Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Laboratory of Molecular Oncology, University of Helsinki, Helsinki, Finland.
Clin Exp Metastasis. 2024 Apr;41(2):91-102. doi: 10.1007/s10585-024-10278-2. Epub 2024 Feb 17.
Human epidermal growth factor 2 (HER2)-positive breast cancer with lung metastases resistant to targeted agents is a common therapeutic challenge. Absence of preclinical lung metastasis models that are resistant to multiple anti-HER2 targeted drugs hampers the development of novel therapies. We established a novel HER2-positive breast cancer cell line (L-JIMT-1) with a high propensity to form lung metastases from the parenteral JIMT-1 cell line by injecting JIMT-1 cells into immunodeficient SCID mice. Lung metastases developed in all mice injected with L-JIMT-1 cells, and more rapidly and in greater numbers compared with the parental JIMT-1 cells. L-JIMT-1 cells expressed more epidermal growth factor receptor and HER2 than JIMT-1 cells. L-JIMT-1 cells were resistant to all five tyrosine kinase inhibitors tested in vitro (afatinib, erlotinib, lapatinib, sapitinib, and tucatinib). When we compared JIMT-1 and L-JIMT-1 sensitivity to three HER2-targeting antibody-drug conjugates (ADCs) trastuzumab emtansine (T-DM1), trastuzumab deruxtecan (T-DXd), and disitamab vedotin (DV) in vitro, JIMT-1 cells were resistant T-DXd, partially sensitive to T-DM1, and sensitive to DV, while L-JIMT-1 cells were resistant to both T-DM1 and T-DXd, but moderately sensitive to DV. In a mouse model, all three ADCs inhibited the growth of L-JIMT-1 lung metastases compared to a vehicle, but DV and T-DXd more strongly than T-DM1, and DV treatment led to the smallest tumor burden. The L-JIMT breast cancer lung metastasis model developed may be useful in the evaluation of anti-cancer agents for multiresistant HER2-positive advanced breast cancer.
人表皮生长因子受体 2(HER2)阳性乳腺癌伴肺转移对靶向药物耐药是一个常见的治疗挑战。缺乏对多种抗 HER2 靶向药物耐药的临床前肺转移模型,阻碍了新疗法的开发。我们通过将 JIMT-1 细胞注射到免疫缺陷 SCID 小鼠中,从亲本 JIMT-1 细胞系中建立了一种具有高形成肺转移倾向的新型 HER2 阳性乳腺癌细胞系(L-JIMT-1)。所有注射 L-JIMT-1 细胞的小鼠均发生肺转移,与亲本 JIMT-1 细胞相比,转移发生更快且数量更多。L-JIMT-1 细胞表达的表皮生长因子受体和 HER2 均多于 JIMT-1 细胞。L-JIMT-1 细胞在体外对五种酪氨酸激酶抑制剂(阿法替尼、厄洛替尼、拉帕替尼、萨替替尼和图卡替尼)均耐药。当我们比较 JIMT-1 和 L-JIMT-1 对三种 HER2 靶向抗体药物偶联物(ADC)曲妥珠单抗-美坦新偶联物(T-DM1)、曲妥珠单抗-德曲妥珠单抗(T-DXd)和地昔妥昔单抗(DV)的体外敏感性时,JIMT-1 细胞对 T-DXd 耐药,对 T-DM1 部分敏感,对 DV 敏感,而 L-JIMT-1 细胞对 T-DM1 和 T-DXd 均耐药,但对 DV 中度敏感。在小鼠模型中,与载体相比,三种 ADC 均能抑制 L-JIMT-1 肺转移的生长,但 DV 和 T-DXd 比 T-DM1 更强,DV 治疗导致肿瘤负荷最小。开发的 L-JIMT 乳腺癌肺转移模型可能有助于评估多耐药性 HER2 阳性晚期乳腺癌的抗癌药物。