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Personalized Medicine and Imaging

Increased Expression of HER2, HER3, and HER2:HER3 Heterodimers in HPV-Positive HNSCC Using a Novel Proximity-Based Assay: Implications for Targeted Therapies

Netanya I. Pollock, Lin Wang, Gerald Wallweber, William E. Gooding, Weidong Huang, Ahmed Chenna, John Winslow, Malabika Sen, Kara A. DeGrave, Hua Li, Yan Zeng and Jennifer R. Grandis
Netanya I. Pollock
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
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Lin Wang
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
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Gerald Wallweber
2Monogram Biosciences/Labcorp, Inc., South San Francisco, California.
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William E. Gooding
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
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Weidong Huang
2Monogram Biosciences/Labcorp, Inc., South San Francisco, California.
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Ahmed Chenna
2Monogram Biosciences/Labcorp, Inc., South San Francisco, California.
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John Winslow
2Monogram Biosciences/Labcorp, Inc., South San Francisco, California.
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Malabika Sen
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
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Kara A. DeGrave
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
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Hua Li
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
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Yan Zeng
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
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Jennifer R. Grandis
3University of California San Francisco, San Francisco, California.
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  • For correspondence: Jennifer.grandis@ucsf.edu
DOI: 10.1158/1078-0432.CCR-14-3338 Published October 2015
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  • Figure 1.
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    Figure 1.

    Expression of total HER2, total HER3, HER2:HER3 heterodimers, and HER3–PI3K complexes is significantly higher in HPV+ compared with HPV− HNSCC tumors. Expression of total HER1 is significantly lower in HPV− HNSCC. Box-and-whisker plots of VeraTag variables by p16 (HPV) status. P values are for a Wilcoxon test comparing p16 positive with p16 negative.

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    Figure 2.

    Expression of EGFR/HER1, HER2, and HER3 in the HNSCC TCGA cohort. Levels of HER2 and HER3 mRNA are significantly higher in HPV+ tumors and expression of EGFR/HER1 is significantly higher in HPV− HNSCC tumors as assessed by RNAseq (HPV positive n = 36; HPV negative n = 240. Box-and-whisker plots of EGFR/HER1, HER2, and HER3 mRNA by HPV status from TCGA. Expression levels have been converted to Z scores, P values are for a Wilcoxon test comparing HPV+ and HPV−.

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    Figure 3.

    EGFR/HER1 VeraTag expression levels positively correlate with IHC results. A, HER1 dimer plotted against HER1 total (HER1/EGFR by VeraTag) and B, total EGFR (HER1/EGFR by conventional IHC). HER1 dimer was positively correlated with both HER1 total by VeraTag and EGFR IHC. Curves and statistics are from a least-squares regression on a 3-knot restricted cubic spline fit for the variables on the x-axis. R2 reflects the total variation explained by the regression model.

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    Figure 4.

    Afatanib is significantly more effective at inhibiting cell growth in cetuximab-resistant and HPV+ HNSCC cell lines. A, Cal33 vector transfected control cells were treated with C225 (cetuximab) or afatinib for 72 hours followed by cell viability assessment. There was no significant difference in the effects of C225 or afatinib in these cells. Cal33vIII (B), UMSCC-47 (C), or UPCI-90 (D) was treated with C225 or afatinib for 72 hours, with afatinib demonstrating significant effects on inhibiting cell viability compared with C225.

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    Figure 5.

    Afatinib abrogates EGFR/HER2 signaling in HNSCC models. HNSCC cell lines, including A, HPV− cetuximab-sensitive (Cal33 VC), B, HPV− cetuximab-resistant (Cal33 vIII), and C, HPV+ (UMSCC-47, UPCI SCC-90) HNSCC models were treated with increasing concentrations of afatinib. After 24 hours of treatment, cells were harvested to obtain cell lysates. Forty micrograms of protein/lane was subjected to gel electrophoresis and probed with pHER2Tyr1248, pAkt, total HER2, and total Akt. β-Tubulin was used as a loading control. Phosphorylated protein was compared with total protein, and the ratio is listed under each protein band. The experiment was repeated three times with similar results.

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  • Table 1.

    HNSCC patient clinical and pathologic characteristics

    Patient characteristicN = 88 (%)
    Age at diagnosisa
     Median59
     Range23–90
    Gender
     Male68 (79)
     Female28 (21)
    Clinical T stage
     113 (15)
     224 (27)
     310 (11)
     415 (17)
     Recurrent/unknown26 (30)
    Clinical N stage
     017 (19)
     112 (14)
     232 (36)
     33 (3)
     Recurrent/unknown24 (27)
    Siteb
     Oral cavity24 (28)
     Oropharynx30 (35)
     Hypopharynx4 (5)
     Larynx16 (19)
     Nasopharynx3 (3)
     Other (parotid, skin, neck)3 (3)
    Histologyc
     Squamous cell71 (83)
     Basaloid squamous cell9 (10)
     Other6 (7)
    P16d
     Positive34 (41)
     Negative48 (59)
    Cancer typee
     Primary66 (78)
     Recurrence19 (22)

    Abbreviations: OC, oral cavity; OP, oropharynx; HP, hypopharynx; L, larynx; SCC, squamous cell carcinoma.

    • ↵aTwo patients missing age at diagnosis.

    • ↵bTwo patients missing site of tumor.

    • ↵cTwo patients missing histology.

    • ↵dSix patients missing p16 status.

    • ↵eThree patients missing cancer type.

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    • Supplementary Methods - Detailed methods for VeraTag assays.
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Clinical Cancer Research: 21 (20)
October 2015
Volume 21, Issue 20
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Increased Expression of HER2, HER3, and HER2:HER3 Heterodimers in HPV-Positive HNSCC Using a Novel Proximity-Based Assay: Implications for Targeted Therapies
Netanya I. Pollock, Lin Wang, Gerald Wallweber, William E. Gooding, Weidong Huang, Ahmed Chenna, John Winslow, Malabika Sen, Kara A. DeGrave, Hua Li, Yan Zeng and Jennifer R. Grandis
Clin Cancer Res October 15 2015 (21) (20) 4597-4606; DOI: 10.1158/1078-0432.CCR-14-3338

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Increased Expression of HER2, HER3, and HER2:HER3 Heterodimers in HPV-Positive HNSCC Using a Novel Proximity-Based Assay: Implications for Targeted Therapies
Netanya I. Pollock, Lin Wang, Gerald Wallweber, William E. Gooding, Weidong Huang, Ahmed Chenna, John Winslow, Malabika Sen, Kara A. DeGrave, Hua Li, Yan Zeng and Jennifer R. Grandis
Clin Cancer Res October 15 2015 (21) (20) 4597-4606; DOI: 10.1158/1078-0432.CCR-14-3338
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