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Cell signaling and HER2 expression in
breast cancer
1
Cell signaling has been most extensively studied in the context of human diseases and
signaling between cells of a single organism. However, cell signaling may also occur
between the cells of two different organisms.
Cell signaling can be classified to be mechanical and biochemical based on the type of
the signal. Mechanical signals are the forces exerted on the cell and the forces
produced by the cell. These forces can both be sensed and responded by the cells .
Biochemical signals are the biochemical molecules such as proteins, lipids, ions and
gases. These signals can be categorized based on the distance between signaling and
responder cells
2
 Higher organisms, are comprised of cells.
 The cells often unite to form tissue which come together to form
organs which together make up the organism.
 Cells of an organism do not live in isolation.
 The communication between cells ultimately controls growth,
differentiation, and metabolic processes within the organism.
 Communication between cells is often by direct cell to cell
contact.
 Communication frequently occurs between cells over short and
long distances.
3
 In cases of short and long distance communication, a substance may be
released by one cell and recognized by a different target cell.
 In the target cell, a specific response is induced.
 Cells use an amazing number of signaling chemicals.
 These signaling molecules are termed “hormones.”
 The ability of a hormone to induce a response in a target cell is usually
mediated by a hormone receptor on, or in, the target cell.
4
An animal cell depends on multiple extracellular signals
5
Enzyme-linked receptor
6
Tyrosine kinase receptors are a family of receptors with a similar structure. They each
have a tyrosine kinase domain (which phosphorylates proteins on tyrosine residues),
a hormone binding domain, and a carboxyl terminal segment with multiple tyrosines
for autophosphorylation. When hormone binds to the extra cellular domain the
receptors aggregate.
7
When the receptors aggregate, the tyrosine kinase domains
phosphorylate the C terminal tyrosine residues. 8
This phosphorylation produces binding sites for proteins with SH2
domains. GRB2 is one of these proteins. GRB2, with SOS bound to it,
then binds to the receptor complex. This causes the activation of SOS.
9
SOS is a guanyl nucleotide-release protein (GNRP). When this is
activated, it causes certain G proteins to release GDP and exchange it for
GTP. Ras is one of these proteins. When ras has GTP bound to it, it
becomes active. 10
Activated ras then causes the activation of a cellular kinase called raf-1.
11
Raf-1 kinase then phosphorylates another cellular kinase called MEK.
This cause the activation of MEK. 12
Activated MEK then phosphorylates another protein kinase called MAPK causing its
activation. This series of phosphylating activations is called a kinase cascade. It results
in amplification of the signal. 13
Among the final targets of the kinase cascade are transcriptions factors (fos and jun showed
here). Phosphorylation of these proteins causes them to become active and bind to the DNA,
causing changes in gene transcription. 14
EGF Receptor Signal Transduction Pathway
Tyrosine kinase
Cell Proliferation 15
HER2 signaling
16
The HER2 signaling network
• Human epidermal growth
factor receptor 2 (HER2) is
a member of the ErbB
family of receptor tyrosine
kinases (RTK).
• Ligand binding induces
receptor dimerization and
phosphorylation of tyrosine
residues in the C-terminal
tail segments.
• Tyrosines serve as docking
sites for signaling
molecules, activating
molecular pathways such as
cellular proliferation.
• Overexpression of HER2
results in ligand-independent
activation and occurs in 20-
30% of human breast
cancers.
17
18
19
PI3K (Phosphatidylinositol-3-kinase) is a group of enzymes involved in cellular growth,
proliferation, differentiation, cell motility, intracellular trafficking, and survival that play
very important roles in developing breast cancer.
PI3K (Phosphoinositide 3-kinase) is activated by survival factors or transforming
events such as HER2 overexpression/activation. Activated PI3K generates
phosphoinositides causing translocation of AKT to the plasma membrane, where it is
phosphorylated and activated. Activated AKT can then phosphorylate numerous
targets. Activated AKT negatively regulated by the antagonising action of
phosphatase and tensin homologue (PTEN) on PI3K .
HER2 overexpresstion, undergoes proteolytic cleavage which results in
the release of the extracellular domain and in the production of a truncated
membrane-bound fragment (p95).
20
Akt
SO
S
RA
S
RA
FME
K
VEGF
MAP
K
P
P
P
P
Receptor-specific
ligands
HER1, HER2,
HER3, or HER4
HER2
HER1
HER2 HER4
HER3
PI3K
Cell proliferation
Cell survival
Cell mobility and invasiveness
Cytoplasm
Nucleus
Transcription
Signal Transduction by the HER Family Promotes
Proliferation, Survival, and Invasiveness
Ross JS, et al. The Oncologist.
21
Activation of the PI3K-Akt Pathway by a Receptor Tyrosine Kinase
22
feedback control in the PI3K-Akt Pathway
23
Herceptin,
a monoclonal antibody,
binds to HER2
and ultimately results
in destruction of the cell
Accounts for 20-30% of breast cancer cases
24
 Trastuzumab is the first of such agents which was registered for use in
patients with HER2-overexpressing breast cancer.
A proposed mechanism of action of trastuzumab is the reduction of the signalling
from these pathways, thus promoting apoptosis and the arrest of proliferation.
Diminished receptor signalling may result from trastuzumab-mediated internalisation
and degradation of the HER2 receptor, but, as discussed above, it is unclear whether
trastuzumab actually down-regulates HER2. An alternative mechanism by which
trastuzumab may block PI3K signalling , who demonstrated that trastuzumab
specifically inhibits PI3K signalling by increasing PTEN membrane localisation and
phosphatase activity. This in turn leads to rapid AKT dephosphorylation and inhibition
of cell proliferation.
25
ADCC is mainly due to the activation of natural killer cells (NK), expressing the Fc gamma receptor,
which can be bound by the Fc domain of trastuzumab. This event activates the lysis of cancer cells bound to trastuzumab
26
27
28
Her2 gene knockdown
29
Receptor
HER2 BT474, SKBR3, AU565
Progesterone BT474, MCF7, ZR7501
Estrogen MCF7, ZR7501
Breast cancer cell lines
30
Her2/neu target sequence: 5-GCC TGT GCC CAC TAT AAG GAC-3, R
31
32
Mechanism of RNA Interference (RNAi)
• Long double-stranded RNAs (dsRNAs; typically
>200 nt) can be used to silence the expression
of target genes in a variety of organisms and
cell types (e.g., worms, fruit flies, and plants).
• In mammalian cells, introduction of long dsRNA
(>30 nt) initiates a potent antiviral response,
exemplified by nonspecific inhibition of protein
synthesis and RNA degradation. The
mammalian antiviral response can be bypassed,
however, by the introduction or expression of
siRNAs.
33
34
35
Thank you

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Cell signaling her2 expression in breast cancer

  • 1. Cell signaling and HER2 expression in breast cancer 1
  • 2. Cell signaling has been most extensively studied in the context of human diseases and signaling between cells of a single organism. However, cell signaling may also occur between the cells of two different organisms. Cell signaling can be classified to be mechanical and biochemical based on the type of the signal. Mechanical signals are the forces exerted on the cell and the forces produced by the cell. These forces can both be sensed and responded by the cells . Biochemical signals are the biochemical molecules such as proteins, lipids, ions and gases. These signals can be categorized based on the distance between signaling and responder cells 2
  • 3.  Higher organisms, are comprised of cells.  The cells often unite to form tissue which come together to form organs which together make up the organism.  Cells of an organism do not live in isolation.  The communication between cells ultimately controls growth, differentiation, and metabolic processes within the organism.  Communication between cells is often by direct cell to cell contact.  Communication frequently occurs between cells over short and long distances. 3
  • 4.  In cases of short and long distance communication, a substance may be released by one cell and recognized by a different target cell.  In the target cell, a specific response is induced.  Cells use an amazing number of signaling chemicals.  These signaling molecules are termed “hormones.”  The ability of a hormone to induce a response in a target cell is usually mediated by a hormone receptor on, or in, the target cell. 4
  • 5. An animal cell depends on multiple extracellular signals 5
  • 7. Tyrosine kinase receptors are a family of receptors with a similar structure. They each have a tyrosine kinase domain (which phosphorylates proteins on tyrosine residues), a hormone binding domain, and a carboxyl terminal segment with multiple tyrosines for autophosphorylation. When hormone binds to the extra cellular domain the receptors aggregate. 7
  • 8. When the receptors aggregate, the tyrosine kinase domains phosphorylate the C terminal tyrosine residues. 8
  • 9. This phosphorylation produces binding sites for proteins with SH2 domains. GRB2 is one of these proteins. GRB2, with SOS bound to it, then binds to the receptor complex. This causes the activation of SOS. 9
  • 10. SOS is a guanyl nucleotide-release protein (GNRP). When this is activated, it causes certain G proteins to release GDP and exchange it for GTP. Ras is one of these proteins. When ras has GTP bound to it, it becomes active. 10
  • 11. Activated ras then causes the activation of a cellular kinase called raf-1. 11
  • 12. Raf-1 kinase then phosphorylates another cellular kinase called MEK. This cause the activation of MEK. 12
  • 13. Activated MEK then phosphorylates another protein kinase called MAPK causing its activation. This series of phosphylating activations is called a kinase cascade. It results in amplification of the signal. 13
  • 14. Among the final targets of the kinase cascade are transcriptions factors (fos and jun showed here). Phosphorylation of these proteins causes them to become active and bind to the DNA, causing changes in gene transcription. 14
  • 15. EGF Receptor Signal Transduction Pathway Tyrosine kinase Cell Proliferation 15
  • 17. The HER2 signaling network • Human epidermal growth factor receptor 2 (HER2) is a member of the ErbB family of receptor tyrosine kinases (RTK). • Ligand binding induces receptor dimerization and phosphorylation of tyrosine residues in the C-terminal tail segments. • Tyrosines serve as docking sites for signaling molecules, activating molecular pathways such as cellular proliferation. • Overexpression of HER2 results in ligand-independent activation and occurs in 20- 30% of human breast cancers. 17
  • 18. 18
  • 19. 19
  • 20. PI3K (Phosphatidylinositol-3-kinase) is a group of enzymes involved in cellular growth, proliferation, differentiation, cell motility, intracellular trafficking, and survival that play very important roles in developing breast cancer. PI3K (Phosphoinositide 3-kinase) is activated by survival factors or transforming events such as HER2 overexpression/activation. Activated PI3K generates phosphoinositides causing translocation of AKT to the plasma membrane, where it is phosphorylated and activated. Activated AKT can then phosphorylate numerous targets. Activated AKT negatively regulated by the antagonising action of phosphatase and tensin homologue (PTEN) on PI3K . HER2 overexpresstion, undergoes proteolytic cleavage which results in the release of the extracellular domain and in the production of a truncated membrane-bound fragment (p95). 20
  • 21. Akt SO S RA S RA FME K VEGF MAP K P P P P Receptor-specific ligands HER1, HER2, HER3, or HER4 HER2 HER1 HER2 HER4 HER3 PI3K Cell proliferation Cell survival Cell mobility and invasiveness Cytoplasm Nucleus Transcription Signal Transduction by the HER Family Promotes Proliferation, Survival, and Invasiveness Ross JS, et al. The Oncologist. 21
  • 22. Activation of the PI3K-Akt Pathway by a Receptor Tyrosine Kinase 22
  • 23. feedback control in the PI3K-Akt Pathway 23
  • 24. Herceptin, a monoclonal antibody, binds to HER2 and ultimately results in destruction of the cell Accounts for 20-30% of breast cancer cases 24
  • 25.  Trastuzumab is the first of such agents which was registered for use in patients with HER2-overexpressing breast cancer. A proposed mechanism of action of trastuzumab is the reduction of the signalling from these pathways, thus promoting apoptosis and the arrest of proliferation. Diminished receptor signalling may result from trastuzumab-mediated internalisation and degradation of the HER2 receptor, but, as discussed above, it is unclear whether trastuzumab actually down-regulates HER2. An alternative mechanism by which trastuzumab may block PI3K signalling , who demonstrated that trastuzumab specifically inhibits PI3K signalling by increasing PTEN membrane localisation and phosphatase activity. This in turn leads to rapid AKT dephosphorylation and inhibition of cell proliferation. 25
  • 26. ADCC is mainly due to the activation of natural killer cells (NK), expressing the Fc gamma receptor, which can be bound by the Fc domain of trastuzumab. This event activates the lysis of cancer cells bound to trastuzumab 26
  • 27. 27
  • 28. 28
  • 30. Receptor HER2 BT474, SKBR3, AU565 Progesterone BT474, MCF7, ZR7501 Estrogen MCF7, ZR7501 Breast cancer cell lines 30
  • 31. Her2/neu target sequence: 5-GCC TGT GCC CAC TAT AAG GAC-3, R 31
  • 32. 32
  • 33. Mechanism of RNA Interference (RNAi) • Long double-stranded RNAs (dsRNAs; typically >200 nt) can be used to silence the expression of target genes in a variety of organisms and cell types (e.g., worms, fruit flies, and plants). • In mammalian cells, introduction of long dsRNA (>30 nt) initiates a potent antiviral response, exemplified by nonspecific inhibition of protein synthesis and RNA degradation. The mammalian antiviral response can be bypassed, however, by the introduction or expression of siRNAs. 33
  • 34. 34