Neuregulin-1-Mediated Autocrine Signaling Underlies Sensitivity to HER2 Kinase Inhibitors in a Subset of Human Cancers
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HER2 kinase inhibitors, such as lapatinib, have demonstrated clinical efficacy in HER2-amplified breast cancers. By profiling nearly 700 human cancer cell lines, we identified a subset of non-HER2 amplified cancer cells with striking sensitivity to HER2 kinase inhibition-particularly from head and neck tumors. These cells were found to depend on a neuregulin-1 (NRG1)-mediated autocrine loop driving HER3 activation, which can be disrupted by lapatinib. Elevated NRG1 expression and activated HER3 are strongly associated with lapatinib sensitivity in vitro, and these biomarkers were enriched in a subset of primary head and neck cancer samples. The findings suggest that patients with NRG1-driven tumors lacking HER2 amplification may derive significant clinical benefit from HER2:HER3-directed therapies.
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It is likely that heregulin-driven tumors lacking HER2 amplification may benefit from HER2-directed therapies.
“It is likely that also heregulin-driven tumors lacking HER2 amplification may benefit from HER2-directed therapies [92, 95, 96]”
From Primary and acquired resistance to EGFR-targeted therapies in colorectal cancer: impact on future treatment strategies (2014) · cites this paper as [95]
A NRG1-mediated autocrine loop inducing HER3 activation was discovered in head and neck cancer cells without HER2 amplification; these cells were particularly sensitive to lapatinib.
“A NRG1-mediated autocrine loop inducing HER3 activation was also discovered in head and neck cancer cells without HER2 amplification. These cells were particularly sensitive to the EGFR/HER2 TKI lapatinib (Wilson et al., 2011), suggesting NRG1-driven tumors depend on HER3 activated by HER2 and/or EGFR.”
From ERBB Receptors: From Oncogene Discovery to Basic Science to Mechanism-Based Cancer Therapeutics (2014) · cites this paper as Wilson et al., 2011
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- Authors
- Wilson, T. R., Lee, D. Y., Berry, L., Shames, D. S., & Settleman, J.
- Affiliations
- Harvard University (US)
- Genentech (US)
- Corresponding author
- Settleman, Jeff
- Venue
- Cancer Cell
- Publisher
- Elsevier BV
- Published
- 2011-08
- Volume
- 20
- Issue
- 2
- Pages
- 158-172
- ISSN
- 1535-6108 (ISSN-L)
- OpenAlex
- W2049610624
- Cited by
- 161
- References
- 40
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 7 · 2022: 3 · 2021: 12 · 2020: 8 · 2019: 6 · 2018: 11 · 2017: 17 · 2016: 17 · 2015: 19 · 2014: 14 · 2013: 26 · 2012: 14
- FWCI
- 8.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 716 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Cancer Cell (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Genentech
- Topics
- Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Health Sciences › Medicine › Pathology and Forensic Medicine › Cancer Mechanisms and Therapy
- Keywords
- neuregulin-1, HER2 kinase inhibitors, lapatinib, autocrine signaling, head and neck cancer, HER2-amplified breast cancer, drug sensitivity, biomarkers, cancer cell lines
- MeSH terms
- Humans, Ligands, Signal Transduction, Erb-b2 Receptor Tyrosine Kinases, Neuregulin-1, Cell Line, Tumor
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