High-throughput screen in vitro identifies dasatinib as a candidate for combinatorial treatment with HER2-targeting drugs in breast cancer.

Human epidermal growth factor receptor 2-positive (HER2+) breast cancer is an aggressive subtype of this disease. Targeted treatment has improved outcome, but there is still a need for new therapeutic strategies as some patients respond poorly to treatment. Our aim was to identify compounds that sub...

Full description

Bibliographic Details
Main Authors: Lisa Svartdal Normann, Mads Haugland Haugen, Vesa Hongisto, Miriam Ragle Aure, Suvi-Katri Leivonen, Vessela N Kristensen, Andliena Tahiri, Olav Engebraaten, Kristine Kleivi Sahlberg, Gunhild Mari Mælandsmo
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0280507
_version_ 1797937987891232768
author Lisa Svartdal Normann
Mads Haugland Haugen
Vesa Hongisto
Miriam Ragle Aure
Suvi-Katri Leivonen
Vessela N Kristensen
Andliena Tahiri
Olav Engebraaten
Kristine Kleivi Sahlberg
Gunhild Mari Mælandsmo
author_facet Lisa Svartdal Normann
Mads Haugland Haugen
Vesa Hongisto
Miriam Ragle Aure
Suvi-Katri Leivonen
Vessela N Kristensen
Andliena Tahiri
Olav Engebraaten
Kristine Kleivi Sahlberg
Gunhild Mari Mælandsmo
author_sort Lisa Svartdal Normann
collection DOAJ
description Human epidermal growth factor receptor 2-positive (HER2+) breast cancer is an aggressive subtype of this disease. Targeted treatment has improved outcome, but there is still a need for new therapeutic strategies as some patients respond poorly to treatment. Our aim was to identify compounds that substantially affect viability in HER2+ breast cancer cells in response to combinatorial treatment. We performed a high-throughput drug screen of 278 compounds in combination with trastuzumab and lapatinib using two HER2+ breast cancer cell lines (KPL4 and SUM190PT). The most promising drugs were validated in vitro and in vivo, and downstream molecular changes of the treatments were analyzed. The screen revealed multiple drugs that could be used in combination with lapatinib and/or trastuzumab. The Src-inhibitor dasatinib showed the largest combinatorial effect together with lapatinib in the KPL4 cell line compared to treatment with dasatinib alone (p < 0.01). In vivo, only lapatinib significantly reduced tumor growth (p < 0.05), whereas dasatinib alone, or in combination with lapatinib, did not show significant effects. Protein analyses of the treated xenografts showed significant alterations in protein levels compared to untreated controls, suggesting that all drugs reached the tumor and exerted a measurable effect. In silico analyses suggested activation of apoptosis and reduced activity of survival pathways by all treatments, but the opposite pattern was observed for the combinatorial treatment compared to lapatinib alone.
first_indexed 2024-04-10T18:52:45Z
format Article
id doaj.art-a267b2c834e74bde9dda62efe4aa7af4
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-10T18:52:45Z
publishDate 2023-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-a267b2c834e74bde9dda62efe4aa7af42023-02-01T05:31:31ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01181e028050710.1371/journal.pone.0280507High-throughput screen in vitro identifies dasatinib as a candidate for combinatorial treatment with HER2-targeting drugs in breast cancer.Lisa Svartdal NormannMads Haugland HaugenVesa HongistoMiriam Ragle AureSuvi-Katri LeivonenVessela N KristensenAndliena TahiriOlav EngebraatenKristine Kleivi SahlbergGunhild Mari MælandsmoHuman epidermal growth factor receptor 2-positive (HER2+) breast cancer is an aggressive subtype of this disease. Targeted treatment has improved outcome, but there is still a need for new therapeutic strategies as some patients respond poorly to treatment. Our aim was to identify compounds that substantially affect viability in HER2+ breast cancer cells in response to combinatorial treatment. We performed a high-throughput drug screen of 278 compounds in combination with trastuzumab and lapatinib using two HER2+ breast cancer cell lines (KPL4 and SUM190PT). The most promising drugs were validated in vitro and in vivo, and downstream molecular changes of the treatments were analyzed. The screen revealed multiple drugs that could be used in combination with lapatinib and/or trastuzumab. The Src-inhibitor dasatinib showed the largest combinatorial effect together with lapatinib in the KPL4 cell line compared to treatment with dasatinib alone (p < 0.01). In vivo, only lapatinib significantly reduced tumor growth (p < 0.05), whereas dasatinib alone, or in combination with lapatinib, did not show significant effects. Protein analyses of the treated xenografts showed significant alterations in protein levels compared to untreated controls, suggesting that all drugs reached the tumor and exerted a measurable effect. In silico analyses suggested activation of apoptosis and reduced activity of survival pathways by all treatments, but the opposite pattern was observed for the combinatorial treatment compared to lapatinib alone.https://doi.org/10.1371/journal.pone.0280507
spellingShingle Lisa Svartdal Normann
Mads Haugland Haugen
Vesa Hongisto
Miriam Ragle Aure
Suvi-Katri Leivonen
Vessela N Kristensen
Andliena Tahiri
Olav Engebraaten
Kristine Kleivi Sahlberg
Gunhild Mari Mælandsmo
High-throughput screen in vitro identifies dasatinib as a candidate for combinatorial treatment with HER2-targeting drugs in breast cancer.
PLoS ONE
title High-throughput screen in vitro identifies dasatinib as a candidate for combinatorial treatment with HER2-targeting drugs in breast cancer.
title_full High-throughput screen in vitro identifies dasatinib as a candidate for combinatorial treatment with HER2-targeting drugs in breast cancer.
title_fullStr High-throughput screen in vitro identifies dasatinib as a candidate for combinatorial treatment with HER2-targeting drugs in breast cancer.
title_full_unstemmed High-throughput screen in vitro identifies dasatinib as a candidate for combinatorial treatment with HER2-targeting drugs in breast cancer.
title_short High-throughput screen in vitro identifies dasatinib as a candidate for combinatorial treatment with HER2-targeting drugs in breast cancer.
title_sort high throughput screen in vitro identifies dasatinib as a candidate for combinatorial treatment with her2 targeting drugs in breast cancer
url https://doi.org/10.1371/journal.pone.0280507
work_keys_str_mv AT lisasvartdalnormann highthroughputscreeninvitroidentifiesdasatinibasacandidateforcombinatorialtreatmentwithher2targetingdrugsinbreastcancer
AT madshauglandhaugen highthroughputscreeninvitroidentifiesdasatinibasacandidateforcombinatorialtreatmentwithher2targetingdrugsinbreastcancer
AT vesahongisto highthroughputscreeninvitroidentifiesdasatinibasacandidateforcombinatorialtreatmentwithher2targetingdrugsinbreastcancer
AT miriamragleaure highthroughputscreeninvitroidentifiesdasatinibasacandidateforcombinatorialtreatmentwithher2targetingdrugsinbreastcancer
AT suvikatrileivonen highthroughputscreeninvitroidentifiesdasatinibasacandidateforcombinatorialtreatmentwithher2targetingdrugsinbreastcancer
AT vesselankristensen highthroughputscreeninvitroidentifiesdasatinibasacandidateforcombinatorialtreatmentwithher2targetingdrugsinbreastcancer
AT andlienatahiri highthroughputscreeninvitroidentifiesdasatinibasacandidateforcombinatorialtreatmentwithher2targetingdrugsinbreastcancer
AT olavengebraaten highthroughputscreeninvitroidentifiesdasatinibasacandidateforcombinatorialtreatmentwithher2targetingdrugsinbreastcancer
AT kristinekleivisahlberg highthroughputscreeninvitroidentifiesdasatinibasacandidateforcombinatorialtreatmentwithher2targetingdrugsinbreastcancer
AT gunhildmarimælandsmo highthroughputscreeninvitroidentifiesdasatinibasacandidateforcombinatorialtreatmentwithher2targetingdrugsinbreastcancer