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曲妥珠单抗-美坦新偶联物、曲妥珠单抗-德曲妥珠单抗与恩美曲妥珠单抗在多耐药 HER2 阳性乳腺癌肺转移模型中的比较。

Comparison of trastuzumab emtansine, trastuzumab deruxtecan, and disitamab vedotin in a multiresistant HER2-positive breast cancer lung metastasis model.

机构信息

Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Laboratory of Molecular Oncology, University of Helsinki, Helsinki, Finland.

出版信息

Clin Exp Metastasis. 2024 Apr;41(2):91-102. doi: 10.1007/s10585-024-10278-2. Epub 2024 Feb 17.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c184/10973002/f15ae66f5fce/10585_2024_10278_Fig1_HTML.jpg

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