Gao Xiaomin, Guo Xu, Yuan Wenbo, Jiang Sunmin, Lu Zihong, Luo Qing, Zha Yuan, Wang Ling, Li Shu, Wang Ke, Zhu Xue, Yao Ying
Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu Province, China; Department of Pharmacy, Affiliated Women's Hospital of Jiangnan University, Wuxi Maternity and Child Health Care Hospital, Wuxi, Jiangsu Province, China.
Department of Pharmacy, Affiliated Women's Hospital of Jiangnan University, Wuxi Maternity and Child Health Care Hospital, Wuxi, Jiangsu Province, China; Department of Pharmacy, Wuxi Maternal and Child Health Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu Province, China.
Cell Stress Chaperones. 2024 Dec;29(6):777-791. doi: 10.1016/j.cstres.2024.11.004. Epub 2024 Nov 18.
HER2-positive breast cancer (HER2+ BC) is distinguished by its poor prognosis, propensity for early onset, and high risk of recurrence and metastasis. Consequently, anti-HER2-targeted therapy has emerged as a principal strategy in the treatment of this form of breast cancer. Pyrotinib, a novel irreversible pan-HER2 tyrosine kinase inhibitor, has brought fresh hope to patients with advanced HER2+ breast cancer. In this study, we conducted a comprehensive exploration of pyrotinib's antitumor mechanism. The in vitro results showed that pyrotinib significantly inhibited SKBR3 cells viability and induced apoptosis by promoting HER2 endocytosis and ubiquitylation, leading to HER2 degradation through the displacement of HSP90 from HER2. Beyond targeting the HER2 signaling pathway, pyrotinib also induced DNA damage, which was mediated by the activation of the reactive oxygen species/heat shock factor 1 signaling pathway and the downregulation of proliferating cell nuclear antigen expression. Furthermore, the in vivo results demonstrated a pronounced anticancer effect of pyrotinib in the SKBR3 xenograft mouse model, concomitant with a reduction in HER2 expression. In summary, our findings provide novel insights into the mechanism of pyrotinib in the treatment of HER2+ BC.
人表皮生长因子受体2阳性乳腺癌(HER2+ BC)的特点是预后差、发病早、复发和转移风险高。因此,抗HER2靶向治疗已成为治疗这种形式乳腺癌的主要策略。吡咯替尼是一种新型不可逆泛HER2酪氨酸激酶抑制剂,为晚期HER2+乳腺癌患者带来了新希望。在本研究中,我们对吡咯替尼的抗肿瘤机制进行了全面探索。体外实验结果表明,吡咯替尼通过促进HER2内吞和泛素化,显著抑制SKBR3细胞活力并诱导细胞凋亡,导致HER2通过HSP90从HER2上的置换而降解。除了靶向HER2信号通路外,吡咯替尼还诱导DNA损伤,这是由活性氧/热休克因子1信号通路的激活和增殖细胞核抗原表达的下调介导的。此外,体内实验结果表明吡咯替尼在SKBR3异种移植小鼠模型中具有显著的抗癌作用,同时HER2表达降低。总之,我们的研究结果为吡咯替尼治疗HER2+ BC的机制提供了新的见解。