Abstract
HER2-driven cancers require phosphatidylinositide-3 kinase (PI3K)/Akt signaling through HER3 to promote tumor growth and survival. The therapeutic benefit of HER2-targeting agents, which depend on PI3K/Akt inhibition, can be overcome by hyperactivation of the heregulin (HRG)/HER3 pathway. Here we describe an unbiased phenotypic combinatorial screening approach to identify a bispecific immunoglobulin G1 (IgG1) antibody against HER2 and HER3. In tumor models resistant to HER2-targeting agents, the bispecific IgG1 potently inhibits the HRG/HER3 pathway and downstream PI3K/Akt signaling via a "dock & block" mechanism. This bispecific IgG1 is a potentially effective therapy for breast cancer and other tumors with hyperactivated HRG/HER3 signaling.
Original language | English |
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Pages (from-to) | 922-936.e10 |
Journal | Cancer Cell |
Volume | 33 |
Issue number | 5 |
DOIs | |
Publication status | Published - 2018 |
Keywords
- PB4188
- bispecific antibody
- HER2
- HER3
- heregulin
- NRG1
- cancer
- MCLA-128
- zenocutuzumab
- Pl3K/Akt