Abstract

BackgroundHER2-targeted therapy with the monoclonal antibody trastuzumab (Herceptin®) has improved disease-free survival for women diagnosed with HER2-positive breast cancers; however, treatment resistance and disease progression are not uncommon. Current data suggest that resistance to treatment in HER2 cancers may be a consequence of NF-κB overexpression and increased COX2-derived prostaglandin E2 (PGE2). Conjugated linoleic acid (CLA) has been shown to have anti-tumor properties and to inhibit NF-κB activity and COX2.MethodsIn this study, HER2-overexpressing SKBr3 breast cancer cells were treated with t10c12 CLA. Protein expression of the HER2 receptor, nuclear NF-κB p65, and total and phosphorylated IκB were examined by western blot and immunofluorescence. PGE2 levels were determined by ELISA. Proliferation was measured by metabolism of 3-(4, 5-Dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (MTT), and apoptosis was measured by FITC-conjugated Annexin V staining and flow cytometry.Results/ConclusionsWe observed a significant decrease in HER2 protein expression on western blot following treatment with 40 and 80 µM t10c12 CLA (p<0.01 and 0.001, respectively) and loss of HER2 protein in cells using immunoflourescence that was most pronounced at 80 µM. Protein levels of nuclear NF-κB p65 were also significantly reduced at the 80 µM dose. This was accompanied by a significant decrease in PGE2 levels (p = 0.05). Pretreatment with t10c12 CLA significantly enhanced TNFα-induced apoptosis and the anti-proliferative action of trastuzumab (p = 0.05 and 0.001, respectively). These data add to previous reports of an anti-tumor effect of t10c12 CLA and suggest an effect on the HER2 oncogene that may be through CLA mediated downregulation of COX2-derived PGE2.

Highlights

  • Overexpression of the HER2 oncogene occurs in 25–30% of human breast cancers and is associated with poor outcome [1]

  • In agreement with Western blots, immunofluorescence staining of cells treated with t10c12 Conjugated linoleic acid (CLA) indicated a reduction in surface and membrane HER2 protein at both 40 and 80 mM treatment (Figure 1B)

  • Pianetti et al, demonstrated that suppression of HER2 decreased nuclear factor-kB (NF-kB) activity [42]. Based on this association and the observed suppression of HER2 protein by t10c12 CLA, we tested whether nuclear localization of NF-kB was inhibited by t10c12 CLA treatment

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Summary

Introduction

Overexpression of the HER2 oncogene occurs in 25–30% of human breast cancers and is associated with poor outcome [1]. HER2 overexpression often occurs with estrogen receptor (ER) negative disease, making these tumors resistant to hormonal therapies [2]. Treatment with trastuzumab (HerceptinH) has improved disease-free survival in patients with metastatic breast cancer, but is limited by both cardio toxicity and inherent and acquired resistance [3]. Significant effort is currently directed at combining HerceptinH with traditional anticancer agents as well as emerging therapies against additional target molecules, including inhibitors of other receptor tyrosine kinases, nuclear factor-kB (NF-kB), and chaperone protein HSP90 to improve clinical outcome [2,4,5,6]. HER2-targeted therapy with the monoclonal antibody trastuzumab (HerceptinH) has improved disease-free survival for women diagnosed with HER2-positive breast cancers; treatment resistance and disease progression are not uncommon. Conjugated linoleic acid (CLA) has been shown to have anti-tumor properties and to inhibit NF-kB activity and COX2

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