A 型乳腺癌的主要治疗方法。然而,在长期治疗过程中可能会出现药物和放疗耐药,导致局部复发和远处转移。一些研究发现,药物耐药可能与人类表皮生长因子受体 3(HER3)过表达有关。然而,HER3 是否在放疗耐药中起作用尚不清楚。本研究旨在阐明 HER3 在放疗中的作用,并评估 HER3 是否可以成为放射敏感性的潜在靶点。我们使用逆转录病毒构建 MCF-7 和 ZR75-1 细胞中 HER3 的稳定低表达。CCK-8 测定用于观察增殖。集落形成测定用于检测放射敏感性。流式细胞术用于观察细胞周期和凋亡。免疫荧光测定用于检测有无电离辐射(IR)时核内 γH2AX 焦点的数量。Western blot 分析用于验证相对蛋白的变化。裸鼠用于观察体内肿瘤生长。在我们的研究中,沉默 HER3 降低了 IR 后细胞的增殖和克隆形成能力,因此沉默 HER3 增加了 luminal A 型乳腺癌细胞对放疗的敏感性。在放射敏感性机制方面,提示沉默 HER3 增强了 IR 诱导的 DNA 损伤,减少了 DNA 修复,并增加了细胞凋亡和 G/M 期阻滞。此外,沉默 HER3 联合 IR 明显抑制了体内移植瘤的生长。因此,我们得出结论,HER3 参与了放疗耐药。沉默 HER3 增加了 luminal A 型乳腺癌细胞的放射敏感性,HER3 可能是放射敏感性的潜在靶点。