Targeting HER3, a Catalytically Defective Receptor Tyrosine Kinase, Prevents Resistance of Lung Cancer to a Third-Generation EGFR Kinase Inhibitor

Although two growth factor receptors, EGFR and HER2, are amongst the best targets for cancer treatment, no agents targeting HER3, their kinase-defective family member, have so far been approved. Because emergence of resistance of lung tumors to EGFR kinase inhibitors (EGFRi) associates with compensa...

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Main Authors: Donatella Romaniello, Ilaria Marrocco, Nishanth Belugali Nataraj, Irene Ferrer, Diana Drago-Garcia, Itay Vaknin, Roni Oren, Moshit Lindzen, Soma Ghosh, Matthew Kreitman, Jeanette Clarissa Kittel, Nadege Gaborit, Gretchen Bergado Baez, Belinda Sanchez, Raya Eilam, Eli Pikarsky, Luis Paz-Ares, Yosef Yarden
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/9/2394
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author Donatella Romaniello
Ilaria Marrocco
Nishanth Belugali Nataraj
Irene Ferrer
Diana Drago-Garcia
Itay Vaknin
Roni Oren
Moshit Lindzen
Soma Ghosh
Matthew Kreitman
Jeanette Clarissa Kittel
Nadege Gaborit
Gretchen Bergado Baez
Belinda Sanchez
Raya Eilam
Eli Pikarsky
Luis Paz-Ares
Yosef Yarden
author_facet Donatella Romaniello
Ilaria Marrocco
Nishanth Belugali Nataraj
Irene Ferrer
Diana Drago-Garcia
Itay Vaknin
Roni Oren
Moshit Lindzen
Soma Ghosh
Matthew Kreitman
Jeanette Clarissa Kittel
Nadege Gaborit
Gretchen Bergado Baez
Belinda Sanchez
Raya Eilam
Eli Pikarsky
Luis Paz-Ares
Yosef Yarden
author_sort Donatella Romaniello
collection DOAJ
description Although two growth factor receptors, EGFR and HER2, are amongst the best targets for cancer treatment, no agents targeting HER3, their kinase-defective family member, have so far been approved. Because emergence of resistance of lung tumors to EGFR kinase inhibitors (EGFRi) associates with compensatory up-regulation of HER3 and several secreted forms, we anticipated that blocking HER3 would prevent resistance. As demonstrated herein, a neutralizing anti-HER3 antibody we generated can clear HER3 from the cell surface, as well as reduce HER3 cleavage by ADAM10, a surface metalloproteinase. When combined with a kinase inhibitor and an anti-EGFR antibody, the antibody completely blocked patient-derived xenograft models that acquired resistance to EGFRi. We found that the underlying mechanism involves posttranslational downregulation of HER3, suppression of MET and AXL upregulation, as well as concomitant inhibition of AKT signaling and upregulation of BIM, which mediates apoptosis. Thus, although HER3 is nearly devoid of kinase activity, it can still serve as an effective drug target in the context of acquired resistance. Because this study simulated in animals the situation of patients who develop resistance to EGFRi and remain with no obvious treatment options, the observations presented herein may warrant clinical testing.
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spelling doaj.art-11675062ac2d451c8ec22e88b30f61362023-11-20T11:13:13ZengMDPI AGCancers2072-66942020-08-01129239410.3390/cancers12092394Targeting HER3, a Catalytically Defective Receptor Tyrosine Kinase, Prevents Resistance of Lung Cancer to a Third-Generation EGFR Kinase InhibitorDonatella Romaniello0Ilaria Marrocco1Nishanth Belugali Nataraj2Irene Ferrer3Diana Drago-Garcia4Itay Vaknin5Roni Oren6Moshit Lindzen7Soma Ghosh8Matthew Kreitman9Jeanette Clarissa Kittel10Nadege Gaborit11Gretchen Bergado Baez12Belinda Sanchez13Raya Eilam14Eli Pikarsky15Luis Paz-Ares16Yosef Yarden17Department of Biological Regulation, Weizmann Institute of Science, Rehovot 76100, IsraelDepartment of Biological Regulation, Weizmann Institute of Science, Rehovot 76100, IsraelDepartment of Biological Regulation, Weizmann Institute of Science, Rehovot 76100, IsraelCentro de Investigación Biomédica en Red de Cáncer (CIBERONC), 28029 Madrid, SpainDepartment of Biological Regulation, Weizmann Institute of Science, Rehovot 76100, IsraelDepartment of Biological Regulation, Weizmann Institute of Science, Rehovot 76100, IsraelDepartment of Veterinary Resources, Weizmann Institute of Science, Rehovot 76100, IsraelDepartment of Biological Regulation, Weizmann Institute of Science, Rehovot 76100, IsraelDepartment of Biological Regulation, Weizmann Institute of Science, Rehovot 76100, IsraelDepartment of Biological Regulation, Weizmann Institute of Science, Rehovot 76100, IsraelDepartment of Biological Regulation, Weizmann Institute of Science, Rehovot 76100, IsraelInstitut de Recherche en Cancérologie de Montpellier (IRCM), INSERM U1194, Université de Montpellier, 34298 Montpellier, FranceTumor Biology Direction, Center of Molecular Immunology, Havana 11600, CubaTumor Biology Direction, Center of Molecular Immunology, Havana 11600, CubaDepartment of Veterinary Resources, Weizmann Institute of Science, Rehovot 76100, IsraelThe Lautenberg Center for Immunology and Cancer Research, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 91120, IsraelCentro de Investigación Biomédica en Red de Cáncer (CIBERONC), 28029 Madrid, SpainDepartment of Biological Regulation, Weizmann Institute of Science, Rehovot 76100, IsraelAlthough two growth factor receptors, EGFR and HER2, are amongst the best targets for cancer treatment, no agents targeting HER3, their kinase-defective family member, have so far been approved. Because emergence of resistance of lung tumors to EGFR kinase inhibitors (EGFRi) associates with compensatory up-regulation of HER3 and several secreted forms, we anticipated that blocking HER3 would prevent resistance. As demonstrated herein, a neutralizing anti-HER3 antibody we generated can clear HER3 from the cell surface, as well as reduce HER3 cleavage by ADAM10, a surface metalloproteinase. When combined with a kinase inhibitor and an anti-EGFR antibody, the antibody completely blocked patient-derived xenograft models that acquired resistance to EGFRi. We found that the underlying mechanism involves posttranslational downregulation of HER3, suppression of MET and AXL upregulation, as well as concomitant inhibition of AKT signaling and upregulation of BIM, which mediates apoptosis. Thus, although HER3 is nearly devoid of kinase activity, it can still serve as an effective drug target in the context of acquired resistance. Because this study simulated in animals the situation of patients who develop resistance to EGFRi and remain with no obvious treatment options, the observations presented herein may warrant clinical testing.https://www.mdpi.com/2072-6694/12/9/2394drug resistanceEGFRkinase inhibitorlung cancermonoclonal antibodyosimertinib
spellingShingle Donatella Romaniello
Ilaria Marrocco
Nishanth Belugali Nataraj
Irene Ferrer
Diana Drago-Garcia
Itay Vaknin
Roni Oren
Moshit Lindzen
Soma Ghosh
Matthew Kreitman
Jeanette Clarissa Kittel
Nadege Gaborit
Gretchen Bergado Baez
Belinda Sanchez
Raya Eilam
Eli Pikarsky
Luis Paz-Ares
Yosef Yarden
Targeting HER3, a Catalytically Defective Receptor Tyrosine Kinase, Prevents Resistance of Lung Cancer to a Third-Generation EGFR Kinase Inhibitor
Cancers
drug resistance
EGFR
kinase inhibitor
lung cancer
monoclonal antibody
osimertinib
title Targeting HER3, a Catalytically Defective Receptor Tyrosine Kinase, Prevents Resistance of Lung Cancer to a Third-Generation EGFR Kinase Inhibitor
title_full Targeting HER3, a Catalytically Defective Receptor Tyrosine Kinase, Prevents Resistance of Lung Cancer to a Third-Generation EGFR Kinase Inhibitor
title_fullStr Targeting HER3, a Catalytically Defective Receptor Tyrosine Kinase, Prevents Resistance of Lung Cancer to a Third-Generation EGFR Kinase Inhibitor
title_full_unstemmed Targeting HER3, a Catalytically Defective Receptor Tyrosine Kinase, Prevents Resistance of Lung Cancer to a Third-Generation EGFR Kinase Inhibitor
title_short Targeting HER3, a Catalytically Defective Receptor Tyrosine Kinase, Prevents Resistance of Lung Cancer to a Third-Generation EGFR Kinase Inhibitor
title_sort targeting her3 a catalytically defective receptor tyrosine kinase prevents resistance of lung cancer to a third generation egfr kinase inhibitor
topic drug resistance
EGFR
kinase inhibitor
lung cancer
monoclonal antibody
osimertinib
url https://www.mdpi.com/2072-6694/12/9/2394
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