RRC ID 69973
著者 Ebert K, Haffner I, Zwingenberger G, Keller S, Raimúndez E, Geffers R, Wirtz R, Barbaria E, Hollerieth V, Arnold R, Walch A, Hasenauer J, Maier D, Lordick F, Luber B.
タイトル Combining gene expression analysis of gastric cancer cell lines and tumor specimens to identify biomarkers for anti-HER therapies-the role of HAS2, SHB and HBEGF.
ジャーナル BMC Cancer
Abstract BACKGROUND:The standard treatment for patients with advanced HER2-positive gastric cancer is a combination of the antibody trastuzumab and platin-fluoropyrimidine chemotherapy. As some patients do not respond to trastuzumab therapy or develop resistance during treatment, the search for alternative treatment options and biomarkers to predict therapy response is the focus of research. We compared the efficacy of trastuzumab and other HER-targeting drugs such as cetuximab and afatinib. We also hypothesized that treatment-dependent regulation of a gene indicates its importance in response and that it can therefore be used as a biomarker for patient stratification.
METHODS:A selection of gastric cancer cell lines (Hs746T, MKN1, MKN7 and NCI-N87) was treated with EGF, cetuximab, trastuzumab or afatinib for a period of 4 or 24 h. The effects of treatment on gene expression were measured by RNA sequencing and the resulting biomarker candidates were tested in an available cohort of gastric cancer patients from the VARIANZ trial or functionally analyzed in vitro.
RESULTS:After treatment of the cell lines with afatinib, the highest number of regulated genes was observed, followed by cetuximab and trastuzumab. Although trastuzumab showed only relatively small effects on gene expression, BMF, HAS2 and SHB could be identified as candidate biomarkers for response to trastuzumab. Subsequent studies confirmed HAS2 and SHB as potential predictive markers for response to trastuzumab therapy in clinical samples from the VARIANZ trial. AREG, EREG and HBEGF were identified as candidate biomarkers for treatment with afatinib and cetuximab. Functional analysis confirmed that HBEGF is a resistance factor for cetuximab.
CONCLUSION:By confirming HAS2, SHB and HBEGF as biomarkers for anti-HER therapies, we provide evidence that the regulation of gene expression after treatment can be used for biomarker discovery.
TRIAL REGISTRATION:Clinical specimens of the VARIANZ study (NCT02305043) were used to test biomarker candidates.
巻・号 22(1)
ページ 254
公開日 2022-3-9
DOI 10.1186/s12885-022-09335-4
PII 10.1186/s12885-022-09335-4
PMID 35264144
PMC PMC8908634
MeSH Adaptor Proteins, Signal Transducing / genetics* Afatinib / pharmacology Biomarkers, Tumor / genetics Cell Line, Tumor Cetuximab / pharmacology Drug Resistance, Neoplasm / genetics Gene Expression / drug effects Heparin-binding EGF-like Growth Factor / genetics* Humans Hyaluronan Synthases / genetics* Proto-Oncogene Proteins / genetics* Receptor, ErbB-2 / drug effects Stomach Neoplasms / drug therapy* Stomach Neoplasms / genetics* Trastuzumab / pharmacology
IF 3.15
リソース情報
ヒト・動物細胞 MKN1(RCB1003)