Combining RANK/RANKL and ERBB-2 targeting as a novel strategy in ERBB-2-positive breast carcinomas.

Background: ERBB-2 is overexpressed in about 20% of breast cancers (BCs), indicating poor prognosis. The receptor activator of nuclear factor-κB (RANK) pathway is implicated in ERBB-2 (+) BC. The purpose of this study was to elucidate the underlying molecular mechanism of this interaction and the be...

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Publicado en:Breast Cancer Research Vol. 21; no. 1
Autores principales: Zoi, Ilianna, Karamouzis, Michalis V., Xingi, Evangelia, Sarantis, Panagiotis, Thomaidou, Dimitra, Lembessis, Panayiotis, Theocharis, Stamatios, Papavassiliou, Athanasios G.
Formato: research Journal Article
Publicado: BioMed Central 12/3/2019
Acceso en línea:Ver este registro en EBSCOhost
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        14655411
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      jtl: Breast Cancer Research
      issn: 14655411
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    pubinfo:
      dt: 12/3/2019
      vid: 21
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      pub: BioMed Central
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        NLM31796128
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        10.1186/s13058-019-1226-9
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        atl: Combining RANK/RANKL and ERBB-2 targeting as a novel strategy in ERBB-2-positive breast carcinomas.
      aug:
        au:
          Zoi, Ilianna
          Karamouzis, Michalis V.
          Xingi, Evangelia
          Sarantis, Panagiotis
          Thomaidou, Dimitra
          Lembessis, Panayiotis
          Theocharis, Stamatios
          Papavassiliou, Athanasios G.
        affil: Molecular Oncology Unit, Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, 75, M. Asias Street, 11527, Athens, Greece
      sug:
        subj:
          Breast Neoplasms Metabolism
          Drug Therapy
          Receptors, Cell Surface Antagonists and Inhibitors
          Tumor Necrosis Factor Antagonists and Inhibitors
          Membrane Proteins Metabolism
          Receptors, Cell Surface Metabolism
          Tumor Necrosis Factor
          Breast Neoplasms
          Receptors, Cell Surface
          Cells, Cultured
          Breast Neoplasms Pathology
          Tumor Necrosis Factor Metabolism
          Membrane Proteins
          Female
          Gene Expression
          Human
          Immunohistochemistry
          Cell Line, Tumor
          Breast Neoplasms Drug Therapy
          Signal Transduction Drug Effects
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Clinical Assessment Tools
          Impact of Events Scale
          Female
      ab: Background: ERBB-2 is overexpressed in about 20% of breast cancers (BCs), indicating poor prognosis. The receptor activator of nuclear factor-κB (RANK) pathway is implicated in ERBB-2 (+) BC. The purpose of this study was to elucidate the underlying molecular mechanism of this interaction and the beneficial impact of dual targeting of RANK and ERBB-2 pathways.Methods: We used SKBR3, MCF7, MDA-MB-453, and BT-474 human BC cell lines. We examined RANK and RANKL expression using RT-PCR, Western blot, and immunofluorescence. The evaluation of RANK expression in a cohort of BC patients was performed using immunohistochemistry. The interaction between RANK and ERBB family members was detected using proximity ligation assay (PLA), which enables the visualization of interacting proteins. We used inhibitors of both pathways [trastuzumab (T), pertuzumab (P), denosumab (D)]. NF-κB pathway activation was studied using Western blot. Cell growth and viability was evaluated using XTT, flow cytometry, and clonogenic assay. For cell migration evaluation, scratch assay was performed. Data were analyzed by one-way ANOVA.Results: Cell lines express RANK and RANKL. RANK immunostaining was also detected in human BC tissue samples. RANK receptor dimerizes with ERBB family members. RANK/ERBB-2 dimer number seems to be associated with ERBB-2 expression (SKBR3, 5.4; BT-474, 8.2; MCF7, 0.7; MDA-MB-453, 0.3). RANK/ERBB-2 dimers were decreased in the presence of the inhibitors D, T, and P, while they were increased after RANKL (R) treatment in SKBR3 (m, 5.4; D, 1.2; T, 1.9; DT, 0.6; TP, 1; DTP, 0.4; R, 11.8) and BT-474 (m, 8.2; D, 3.1; T, 4.3; DT, 0.7; TP, 3.4; DTP, 3.2; R, 11.6). Combination targeting of SKBR3 further decreased NF-κB pathway activation compared to single targeting. In SKBR3, RANKL and ERBB-2 blockage resulted in reduced cell proliferation, increased apoptosis, and lower metastatic potential compared to mock cells (m) and reversed values in RANKL presence. The combination treatment of SKBR3 with D, T, and P had an advantage in functional traits compared to single targeting. Denosumab suppressed NF-κB signaling and diminished proliferation rate in MDA-MB-453 cells. MCF7 did not correspond to inhibitors.Conclusions: The results indicate a novel physical and molecular association between ERBB-2 and RANK pathways that affects ERBB-2 (+) BC growth. We also present data suggesting that the combination of anti-ERBB-2 agents and RANKL inhibitors have a potential direct anti-tumor effect and should be further tested in certain BC patients.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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