2018
DOI: 10.1073/pnas.1717820115
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Coamplification of miR-4728 protects HER2 -amplified breast cancers from targeted therapy

Abstract: SignificanceIn HER2-amplified breast cancers, HER2 inhibitors have been very successful as adjuvant therapy but not as monotherapy. Here, we demonstrate that coamplification of a HER2 intronic miRNA causes intrinsic resistance to HER2 inhibitors by indirectly down-regulating the pro-apoptotic NOXA. Importantly, coinhibition with MCL-1 inhibitors overcomes this resistance.

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Cited by 25 publications
(30 citation statements)
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“…To summarize, the phenomenon of intronic microRNAs to support the function of their host genes has already been described. 9 However, in our study, 10 we have found that a microRNA species which is co-amplified within the HER2 amplicon, and in this case the HER2 gene itself, mitigates the efficacy of HER2 inhibitors. With many other actionable cancer drivers activated by amplification, such as EGFR in Head and Neck cancers and colorectal cancers, a careful assessment of the other co-amplified genes may provide important mechanistic insights (and possibly biomarkers) for intrinsic resistance to the therapies directed against these cancer drivers.…”
contrasting
confidence: 51%
“…To summarize, the phenomenon of intronic microRNAs to support the function of their host genes has already been described. 9 However, in our study, 10 we have found that a microRNA species which is co-amplified within the HER2 amplicon, and in this case the HER2 gene itself, mitigates the efficacy of HER2 inhibitors. With many other actionable cancer drivers activated by amplification, such as EGFR in Head and Neck cancers and colorectal cancers, a careful assessment of the other co-amplified genes may provide important mechanistic insights (and possibly biomarkers) for intrinsic resistance to the therapies directed against these cancer drivers.…”
contrasting
confidence: 51%
“…3 and 4), it was recently reported that MCL-1 levels increase in EGFRi-acquired resistant patients (52). In addition, recent studies have demonstrated a key role for MCL-1 in the survival of subsets of not only NSCLC (40), but also breast (42,53), neuroblastoma (25), and blood cancers (43). Although the protein levels of MCL-1 in DTCs were sharply upregulated (Fig.…”
Section: Discussionmentioning
confidence: 85%
“…To this extent, Shin et al noticed a decreased expression of miR-16, miR-21 and miR-199a-5p along with an increase in the levels of miR-92a-3p and miR-342-3p in both blood and tissue samples collected from TNBC patients [188]. Meanwhile, in HER2+ tumors, it has repeatedly been shown that miR-4728 is co-expressed with HER2, acting as an oncogene [189][190][191]. Moreover, Søkilde et al have recently demonstrated the expression of two other small RNAs in HER2-enriched tumors, namely miR-2115 and miR-7158, which are otherwise very lowly expressed in healthy tissues [192].…”
Section: Mirnas In Distinguishing Cancer Subtypesmentioning
confidence: 99%