Lapatinib in combination with radiation diminishes tumor regrowth in HER2+ and basal-like/EGFR+ breast tumor xenografts.

Lapatinib in combination with radiation diminishes tumor regrowth in HER2+ and basal-like/EGFR+ breast tumor xenografts.
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DOI:
10.1016/j.ijrobp.2009.12.063
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发表时间:
2010-06-01
影响因子:
7
通讯作者:
Shields, Janiel M.
Shields, Janiel M.
中科院分区:
医学1区
文献类型:
--
作者:
Sambade, Maria J.;Kimple, Randall J.;Camp, J. Terese;Peters, Eldon;Livasy, Chad A.;Sartor, Carolyn I.;Shields, Janiel M.

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确定拉帕替尼(一种表皮生长因子受体 (EGFR)/HER2 激酶双重抑制剂)是否可以使 EGFR+ 或 HER2+ 乳腺癌异种移植物放射增敏。携带 basal-like/EGFR+ SUM149 和 HER2+ SUM225 乳腺癌细胞异种移植物的小鼠接受拉帕替尼和分段放射治疗,通过免疫组织化学检测肿瘤生长抑制与 ERK1 和 AKT 激活的变化相关。基底样/EGFR+ SUM149乳腺癌肿瘤对单独拉帕替尼治疗完全耐药,但拉帕替尼加放疗后生长严重受损,在研究期间表现出平均增强率2.75和平均肿瘤产物分数比2.20。相比之下,HER2+ SUM225 乳腺癌肿瘤对单独拉帕替尼治疗高度敏感,并且在拉帕替尼加放疗的研究期间产生相对较低的平均增强率 1.25。联合治疗在 HER2+ SUM225 模型中的持久肿瘤控制比单独拉帕替尼或放疗更有效。免疫组织化学分析表明,拉帕替尼的放射增敏作用与 EGFR+ SUM149 模型中的 ERK1/2 抑制相关,以及 HER2+ SUM225 模型中的 AKT 抑制相关。我们的数据表明,拉帕替尼联合分段放疗可能对 EGFR+ 和 HER2+ 乳腺癌有效,并且抑制 ERK1/2 和 AKT 下游信号传导分别与 EGFR+ 和 HER2+ 细胞的敏化相关。
To determine whether lapatinib, a dual epidermal growth factor receptor (EGFR)/HER2 kinase inhibitor, can radiosensitize EGFR+ or HER2+ breast cancer xenografts. Mice bearing xenografts of basal-like/EGFR+ SUM149 and HER2+ SUM225 breast cancer cells were treated with lapatinib and fractionated radiotherapy and tumor growth inhibition correlated with alterations in ERK1 and AKT activation by immunohistochemistry. Basal-like/EGFR+ SUM149 breast cancer tumors were completely resistant to treatment with lapatinib alone but highly growth impaired with lapatinib plus radiotherapy, exhibiting an enhancement ratio average of 2.75 and a fractional tumor product ratio average of 2.20 during the study period. In contrast, HER2+ SUM225 breast cancer tumors were highly responsive to treatment with lapatinib alone and yielded a relatively lower enhancement ratio average of 1.25 during the study period with lapatinib plus radiotherapy. Durable tumor control in the HER2+ SUM225 model was more effective with the combination treatment than either lapatinib or radiotherapy alone. Immunohistochemical analyses demonstrated that radiosensitization by lapatinib correlated with ERK1/2 inhibition in the EGFR+ SUM149 model and with AKT inhibition in the HER2+ SUM225 model. Our data suggest that lapatinib combined with fractionated radiotherapy may be useful against EGFR+ and HER2+ breast cancers and that inhibition of downstream signaling to ERK1/2 and AKT correlates with sensitization in EGFR+ and HER2+ cells, respectively.
拉帕替尼对转移性乳腺癌细胞生长到大脑的影响。
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