Abstract P6-07-08: Blocking a key region in the HER2 subdomain III inhibits the HER2-network in patients with resistance to HER2-targeted therapy
Authors: Schroeder Barbara , Javier Menendez , Ingrid Espinoza , Ruth Lupu 
Published: May 2015

Abstract
The HER2 receptor is over-expressed in about 25% of breast carcinomas and correlates with more aggressive breast cancer disease, poor prognosis as well as resistance to chemo- and endocrine therapies. The strong correlation between HER2 levels/activity and the malignancy of the disease made it a preferred target for anti-cancer therapy. For example, Trastuzumab, which targets HER2 homo-dimerization and Pertuzumab, which interferes with HER2 hetero-dimerization, are in clinical use. Unfortunately, Trastuzumab monotherapy is only partially effective and the majority of breast cancer patients who initially respond to Trastuzumab rapidly develop resistance to the drug. Thus, novel strategies/agents are in need, especially drugs that prevent hetero-dimerization with other HER family members.
Structural analyses revealed that sub-domain III in the extracellular domain (ECD) of the HER family members is responsible for dimerization. Therefore, we hypothesized that disabling the dimerization loop in the HER2-ECD sub-domain III would ultimately convert HER2 to a non-functional receptor. Therefore, we introduced a series of deletions in the HER2-ECD sub-domain III and determined their oncogenic properties compared to HER2wt expressing cells. Importantly, a small deletion (16 amino acids) of the HER2 extracellular domain (named HER2Δ6) abolished its homo- and hetero-dimerization and profoundly affected HER2-catalyzed activation of the HER network, both in the context of HER2 over-expression and ligand-induced trans-activation of HER2. Expression of the HER2Δ6 variant failed to promote anchorage-independent growth and interfered with the activation/Tyr phosphorylation of HER1, HER2 and HER3. Moreover, this mutant failed to promote resistance to Paclitaxel treatment in HER2-overexpressing breast cancer cells.
To determine the molecular mechanisms underlying this behavior, we assessed the mutant and wt expressing cells lines morphologically and biochemically and demonstrated that the HER2Δ6 is absent from the plasma membrane (PM), most likely due to a intracellular trafficking defect that mistargets the receptor to or traps it in an endomembrane compartment. Compared to HER2wt-expressing cells, the HER2Δ6 mutant proves to be even more effective in inhibiting the oncogenic properties of the receptor than the current drugs of choice such as Trastuzumab, Pertuzumab and Cetuximab alone or in combination as measured by anchorage-independent growth.
These findings reveal that the HER2-ECD bears an essential "activating" region that is indispensable for HER2 homo-and heterodimerization. Elimination of this "activating" element in HER2 seems to recapitulate and greatly improve the combined actions of Trastuzumab and Pertuzumab. These findings offer a strong rationale for developing this peptide sequence into a valuable anti-HER2 therapeutic drug.
Citation Format: Barbara Schroeder, Menendez Javier, Espinoza Ingrid, Lupu Ruth. Blocking a key region in the HER2 subdomain III inhibits the HER2-network in patients with resistance to HER2-targeted therapy [abstract]. In: Proceedings of the Thirty-Seventh Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2014 Dec 9-13; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2015;75(9 Suppl):Abstract nr P6-07-08.