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(.pdf) dr.ssa Antonella Ferro - Progettoeventi

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Lapatinib may sensitise HER2 positive cells to<br />

subsequent trastuzumab (in vitro findings)<br />

• Lapatinib counteracts the phosphorylation, ubiquitination and<br />

degradation of ErbB2<br />

• Lapatinib-induced cell surface accumulation of inactive HER2<br />

significantly enhances trastuzumab-mediated ADCC<br />

HER2<br />

Lapatinib<br />

K K K K<br />

HER2<br />

homodimer heterodimer<br />

K K K K K K K K K K<br />

ATP<br />

Dimerization, reduced phosphorylation<br />

and signaling inhibition<br />

Scaltriti M et al. Oncogene 2009; 28: 803-814.<br />

trastuzumab<br />

K = kinase domain<br />

ADCC = antibody-dependent cell cytotoxicity<br />

NK cell<br />

FcR<br />

K K<br />

Stabilization of HER2 dimers and<br />

receptor accumulation leads to ADCC

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