Evidence map›Paper›PMID 32386414›Full record

ArticleNeuro-oncology2020

HER2 antibody-drug conjugate controls growth of breast cancer brain metastases in hematogenous xenograft models, with heterogeneous blood-tumor barrier penetration unlinked to a passive marker.

Brunilde Gril, Debbie Wei, Alexandra S Zimmer, Christina Robinson, Imran Khan, Simone Difilippantonio, Michael G Overstreet, Patricia S Steeg

Open access · greenAbstract read
In one paragraph

Article in Neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.9field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Brunilde GrilWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Debbie WeiWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Alexandra S ZimmerWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Christina RobinsonLaboratory Animal Sciences Program, Frederick National Laboratory for Cancer Research, Frederick, Maryland.
Imran KhanWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Simone DifilippantonioLaboratory Animal Sciences Program, Frederick National Laboratory for Cancer Research, Frederick, Maryland.
Michael G OverstreetOncology R&D, AstraZeneca, Gaithersburg, Maryland.
Patricia S SteegWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Center for Cancer Research · USFrederick National Laboratory for Cancer Research · USAstraZeneca (United States) · USNational Cancer Institute · US

Funding

WORK ORDER 126643 B539 EXPAND IC SUITE75N91019D00024 · NIAID · LEIDOS BIOMEDICAL RESEARCH, INC. · PI BRISCOE, LYNN · 2019 to 2025
$3932.6M
Molecular Analysis of Breast Cancer Metastasis to the BrainZIABC010538 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI STEEG, PATRICIA SCHRIVER · 2009 to 2025
$17.1M
CCR NIH HHS HHSN261200800001CNCI NIH HHS 75N91019D00024NCI NIH HHS HHSN261200800001E
6 · The paper itself

Abstract

backgroundBrain metastases of HER2+ breast cancer persist as a clinical challenge. Many therapeutics directed at human epidermal growth factor receptor 2 (HER2) are antibodies or antibody-drug conjugates (ADCs), and their permeability through the blood-tumor barrier (BTB) is poorly understood. We investigated the efficacy of a biparatopic anti-HER2 antibody-tubulysin conjugate (bHER2-ATC) in preclinical models of brain metastases.

methodsThe compound was evaluated in 2 hematogenous HER2+ brain metastasis mouse models, SUM190-BR and JIMT-1-BR. Endpoints included metastasis count, compound brain penetration, cancer cell proliferation, and apoptosis.

resultsBiparatopic HER2-ATC 3 mg/kg prevented metastasis outgrowth in the JIMT-1-BR model. At 1 mg/kg bHER2-ATC, a 70% and 92% reduction in large and micrometastases was observed. For the SUM190-BR model, an 85% and 53% reduction, respectively, in large and micrometastases was observed at 3 mg/kg, without statistical significance. Proliferation was reduced in both models at the highest dose. At the endpoint, bHER2-ATC uptake covered a median of 4-6% and 7-17% of metastasis area in the JIMT-1-BR and SUM190-BR models, respectively. Maximal compound uptake in the models was 19% and 86% in JIMT-1-BR and SUM190-BR, respectively. Multiple lesions in both models demonstrated ADC uptake in the absence or low diffusion of Texas Red Dextran, a marker of paracellular permeability. Using in vitro BTB assays, the ADC was endocytosed into brain endothelial cells, identifying a potentially new mechanism of antibody permeability.

conclusionsBiparatopic HER2-ATC significantly prevented JIMT-1-BR brain metastasis outgrowth and showed activity in the SUM190-BR model. The bHER2-ATC penetration into metastases that are impermeable to fluorescent dye suggested an endocytic mechanism of brain penetration.

Indexed as

Brain NeoplasmsBreast NeoplasmsAnimalsCell Line, TumorEndothelial CellsErb-b2 Receptor Tyrosine KinasesHeterograftsHumansImmunoconjugatesTrastuzumabXenograft Model Antitumor AssaysERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesImmunoconjugatesTrastuzumabantibody-drug conjugateantibody-tubulysin conjugateblood-brain barrierblood-tumor barrierbrainbreast cancercentral nervous systemmetastasispermeability

Identifiers

PMID32386414
PMCPMC7690367
OpenAlexW3023281207

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.