Up-regulation of HER2 by gemcitabine enhances the antitumor effect of combined gemcitabine and trastuzumab emtansine treatment on pancreatic ductal adenocarcinoma cells

Although pancreatic ductal adenocarcinomas (PDAs) widely express HER2, the expression level is generally low. If HER2 expression in PDA cells could be enhanced by treatment with a given agent, then combination therapy with that agent and trastuzumab emtansine (T-DM1), a chemotherapeutic agent that i...

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Veröffentlicht in:BMC cancer 2015-10, Vol.15 (1), p.726-726, Article 726
Hauptverfasser: Kan, Shin, Koido, Shigeo, Okamoto, Masato, Hayashi, Kazumi, Ito, Masaki, Kamata, Yuko, Komita, Hideo, Nagasaki, Eijiro, Homma, Sadamu
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container_start_page 726
container_title BMC cancer
container_volume 15
creator Kan, Shin
Koido, Shigeo
Okamoto, Masato
Hayashi, Kazumi
Ito, Masaki
Kamata, Yuko
Komita, Hideo
Nagasaki, Eijiro
Homma, Sadamu
description Although pancreatic ductal adenocarcinomas (PDAs) widely express HER2, the expression level is generally low. If HER2 expression in PDA cells could be enhanced by treatment with a given agent, then combination therapy with that agent and trastuzumab emtansine (T-DM1), a chemotherapeutic agent that is a conjugate of trastuzumab, might lead to significant antitumor effects against PDA. Cell proliferation was examined by spectrophotometry. HER2 expression was examined by flow cytometry, immunoblot and quantitative reverse transcription polymerase chain reaction. T-DM1 binding to cells was examined by flow cytometry and enzyme-linked immunosorbent assay. Out of 5 tested human PDA cell lines, including MIA PaCa-2, three showed increases in HER2 expression after gemcitabine (GEM) treatment. The binding of T-DM1 to GEM-treated MIA PaCa-2 cells was higher than to untreated MIA PaCa-2 cells. Treatment with GEM and T-DM1 showed synergic cytotoxic effects on MIA PaCa-2 cells in vitro. Cells in the G2M phase of the cell cycle were retained after GEM treatment and showed higher levels of HER2 expression, possibly contributing to the synergic effect of GEM and T-DM1. Combined treatment with GEM and T-DM1 might confer a potent therapeutic modality against PDA as a result of GEM-mediated HER2 up-regulation.
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If HER2 expression in PDA cells could be enhanced by treatment with a given agent, then combination therapy with that agent and trastuzumab emtansine (T-DM1), a chemotherapeutic agent that is a conjugate of trastuzumab, might lead to significant antitumor effects against PDA. Cell proliferation was examined by spectrophotometry. HER2 expression was examined by flow cytometry, immunoblot and quantitative reverse transcription polymerase chain reaction. T-DM1 binding to cells was examined by flow cytometry and enzyme-linked immunosorbent assay. Out of 5 tested human PDA cell lines, including MIA PaCa-2, three showed increases in HER2 expression after gemcitabine (GEM) treatment. The binding of T-DM1 to GEM-treated MIA PaCa-2 cells was higher than to untreated MIA PaCa-2 cells. Treatment with GEM and T-DM1 showed synergic cytotoxic effects on MIA PaCa-2 cells in vitro. Cells in the G2M phase of the cell cycle were retained after GEM treatment and showed higher levels of HER2 expression, possibly contributing to the synergic effect of GEM and T-DM1. Combined treatment with GEM and T-DM1 might confer a potent therapeutic modality against PDA as a result of GEM-mediated HER2 up-regulation.</description><identifier>ISSN: 1471-2407</identifier><identifier>EISSN: 1471-2407</identifier><identifier>DOI: 10.1186/s12885-015-1772-1</identifier><identifier>PMID: 26475267</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject><![CDATA[Adenocarcinoma ; Adenocarcinoma - drug therapy ; Adenocarcinoma - genetics ; Adenocarcinoma - pathology ; Animals ; Antibodies ; Antibodies, Monoclonal, Humanized - administration & dosage ; Antineoplastic Combined Chemotherapy Protocols - administration & dosage ; Breast cancer ; Cancer ; Cancer therapies ; Care and treatment ; Cell cycle ; Cell Line, Tumor ; Cell Proliferation - drug effects ; Chemotherapy ; Complications and side effects ; Cytotoxicity ; Deoxycytidine - administration & dosage ; Deoxycytidine - analogs & derivatives ; Drug therapy ; Epidermal growth factor ; Gastric cancer ; Gene amplification ; Gene Expression Regulation, Neoplastic - drug effects ; Health aspects ; Humans ; Kinases ; Maytansine - administration & dosage ; Maytansine - analogs & derivatives ; Medical prognosis ; Metastasis ; Mice ; Pancreatic cancer ; Pancreatic Neoplasms - drug therapy ; Pancreatic Neoplasms - genetics ; Pancreatic Neoplasms - pathology ; Proteins ; Receptor, ErbB-2 - biosynthesis ; Receptor, ErbB-2 - genetics ; Signal transduction ; Trastuzumab ; Xenograft Model Antitumor Assays]]></subject><ispartof>BMC cancer, 2015-10, Vol.15 (1), p.726-726, Article 726</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2015</rights><rights>Kan et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c625t-f5c14880030676cd031072e1a599de164fd994e8009d842cfa14e17b8941b6963</citedby><cites>FETCH-LOGICAL-c625t-f5c14880030676cd031072e1a599de164fd994e8009d842cfa14e17b8941b6963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609140/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609140/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26475267$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kan, Shin</creatorcontrib><creatorcontrib>Koido, Shigeo</creatorcontrib><creatorcontrib>Okamoto, Masato</creatorcontrib><creatorcontrib>Hayashi, Kazumi</creatorcontrib><creatorcontrib>Ito, Masaki</creatorcontrib><creatorcontrib>Kamata, Yuko</creatorcontrib><creatorcontrib>Komita, Hideo</creatorcontrib><creatorcontrib>Nagasaki, Eijiro</creatorcontrib><creatorcontrib>Homma, Sadamu</creatorcontrib><title>Up-regulation of HER2 by gemcitabine enhances the antitumor effect of combined gemcitabine and trastuzumab emtansine treatment on pancreatic ductal adenocarcinoma cells</title><title>BMC cancer</title><addtitle>BMC Cancer</addtitle><description>Although pancreatic ductal adenocarcinomas (PDAs) widely express HER2, the expression level is generally low. If HER2 expression in PDA cells could be enhanced by treatment with a given agent, then combination therapy with that agent and trastuzumab emtansine (T-DM1), a chemotherapeutic agent that is a conjugate of trastuzumab, might lead to significant antitumor effects against PDA. Cell proliferation was examined by spectrophotometry. HER2 expression was examined by flow cytometry, immunoblot and quantitative reverse transcription polymerase chain reaction. T-DM1 binding to cells was examined by flow cytometry and enzyme-linked immunosorbent assay. Out of 5 tested human PDA cell lines, including MIA PaCa-2, three showed increases in HER2 expression after gemcitabine (GEM) treatment. The binding of T-DM1 to GEM-treated MIA PaCa-2 cells was higher than to untreated MIA PaCa-2 cells. Treatment with GEM and T-DM1 showed synergic cytotoxic effects on MIA PaCa-2 cells in vitro. 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Combined treatment with GEM and T-DM1 might confer a potent therapeutic modality against PDA as a result of GEM-mediated HER2 up-regulation.</description><subject>Adenocarcinoma</subject><subject>Adenocarcinoma - drug therapy</subject><subject>Adenocarcinoma - genetics</subject><subject>Adenocarcinoma - pathology</subject><subject>Animals</subject><subject>Antibodies</subject><subject>Antibodies, Monoclonal, Humanized - administration &amp; dosage</subject><subject>Antineoplastic Combined Chemotherapy Protocols - administration &amp; dosage</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Cell cycle</subject><subject>Cell Line, Tumor</subject><subject>Cell Proliferation - drug effects</subject><subject>Chemotherapy</subject><subject>Complications and side effects</subject><subject>Cytotoxicity</subject><subject>Deoxycytidine - administration &amp; dosage</subject><subject>Deoxycytidine - analogs &amp; 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dosage</topic><topic>Deoxycytidine - analogs &amp; derivatives</topic><topic>Drug therapy</topic><topic>Epidermal growth factor</topic><topic>Gastric cancer</topic><topic>Gene amplification</topic><topic>Gene Expression Regulation, Neoplastic - drug effects</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Kinases</topic><topic>Maytansine - administration &amp; dosage</topic><topic>Maytansine - analogs &amp; derivatives</topic><topic>Medical prognosis</topic><topic>Metastasis</topic><topic>Mice</topic><topic>Pancreatic cancer</topic><topic>Pancreatic Neoplasms - drug therapy</topic><topic>Pancreatic Neoplasms - genetics</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Proteins</topic><topic>Receptor, ErbB-2 - biosynthesis</topic><topic>Receptor, ErbB-2 - genetics</topic><topic>Signal transduction</topic><topic>Trastuzumab</topic><topic>Xenograft Model Antitumor Assays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kan, Shin</creatorcontrib><creatorcontrib>Koido, Shigeo</creatorcontrib><creatorcontrib>Okamoto, Masato</creatorcontrib><creatorcontrib>Hayashi, Kazumi</creatorcontrib><creatorcontrib>Ito, Masaki</creatorcontrib><creatorcontrib>Kamata, Yuko</creatorcontrib><creatorcontrib>Komita, Hideo</creatorcontrib><creatorcontrib>Nagasaki, Eijiro</creatorcontrib><creatorcontrib>Homma, Sadamu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health &amp; 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Cells in the G2M phase of the cell cycle were retained after GEM treatment and showed higher levels of HER2 expression, possibly contributing to the synergic effect of GEM and T-DM1. Combined treatment with GEM and T-DM1 might confer a potent therapeutic modality against PDA as a result of GEM-mediated HER2 up-regulation.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26475267</pmid><doi>10.1186/s12885-015-1772-1</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenocarcinoma
Adenocarcinoma - drug therapy
Adenocarcinoma - genetics
Adenocarcinoma - pathology
Animals
Antibodies
Antibodies, Monoclonal, Humanized - administration & dosage
Antineoplastic Combined Chemotherapy Protocols - administration & dosage
Breast cancer
Cancer
Cancer therapies
Care and treatment
Cell cycle
Cell Line, Tumor
Cell Proliferation - drug effects
Chemotherapy
Complications and side effects
Cytotoxicity
Deoxycytidine - administration & dosage
Deoxycytidine - analogs & derivatives
Drug therapy
Epidermal growth factor
Gastric cancer
Gene amplification
Gene Expression Regulation, Neoplastic - drug effects
Health aspects
Humans
Kinases
Maytansine - administration & dosage
Maytansine - analogs & derivatives
Medical prognosis
Metastasis
Mice
Pancreatic cancer
Pancreatic Neoplasms - drug therapy
Pancreatic Neoplasms - genetics
Pancreatic Neoplasms - pathology
Proteins
Receptor, ErbB-2 - biosynthesis
Receptor, ErbB-2 - genetics
Signal transduction
Trastuzumab
Xenograft Model Antitumor Assays
title Up-regulation of HER2 by gemcitabine enhances the antitumor effect of combined gemcitabine and trastuzumab emtansine treatment on pancreatic ductal adenocarcinoma cells
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