Involvement of microRNAs-449/FASN axis in response to trastuzumab therapy in HER2-positive breast cancer

The anti-HER2 monoclonal antibody trastuzumab and new derivative formulations are the standard treatment for HER2-positive breast cancer. However, after 1 to 5 years of treatment, some patients acquire resistance to therapy, leading to relapse. The microRNA-449 family members were downregulated in H...

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Detalhes bibliográficos
Autores: Lameirinhas, Ana, Torres-Ruiz, Sandra, Garrido-Cano, Iris, Hernando, Cristina, Martínez, María Teresa, Rovira, Ana, Albanell Mestres, Joan, Zazo, Sandra, Rojo, Federico, Bermejo, Begoña, Lluch, Ana, Cejalvo, Juan Miguel, Tormo, Eduardo, Eroles, Pilar
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2025
País:España
Recursos:Universitat Pompeu Fabra
Repositório:Repositorio Digital de la UPF
OAI Identifier:oai:dnet:rdupf_______::dd33b3078b3a35e4e30ed7f73924cf6d
Acesso em linha:https://hdl.handle.net/10230/73383
http://dx.doi.org/10.1186/s10020-025-01163-z
Access Level:Acceso aberto
Palavra-chave:Breast cancer
FASN
HER2
Trastuzumab
microRNAs-449
Descrição
Resumo:The anti-HER2 monoclonal antibody trastuzumab and new derivative formulations are the standard treatment for HER2-positive breast cancer. However, after 1 to 5 years of treatment, some patients acquire resistance to therapy, leading to relapse. The microRNA-449 family members were downregulated in HER2-positive breast cancer cell lines and low levels were associated with patients¿ worse prognosis. Moreover, trastuzumab-resistant HER2-positive breast cancer cell lines showed lower microRNAs-449 and higher Fatty Acid Synthase (FASN) expression, compared to sensitive cell lines. The direct regulation of FASN by microRNA-449a and microRNA-449b-5p was demonstrated. Moreover, microRNAs-449 overexpression and FASN inhibition decreased cell proliferation and sensitized cells to trastuzumab treatment by inhibiting the PI3K/AKT signaling pathway. Together, these results suggest the microRNAs-449/FASN axis as a potential therapeutic target in combination with anti-HER2 agents to overcome trastuzumab resistance and to improve treatment response in HER2-positive breast cancer patients.