Cited by 337HER2/EGFR in Cancer ResearchLung Cancer Treatments and MutationsCancer-related Molecular Pathways

Cyclin E amplification/overexpression is a mechanism of trastuzumab resistance in HER2 + breast cancer patients

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Scaltriti, Maurizio, Eichhorn, Pieter J., Cortés, Javier, Prudkin, Ludmila, Aura, Claudia, Jiménez, José, Chandarlapaty, Sarat, Serra, Violeta +12 more·2011·Proceedings of the National Academy of Sciences

Abstract

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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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
Venue
Proceedings of the National Academy of Sciences
Published
2011-02-14
Volume
108
Issue
9
Pages
3761-3766
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
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
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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