Cyclin E amplification/overexpression is a mechanism of trastuzumab resistance in HER2 + breast cancer patients
Open accessAbstract
Clinical benefits from trastuzumab and other anti-HER2 therapies in patients with HER2 amplified breast cancer remain limited by primary or acquired resistance. To identify potential mechanisms of resistance, we established trastuzumab-resistant HER2 amplified breast cancer cells by chronic exposure to trastuzumab treatment. Genomewide copy-number variation analyses of the resistant cells compared with parental cells revealed a focal amplification of genomic DNA containing the cyclin E gene. In a cohort of 34 HER2(+) patients treated with trastuzumab-based therapy, we found that cyclin E amplification/overexpression was associated with a worse clinical benefit (33.3% compared with 87.5%, P < 0.02) and a lower progression-free survival (6 mo vs. 14 mo, P < 0.002) compared with nonoverexpressing cyclin E tumors. To dissect the potential role of cyclin E in trastuzumab resistance, we studied the effects of cyclin E overexpression and cyclin E suppression. Cyclin E overexpression resulted in resistance to trastuzumab both in vitro and in vivo. Inhibition of cyclin E activity in cyclin E-amplified trastuzumab resistant clones, either by knockdown of cyclin E expression or treatment with cyclin-dependent kinase 2 (CDK2) inhibitors, led to a dramatic decrease in proliferation and enhanced apoptosis. In vivo, CDK2 inhibition significantly reduced tumor growth of trastuzumab-resistant xenografts. Our findings point to a causative role for cyclin E overexpression and the consequent increase in CDK2 activity in trastuzumab resistance and suggest that treatment with CDK2 inhibitors may be a valid strategy in patients with breast tumors with HER2 and cyclin E coamplification/overexpression.
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In a cohort of patients with HER2+ breast cancers treated with trastuzumab, amplification of cyclin E was associated with a diminished clinical response.
“Further, in a cohort of patients with HER2+ breast cancers treated with trastuzumab, amplification of cyclin E was associated with a diminished clinical response.”
From ERBB Receptors: From Oncogene Discovery to Basic Science to Mechanism-Based Cancer Therapeutics (2014) · cites this paper as Scaltriti et al., 2011
Cell lines made resistant to trastuzumab by chronic exposure exhibited focal amplification of cyclin E.
“Cell lines made resistant to trastuzumab by chronic exposure exhibited focal amplification of cyclin E.”
From ERBB Receptors: From Oncogene Discovery to Basic Science to Mechanism-Based Cancer Therapeutics (2014) · cites this paper as Scaltriti et al., 2011
CDK2 inhibitors reduced growth of these trastuzumab-resistant xenografts.
“CDK2 inhibitors reduced growth of these trastuzumab-resistant xenografts (Scaltriti et al., 2011).”
From ERBB Receptors: From Oncogene Discovery to Basic Science to Mechanism-Based Cancer Therapeutics (2014) · cites this paper as Scaltriti et al., 2011
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- Authors
- Scaltriti, M., Eichhorn, P. J., Cortés, J., Prudkin, L., Aura, C., Jiménez, J., Chandarlapaty, S., Serra, V., Prat, A., Ibrahim, Y. H., Guzmán, M., Gili, M., Rodríguez, O., Rodríguez, S., Pérez, J., Green, S. R., Mai, S., Rosen, N., Hudis, C., & Baselga, J.
- Affiliations
- Harvard University (US)
- Vanderbilt University (US)
- Vall d'Hebron Institute of Oncology (ES)
- Molecular Pathology, Vall d'Hebron Institute of Oncology, 08035 Barcelona, Spain;
- Memorial Sloan Kettering Cancer Center (US)
- Departments of aMedical Oncology and
- Cyclacel Pharmaceuticals (United Kingdom) (GB)
- Manitoba Institute of Cell Biology, Winnipeg, MB, Canada R3E 0V9; and
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2011-02-14
- Volume
- 108
- Issue
- 9
- Pages
- 3761-3766
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC3048107
- OpenAlex
- W1966937303
- Cited by
- 337
- References
- 50
- Citations by year
- 2026: 16 · 2025: 13 · 2024: 17 · 2023: 16 · 2022: 26 · 2021: 22 · 2020: 20 · 2019: 18 · 2018: 20 · 2017: 24 · 2016: 29 · 2015: 22 · 2014: 24 · 2013: 28 · 2012: 27
- FWCI
- 14.66
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Breast Cancer Research Foundation
- National Institutes of Health (5k08ca134833-02)
- Instituto de Salud Carlos III
- National Cancer Institute (K08-CA134833, P30CA008748)
- FP7 Ideas: European Research Council (250244)
- 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 › Oncology › Cancer-related Molecular Pathways
- Keywords
- cyclin E, trastuzumab resistance, HER2-positive breast cancer, HER2 amplification, CDK2 inhibitors, CDK2, gene amplification, copy number variation, progression-free survival, apoptosis, tumor cell proliferation, HER2-targeted therapy
- MeSH terms
- Trastuzumab, Antibodies, Monoclonal, Breast Neoplasms, Female, Gene Amplification, Humans, Models, Biological, Oncogene Proteins, Erb-b2 Receptor Tyrosine Kinases, Receptor, ErbB-2, Drug Resistance, Neoplasm, Cyclin E, Cell Line, Tumor, Protein Kinase Inhibitors, Cyclin-Dependent Kinase 2, Antibodies, Monoclonal, Humanized
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