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NF-?B activation-induced anti-apoptosis renders HER2-positive cells drug resistant and accelerates tumor growth.


ABSTRACT: Breast cancers with HER2 overexpression are sensitive to drugs targeting the receptor or its kinase activity. HER2-targeting drugs are initially effective against HER2-positive breast cancer, but resistance inevitably occurs. We previously found that NF-?B is hyperactivated in a subset of HER2-positive breast cancer cells and tissue specimens. In this study, we report that constitutively active NF-?B rendered HER2-positive cancer cells resistant to anti-HER2 drugs and cells selected for lapatinib resistance upregulated NF-?B. In both circumstances, cells were antiapoptotic and grew rapidly as xenografts. Lapatinib-resistant cells were refractory to HER2 and NF-?B inhibitors alone but were sensitive to their combination, suggesting a novel therapeutic strategy. A subset of NF-?B-responsive genes was overexpressed in HER2-positive and triple-negative breast cancers, and patients with this NF-?B signature had poor clinical outcome. Anti-HER2 drug resistance may be a consequence of NF-?B activation, and selection for resistance results in NF-?B activation, suggesting that this transcription factor is central to oncogenesis and drug resistance. Clinically, the combined targeting of HER2 and NF-?B suggests a potential treatment paradigm for patients who relapse after anti-HER2 therapy. Patients with these cancers may be treated by simultaneously suppressing HER2 signaling and NF-?B activation.The combination of an inhibitor of I?B kinase (IKK) inhibitor and anti-HER2 drugs may be a novel treatment strategy for drug-resistant human breast cancers.

SUBMITTER: Bailey ST 

PROVIDER: S-EPMC4026253 | biostudies-literature | 2014 Mar

REPOSITORIES: biostudies-literature

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NF-κB activation-induced anti-apoptosis renders HER2-positive cells drug resistant and accelerates tumor growth.

Bailey Shannon T ST   Miron Penelope L PL   Choi Yoon J YJ   Kochupurakkal Bose B   Maulik Gautam G   Rodig Scott J SJ   Tian Ruiyang R   Foley Kathleen M KM   Bowman Teresa T   Miron Alexander A   Brown Myles M   Iglehart J Dirk JD   Debajit K Biswas KB  

Molecular cancer research : MCR 20131206 3


<h4>Unlabelled</h4>Breast cancers with HER2 overexpression are sensitive to drugs targeting the receptor or its kinase activity. HER2-targeting drugs are initially effective against HER2-positive breast cancer, but resistance inevitably occurs. We previously found that NF-κB is hyperactivated in a subset of HER2-positive breast cancer cells and tissue specimens. In this study, we report that constitutively active NF-κB rendered HER2-positive cancer cells resistant to anti-HER2 drugs and cells se  ...[more]

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