Trastuzumab-DM1 (T-DM1) retains all the mechanisms of action of trastuzumab and efficiently inhibits growth of lapatinib insensitive breast cancer

被引:461
作者
Junttila, Teemu T. [1 ]
Li, Guangmin [1 ]
Parsons, Kathryn [1 ]
Phillips, Gail Lewis [1 ]
Sliwkowski, Mark X. [1 ]
机构
[1] Genentech Inc, Res Oncol, San Francisco, CA 94080 USA
关键词
Breast cancer; HER2; ErbB2; Trastuzumab; Therapeutic antibodies; Antibody drug conjugate (ADC); Trastuzumab-DM1 (T-DM1); ADJUVANT CHEMOTHERAPY; MONOCLONAL-ANTIBODY; BINDING-SITE; HUMAN IGG1; HERCEPTIN; THERAPY; PLUS; HER2; FC; MAYTANSINE;
D O I
10.1007/s10549-010-1090-x
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Trastuzumab (Herceptin(A (R))) is currently used as a treatment for patients whose breast tumors overexpress HER2/ErbB2. Trastuzumab-DM1 (T-DM1, trastuzumab emtansine) is designed to combine the clinical benefits of trastuzumab with a potent microtubule-disrupting drug, DM1 (a maytansine derivative). Currently T-DM1 is being tested in multiple clinical trials. The mechanisms of action for trastuzumab include inhibition of PI3K/AKT signaling pathway, inhibition of HER-2 shedding and Fc gamma receptor mediated engagement of immune cells, which may result in antibody-dependent cellular cytotoxicity (ADCC). Here we report that T-DM1 retains the mechanisms of action of unconjugated trastuzumab and is active against lapatinib resistant cell lines and tumors.
引用
收藏
页码:347 / 356
页数:10
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