1. Laboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy and Cancer Center, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China 2. Melanoma and Sarcoma Medical Oncology Unit, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China 3. State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China 4. Department of Gynecology and Obstetrics, The Third Xiangya Hospital, Central South University, Changsha 410008, China
The abnormal activation of HER family kinase activity is closely related to the development of human malignancies. In this study, we used HER kinases as targets for the treatment of nasopharyngeal carcinoma (NPC) and explored the anti-tumor effects of the novel pan-HER inhibitor HM781-36B, alone or in combination with cisplatin. We found that HER family proteins were positively expressed in tumor tissues of some NPC patients, and the high levels of those proteins were significantly related to poor prognosis. HM781-36B inhibited NPC in vitro and in vivo. HM781-36B exerted synergistic effects with cisplatin on inhibiting proliferation and promoting apoptosis of NPC cells. In NPC xenograft models in nude mice, HM781-36B and cisplatin synergistically inhibited tumor growth. Downregulating the activity of HER family proteins and their downstream signaling pathways and regulating tumor microenvironment may explain the synergistic anti-tumor effects of HM781-36B and cisplatin. In conclusion, our study provides evidence for HER family proteins as prognostic biomarkers and potential therapeutic targets for NPC. The pan-HER inhibitor HM781-36B alone or in combination with cisplatin represents promising therapeutic effects for the treatment of NPC patients, which provides a new idea for the comprehensive treatment of NPC.
F Bray, J Ferlay, I Soerjomataram, RL Siegel, LA Torre, A Jemal. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018; 68(6): 394–424 https://doi.org/10.3322/caac.21492
pmid: 30207593
3
AD Colevas, SS Yom, DG Pfister, S Spencer, D Adelstein, D Adkins, DM Brizel, B Burtness, PM Busse, JJ Caudell, AJ Cmelak, DW Eisele, M Fenton, RL Foote, J Gilbert, ML Gillison, RI Haddad, WL Jr Hicks, YJ Hitchcock, A Jimeno, D Leizman, E Maghami, LK Mell, BB Mittal, HA Pinto, JA Ridge, J Rocco, CP Rodriguez, JP Shah, RS Weber, M Witek, F Worden, W Zhen, JL Burns, SD Darlow. NCCN Guidelines Insights: Head and Neck Cancers, Version 1.2018. J Natl Compr Canc Netw 2018; 16(5): 479–490 https://doi.org/10.6004/jnccn.2018.0026
pmid: 29752322
4
SM Ali, M Yao, J Yao, J Wang, Y Cheng, AB Schrock, GW Chirn, H Chen, S Mu, L Gay, JA Elvin, J Suh, VA Miller, PJ Stephens, JS Ross, K Wang. Comprehensive genomic profiling of different subtypes of nasopharyngeal carcinoma reveals similarities and differences to guide targeted therapy. Cancer 2017; 123(18): 3628–3637 https://doi.org/10.1002/cncr.30781
pmid: 28581676
CL Arteaga, JA Engelman. ERBB receptors: from oncogene discovery to basic science to mechanism-based cancer therapeutics. Cancer Cell 2014; 25(3): 282–303 https://doi.org/10.1016/j.ccr.2014.02.025
pmid: 24651011
7
JL Leong, KS Loh, TC Putti, BC Goh, LK Tan. Epidermal growth factor receptor in undifferentiated carcinoma of the nasopharynx. Laryngoscope 2004; 114(1): 153–157 https://doi.org/10.1097/00005537-200401000-00029
pmid: 14710013
8
Z Taheri-Kadkhoda, B Magnusson, M Svensson, C Mercke, T Björk-Eriksson. Expression modes and clinical manifestations of latent membrane protein 1, Ki-67, cyclin-B1, and epidermal growth factor receptor in nonendemic nasopharyngeal carcinoma. Head Neck 2009; 31(4): 482–492 https://doi.org/10.1002/hed.21002
pmid: 19132724
9
WE Miller, HS Earp, N Raab-Traub. The Epstein-Barr virus latent membrane protein 1 induces expression of the epidermal growth factor receptor. J Virol 1995; 69(7): 4390–4398 https://doi.org/10.1128/jvi.69.7.4390-4398.1995
pmid: 7769701
10
G Bar-Sela, A Kuten, S Ben-Eliezer, E Gov-Ari, O Ben-Izhak. Expression of HER2 and C-KIT in nasopharyngeal carcinoma: implications for a new therapeutic approach. Mod Pathol 2003; 16(10): 1035–1040 https://doi.org/10.1097/01.MP.0000089778.48167.91
pmid: 14559987
B Duan, Z Zhu, B You, S Shi, Y Shan, P Jiang, Q Zhang, L Bao, Y Yin, Y You. Overexpression of ERBB3 promotes proliferation, migration, and angiogenesis in nasopharyngeal carcinoma. Int J Clin Exp Pathol 2019; 12(8): 2931–2940
pmid: 31934129
13
MH Kang, SU Moon, JH Sung, JW Kim, KW Lee, HS Lee, JS Lee, JH Kim. Antitumor activity of HM781-36B, alone or in combination with chemotherapeutic agents, in colorectal cancer cells. Cancer Res Treat 2016; 48(1): 355–364 https://doi.org/10.4143/crt.2014.260
pmid: 25761479
14
M Wang, Y Hu, T Yu, X Ma, X Wei, Y Wei. Pan-HER-targeted approach for cancer therapy: mechanisms, recent advances and clinical prospect. Cancer Lett 2018; 439: 113–130 https://doi.org/10.1016/j.canlet.2018.07.014
pmid: 30218688
15
MY Cha, KO Lee, M Kim, JY Song, KH Lee, J Park, YJ Chae, YH Kim, KH Suh, GS Lee, SB Park, MS Kim. Antitumor activity of HM781-36B, a highly effective pan-HER inhibitor in erlotinib-resistant NSCLC and other EGFR-dependent cancer models. Int J Cancer 2012; 130(10): 2445–2454 https://doi.org/10.1002/ijc.26276
pmid: 21732342
16
HJ Nam, HP Kim, YK Yoon, HS Hur, SH Song, MS Kim, GS Lee, SW Han, SA Im, TY Kim, DY Oh, YJ Bang. Antitumor activity of HM781-36B, an irreversible Pan-HER inhibitor, alone or in combination with cytotoxic chemotherapeutic agents in gastric cancer. Cancer Lett 2011; 302(2): 155–165 https://doi.org/10.1016/j.canlet.2011.01.010
pmid: 21306821
17
Y Hiraishi, T Wada, K Nakatani, I Tojyo, T Matsumoto, N Kiga, K Negoro, S Fujita. EGFR inhibitor enhances cisplatin sensitivity of oral squamous cell carcinoma cell lines. Pathol Oncol Res 2008; 14(1): 39–43 https://doi.org/10.1007/s12253-008-9020-5
pmid: 18347929
WKJ LamJYK Chan. Recent advances in the management of nasopharyngeal carcinoma F1000Res 2018; 7: F1000 Faculty Rev-1829 doi: 10.12688/f1000research.15066.1
pmid: 30519454
20
A Gschwind, OM Fischer, A Ullrich. The discovery of receptor tyrosine kinases: targets for cancer therapy. Nat Rev Cancer 2004; 4(5): 361–370 https://doi.org/10.1038/nrc1360
pmid: 15122207
21
BB Ma, TC Poon, KF To, B Zee, FK Mo, CM Chan, S Ho, PM Teo, PJ Johnson, AT Chan. Prognostic significance of tumor angiogenesis, Ki 67, p53 oncoprotein, epidermal growth factor receptor and HER2 receptor protein expression in undifferentiated nasopharyngeal carcinoma—a prospective study. Head Neck 2003; 25(10): 864–872 https://doi.org/10.1002/hed.10307
pmid: 12966511
22
Y Lee, S Cho, JH Seo, BK Shin, HK Kim, I Kim, A Kim. Correlated expression of erbB-3 with hormone receptor expression and favorable clinical outcome in invasive ductal carcinomas of the breast. Am J Clin Pathol 2007; 128(6): 1041–1049 https://doi.org/10.1309/GA5VRFQFY5D0MVKD
pmid: 18024331
23
A Naresh, W Long, GA Vidal, WC Wimley, L Marrero, CI Sartor, S Tovey, TG Cooke, JM Bartlett, FE Jones. The ERBB4/HER4 intracellular domain 4ICD is a BH3-only protein promoting apoptosis of breast cancer cells. Cancer Res 2006; 66(12): 6412–6420 https://doi.org/10.1158/0008-5472.CAN-05-2368
pmid: 16778220
24
CK Tang, XZ Concepcion, M Milan, X Gong, E Montgomery, ME Lippman. Ribozyme-mediated down-regulation of ErbB-4 in estrogen receptor-positive breast cancer cells inhibits proliferation both in vitro and in vivo. Cancer Res 1999; 59(20): 5315–5322
pmid: 10537315
25
Z Huang, C Brdlik, P Jin, HM Shepard. A pan-HER approach for cancer therapy: background, current status and future development. Expert Opin Biol Ther 2009; 9(1): 97–110 https://doi.org/10.1517/14712590802630427
pmid: 19063696
26
NE Hynes, HA Lane. ERBB receptors and cancer: the complexity of targeted inhibitors. Nat Rev Cancer 2005; 5(5): 341–354 https://doi.org/10.1038/nrc1609
pmid: 15864276
D Kazandjian, GM Blumenthal, W Yuan, K He, P Keegan, R Pazdur. FDA approval of gefitinib for the treatment of patients with metastatic EGFR mutation-positive non-small cell lung cancer. Clin Cancer Res 2016; 22(6): 1307–1312 https://doi.org/10.1158/1078-0432.CCR-15-2266
pmid: 26980062
29
HJ Kim, HP Kim, YK Yoon, MS Kim, GS Lee, SW Han, SA Im, TY Kim, DY Oh, YJ Bang. Antitumor activity of HM781-36B, a pan-HER tyrosine kinase inhibitor, in HER2-amplified breast cancer cells. Anticancer Drugs 2012; 23(3): 288–297 https://doi.org/10.1097/CAD.0b013e32834e7d9b
pmid: 23422737
30
EN Arwert, AS Harney, D Entenberg, Y Wang, E Sahai, JW Pollard, JS Condeelis. A unidirectional transition from migratory to perivascular macrophage is required for tumor cell intravasation. Cell Rep 2018; 23(5): 1239–1248 https://doi.org/10.1016/j.celrep.2018.04.007
pmid: 29719241
31
R Hughes, BZ Qian, C Rowan, M Muthana, I Keklikoglou, OC Olson, S Tazzyman, S Danson, C Addison, M Clemons, AM Gonzalez-Angulo, JA Joyce, M De Palma, JW Pollard, CE Lewis. Perivascular M2 macrophages stimulate tumor relapse after chemotherapy. Cancer Res 2015; 75(17): 3479–3491 https://doi.org/10.1158/0008-5472.CAN-14-3587
pmid: 26269531
M Kawano, S Mabuchi, Y Matsumoto, T Sasano, R Takahashi, H Kuroda, K Kozasa, K Hashimoto, A Isobe, K Sawada, T Hamasaki, E Morii, T Kimura. The significance of G-CSF expression and myeloid-derived suppressor cells in the chemoresistance of uterine cervical cancer. Sci Rep 2015; 5(1): 18217 https://doi.org/10.1038/srep18217
pmid: 26666576