1. ADAM-17: a novel therapeutic target for triple negative breast cancer.
- Author
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McGowan PM, Mullooly M, Caiazza F, Sukor S, Madden SF, Maguire AA, Pierce A, McDermott EW, Crown J, O'Donovan N, and Duffy MJ
- Subjects
- ADAM Proteins biosynthesis, ADAM17 Protein, Cell Line, Tumor, Cell Proliferation drug effects, Cell Survival drug effects, Female, Humans, Molecular Targeted Therapy, Phosphorylation drug effects, RNA, Messenger biosynthesis, Receptor, ErbB-2 metabolism, Receptors, Estrogen metabolism, Receptors, Progesterone metabolism, Signal Transduction drug effects, Transforming Growth Factor alpha metabolism, ADAM Proteins antagonists & inhibitors, ADAM Proteins metabolism, Breast Neoplasms drug therapy, Breast Neoplasms metabolism, ErbB Receptors metabolism
- Abstract
Background: Validated targeted therapy is currently unavailable for patients with invasive breast cancer negative for oestrogen receptors, progesterone receptors and HER2 [i.e., those with triple-negative (TN) disease]. ADAM-17 is a protease involved in the activations of several ligands that bind to and promotes intracellular signalling from the EGFR/HER family of receptors., Patients and Methods: Expression of ADAM-17 was measured in 86 triple-negative and 96 non-triple-negative breast cancers. The ADAM-17 specific inhibitor, PF-5480090 (TMI-002, Pfizer) was tested in a panel of breast cancer cell lines for effects on functional outputs., Results: In this study we show using both Western blotting and immunohistochemistry that ADAM-17 is expressed at significantly higher levels in TN than non-TN breast cancers. Using a panel of breast cancer cell lines in culture, PF-5480090 was found to decrease release of the EGFR ligand, TGF-alpha, decrease levels of phosphorylated EGFR and block cell proliferation in a cell-type-dependent manner. Potentially important was the finding of a significant and moderately strong correlation between ADAM-17 activity and extent of proliferation inhibition by PF-5480090 (r = 0.809; p = 0.003; n = 11). Pretreatment of cell lines with PF-5480090 enhanced response to several different cytotoxic and anti-EGFR/HER agents., Conclusion: It is concluded that inhibition of ADAM-17, especially in combination with chemotherapy or anti-EGFR/HER inhibitors, may be a new approach for treating breast cancer, including patients with TN disease.
- Published
- 2013
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