Li Hongyu, Zhang Yalin, Han Xiao, Li Bingyu, Liu Dan, Sun Gang
Department of Breast Internal Medicine, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, 830011, China.
Postdoctoral Research Workstation of Tumor Hospital Affiliated to Xinjiang Medical University, Urumqi, 830011, China.
Sci Rep. 2025 Apr 27;15(1):14736. doi: 10.1038/s41598-025-99685-3.
Brain metastasis is emerging as the most serious concern for breast cancer patients. HER2-positive breast cancer is more prone to undergo brain metastasis than other subtypes; notably, there has been little improvement in the treatment of brain metastasis .Our study confirmed the relevance of HER2 status to brain metastasis risk via clinical data analysis and revealed that exerts GRB2 tumorigenic effects by regulating the Ras/MAPK pathway in vivo and in vitro. Both an in situ injection model and a direct cerebral injection model were used to explore the ability of GRB2 to promote the brain metastasis. Results indicated that HER2- positive is a risk factor for brain metastasis according to clinical data. GRB2 enhances proliferation, migration, and invasion while suppressing apoptosis in HER2-positive breast cancer cells in vitro, primarily by regulating phosphorylation and alternative splicing of key proteins within the Ras/MAPK pathway. Notably, tumor cells were able to cross the blood‒brain barrier in both models assessed in this study. Thus, GRB2 is an oncogenic factor that contributes to the malignancy of HER2-positive breast cancer, GRB2 and HER2 can synergistically promote tumor cell penetration of the blood‒brain barrier and induce metastasis.
脑转移正成为乳腺癌患者最严重的担忧。HER2阳性乳腺癌比其他亚型更容易发生脑转移;值得注意的是,脑转移的治疗几乎没有进展。我们的研究通过临床数据分析证实了HER2状态与脑转移风险的相关性,并揭示其在体内外通过调节Ras/MAPK途径发挥GRB2致瘤作用。采用原位注射模型和直接脑内注射模型来探究GRB2促进脑转移的能力。结果表明,根据临床数据,HER2阳性是脑转移的一个危险因素。GRB2在体外增强HER2阳性乳腺癌细胞的增殖、迁移和侵袭,同时抑制其凋亡,主要是通过调节Ras/MAPK途径内关键蛋白的磷酸化和可变剪接。值得注意的是,在本研究评估的两种模型中,肿瘤细胞都能够穿过血脑屏障。因此,GRB2是一个促成HER2阳性乳腺癌恶性程度的致癌因子,GRB2和HER2可协同促进肿瘤细胞穿透血脑屏障并诱导转移。
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