高通量体外筛选发现达沙替尼可作为与 HER2 靶向药物联合治疗乳腺癌的候选药物。
High-throughput screen in vitro identifies dasatinib as a candidate for combinatorial treatment with HER2-targeting drugs in breast cancer.
机构信息
Department of Research and Innovation, Vestre Viken Hospital Trust, Drammen, Norway.
Department of Tumor Biology, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
出版信息
PLoS One. 2023 Jan 27;18(1):e0280507. doi: 10.1371/journal.pone.0280507. eCollection 2023.
Human epidermal growth factor receptor 2-positive (HER2+) breast cancer is an aggressive subtype of this disease. Targeted treatment has improved outcome, but there is still a need for new therapeutic strategies as some patients respond poorly to treatment. Our aim was to identify compounds that substantially affect viability in HER2+ breast cancer cells in response to combinatorial treatment. We performed a high-throughput drug screen of 278 compounds in combination with trastuzumab and lapatinib using two HER2+ breast cancer cell lines (KPL4 and SUM190PT). The most promising drugs were validated in vitro and in vivo, and downstream molecular changes of the treatments were analyzed. The screen revealed multiple drugs that could be used in combination with lapatinib and/or trastuzumab. The Src-inhibitor dasatinib showed the largest combinatorial effect together with lapatinib in the KPL4 cell line compared to treatment with dasatinib alone (p < 0.01). In vivo, only lapatinib significantly reduced tumor growth (p < 0.05), whereas dasatinib alone, or in combination with lapatinib, did not show significant effects. Protein analyses of the treated xenografts showed significant alterations in protein levels compared to untreated controls, suggesting that all drugs reached the tumor and exerted a measurable effect. In silico analyses suggested activation of apoptosis and reduced activity of survival pathways by all treatments, but the opposite pattern was observed for the combinatorial treatment compared to lapatinib alone.
人表皮生长因子受体 2 阳性(HER2+)乳腺癌是该疾病的一种侵袭性亚型。靶向治疗改善了预后,但仍需要新的治疗策略,因为有些患者对治疗反应不佳。我们的目的是确定在针对 HER2+乳腺癌细胞的联合治疗中,对细胞活力有显著影响的化合物。我们使用两种 HER2+乳腺癌细胞系(KPL4 和 SUM190PT)对 278 种化合物与曲妥珠单抗和拉帕替尼的组合进行了高通量药物筛选。最有前途的药物在体外和体内进行了验证,并分析了治疗的下游分子变化。筛选发现了多种可与拉帕替尼和/或曲妥珠单抗联合使用的药物。与单独使用曲妥珠单抗相比,Src 抑制剂 dasatinib 与拉帕替尼联合使用时在 KPL4 细胞系中显示出最大的组合效果(p < 0.01)。在体内,只有拉帕替尼显著抑制肿瘤生长(p < 0.05),而 dasatinib 单独使用或与拉帕替尼联合使用均未显示出显著效果。对处理的异种移植物的蛋白质分析表明,与未处理的对照相比,蛋白质水平有明显改变,这表明所有药物都到达了肿瘤并发挥了可测量的作用。计算机分析表明,所有治疗方法都激活了细胞凋亡并降低了生存途径的活性,但与单独使用拉帕替尼相比,联合治疗的模式则相反。