Simultaneous targeting of HER family pro-survival signaling with Pan-HER antibody mixture is highly effective in TNBC: a preclinical trial with PDXs

Abstract Background The human epidermal growth factor receptor (HER) family, notably EGFR, is overexpressed in most triple-negative breast cancer (TNBC) cases and provides cancer cells with compensatory signals that greatly contribute to the survival and development of resistance in response to ther...

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Main Authors: Tejaswini P. Reddy, Dong S. Choi, Ann C. Anselme, Wei Qian, Wen Chen, Johan Lantto, Ivan D. Horak, Michael Kragh, Jenny C. Chang, Roberto R. Rosato
Format: Article
Language:English
Published: BMC 2020-05-01
Series:Breast Cancer Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13058-020-01280-z
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author Tejaswini P. Reddy
Dong S. Choi
Ann C. Anselme
Wei Qian
Wen Chen
Johan Lantto
Ivan D. Horak
Michael Kragh
Jenny C. Chang
Roberto R. Rosato
author_facet Tejaswini P. Reddy
Dong S. Choi
Ann C. Anselme
Wei Qian
Wen Chen
Johan Lantto
Ivan D. Horak
Michael Kragh
Jenny C. Chang
Roberto R. Rosato
author_sort Tejaswini P. Reddy
collection DOAJ
description Abstract Background The human epidermal growth factor receptor (HER) family, notably EGFR, is overexpressed in most triple-negative breast cancer (TNBC) cases and provides cancer cells with compensatory signals that greatly contribute to the survival and development of resistance in response to therapy. This study investigated the effects of Pan-HER (Symphogen, Ballerup, Denmark), a novel mixture of six monoclonal antibodies directed against members of the HER family EGFR, HER2, and HER3, in a preclinical trial of TNBC patient-derived xenografts (PDXs). Methods Fifteen low passage TNBC PDX tumor samples were transferred into the right mammary fat pad of mice for engraftment. When tumors reached an average size of 100–200 mm3, mice were randomized (n ≥ 6 per group) and treated following three 1-week cycles consisting of three times/week intraperitoneal (IP) injection of either formulation buffer (vehicle control) or Pan-HER (50 mg/kg). At the end of treatment, tumors were collected for Western blot, RNA, and immunohistochemistry analyses. Results All 15 TNBC PDXs were responsive to Pan-HER treatment, showing significant reductions in tumor growth consistent with Pan-HER-mediated tumor downmodulation of EGFR and HER3 protein levels and significantly decreased activation of associated HER family signaling pathways AKT and ERK. Tumor regression was observed in five of the models, which corresponded to those PDX tumor models with the highest level of HER family activation. Conclusions The marked effect of Pan-HER in numerous HER family-dependent TNBC PDX models justifies further studies of Pan-HER in TNBC clinical trials as a potential therapeutic option.
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spelling doaj.art-56ecc7c5000b4303a8e6a4a138fe027f2022-12-21T18:20:31ZengBMCBreast Cancer Research1465-542X2020-05-0122111210.1186/s13058-020-01280-zSimultaneous targeting of HER family pro-survival signaling with Pan-HER antibody mixture is highly effective in TNBC: a preclinical trial with PDXsTejaswini P. Reddy0Dong S. Choi1Ann C. Anselme2Wei Qian3Wen Chen4Johan Lantto5Ivan D. Horak6Michael Kragh7Jenny C. Chang8Roberto R. Rosato9Houston Methodist Cancer Center, Houston Methodist HospitalHouston Methodist Cancer Center, Houston Methodist HospitalHouston Methodist Cancer Center, Houston Methodist HospitalHouston Methodist Cancer Center, Houston Methodist HospitalHouston Methodist Cancer Center, Houston Methodist HospitalSymphogen A/SSymphogen A/STexas A&M Health Science Center College of MedicineHouston Methodist Cancer Center, Houston Methodist HospitalHouston Methodist Cancer Center, Houston Methodist HospitalAbstract Background The human epidermal growth factor receptor (HER) family, notably EGFR, is overexpressed in most triple-negative breast cancer (TNBC) cases and provides cancer cells with compensatory signals that greatly contribute to the survival and development of resistance in response to therapy. This study investigated the effects of Pan-HER (Symphogen, Ballerup, Denmark), a novel mixture of six monoclonal antibodies directed against members of the HER family EGFR, HER2, and HER3, in a preclinical trial of TNBC patient-derived xenografts (PDXs). Methods Fifteen low passage TNBC PDX tumor samples were transferred into the right mammary fat pad of mice for engraftment. When tumors reached an average size of 100–200 mm3, mice were randomized (n ≥ 6 per group) and treated following three 1-week cycles consisting of three times/week intraperitoneal (IP) injection of either formulation buffer (vehicle control) or Pan-HER (50 mg/kg). At the end of treatment, tumors were collected for Western blot, RNA, and immunohistochemistry analyses. Results All 15 TNBC PDXs were responsive to Pan-HER treatment, showing significant reductions in tumor growth consistent with Pan-HER-mediated tumor downmodulation of EGFR and HER3 protein levels and significantly decreased activation of associated HER family signaling pathways AKT and ERK. Tumor regression was observed in five of the models, which corresponded to those PDX tumor models with the highest level of HER family activation. Conclusions The marked effect of Pan-HER in numerous HER family-dependent TNBC PDX models justifies further studies of Pan-HER in TNBC clinical trials as a potential therapeutic option.http://link.springer.com/article/10.1186/s13058-020-01280-zHER familyEGFRTriple-negative breast cancerHER2HER3PDX
spellingShingle Tejaswini P. Reddy
Dong S. Choi
Ann C. Anselme
Wei Qian
Wen Chen
Johan Lantto
Ivan D. Horak
Michael Kragh
Jenny C. Chang
Roberto R. Rosato
Simultaneous targeting of HER family pro-survival signaling with Pan-HER antibody mixture is highly effective in TNBC: a preclinical trial with PDXs
Breast Cancer Research
HER family
EGFR
Triple-negative breast cancer
HER2
HER3
PDX
title Simultaneous targeting of HER family pro-survival signaling with Pan-HER antibody mixture is highly effective in TNBC: a preclinical trial with PDXs
title_full Simultaneous targeting of HER family pro-survival signaling with Pan-HER antibody mixture is highly effective in TNBC: a preclinical trial with PDXs
title_fullStr Simultaneous targeting of HER family pro-survival signaling with Pan-HER antibody mixture is highly effective in TNBC: a preclinical trial with PDXs
title_full_unstemmed Simultaneous targeting of HER family pro-survival signaling with Pan-HER antibody mixture is highly effective in TNBC: a preclinical trial with PDXs
title_short Simultaneous targeting of HER family pro-survival signaling with Pan-HER antibody mixture is highly effective in TNBC: a preclinical trial with PDXs
title_sort simultaneous targeting of her family pro survival signaling with pan her antibody mixture is highly effective in tnbc a preclinical trial with pdxs
topic HER family
EGFR
Triple-negative breast cancer
HER2
HER3
PDX
url http://link.springer.com/article/10.1186/s13058-020-01280-z
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