Trastuzumab administration in patients with breast cancer is associated with increased primary tumor expression of Wnt2 and Wnt10b.
The Wnt pathway transduces signals through a series of intracellular mediators including Axin, dishevelled proteins, and through regulation of an Axin destruction complex by casein kinases to effect nuclear translocation of β-catenin and β-catenin cooperation with TCF/LEF proteins at nuclear transactivation targets following binding of Wnt ligands to Frizzled receptors which in concert with LRP co-receptors at the plasma membrane (1-3). Trastuzumab, a monoclonal antibody targeted against the human epidermal growth factor receptor 2 (HER2) is utilized for the treatment of human breast cancer (4), but a complete understanding of how tumor signal transduction is modulated by trastuzumab treatment is lacking. By mining published and public microarray and gene expression data (5-7) from the primary tumors of patients treated with trastuzumab, we found that the Wnt ligands Wnt2 and Wnt10b, molecules with the capacity to support proliferation of ventral midbrain progenitors (8) and to induce transformation of the mammary gland (9), were among the genes most differentially expressed in the primary tumors of patients treated with trastuzumab. Increased expression of Wnt2 and Wnt10b implies that the Wnt pathway may be activated in primary tumors of patients treated with trastuzumab.