HER2 and UPAR Cooperativity Contribute to Metastatic Phenotype of HER2-positive Breast Cancer
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Human epidermal growth factor receptor type 2 (HER2)-positive breast carcinoma is highly aggressive and mostly metastatic in nature though curable/manageable in part by molecular targeted therapy. Recent evidence suggests a subtype of cells within HER2-positive breast tumors that concomitantly expresses the urokinase plasminogen activator receptor (uPAR) with inherent stem cell/mesenchymal-like properties promoting tumor cell motility and a metastatic phenotype. This HER-positive/uPAR-positive subtype may be partially responsible for the failure of HER2-targeted treatment strategies. Herein we discuss and substantiate the cumulative preclinical and clinical evidence on HER2-uPAR cooperativity in terms of gene co-amplification and/or mRNA/protein co-overexpression. We then propose a regulatory signaling model that we hypothesize to maintain upregulation and cooperativity between HER2 and uPAR in aggressive breast cancer. An improved understanding of the HER2/uPAR interaction in breast cancer will provide critical biomolecular information that may help better predict disease course and response to therapy.
Hamada M, Varkoly K, Riyadh O, Beladi R, Munuswamy-Ramanujam G, Rawls A Biomedicines. 2024; 12(6).
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Lourenco A, Chuo S, Bohn M, Hann B, Khan S, Yevalekar N MAbs. 2023; 15(1):2184197.
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Wang Y, Sun Z, Lu S, Zhang X, Xiao C, Li T Front Oncol. 2022; 12:834524.
PMID: 36052236 PMC: 9424644. DOI: 10.3389/fonc.2022.834524.
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PMID: 34771541 PMC: 8582577. DOI: 10.3390/cancers13215376.