Evidence map›Paper›PMID 34969858›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2022

Combination of tucatinib and neural stem cells secreting anti-HER2 antibody prolongs survival of mice with metastatic brain cancer.

Alex Cordero, Matthew D Ramsey, Deepak Kanojia, Jawad Fares, Edgar Petrosyan, Charles W Schwartz, Rachel Burga, Peng Zhang, Aida Rashidi, Brandyn Castro and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Cancer stem cells synthesize proline to attenuate oxidative stress.The Journal of clinical investigation · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Anti-HER2-targeted therapies: effects on humanFrontiers in drug delivery · 2025
    Article
  8. Review
  9. Article
  10. Review
  11. Review
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

16 authors at 1 institution in 1 country.

Alex CorderoDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.ORCID 0000-0002-2224-7122
Matthew D RamseyDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.ORCID 0000-0002-7632-4699
Deepak KanojiaDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.ORCID 0000-0003-4295-4972
Jawad FaresDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.ORCID 0000-0002-5368-8764
Edgar PetrosyanDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.ORCID 0000-0002-2543-3617
Charles W SchwartzDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.
Rachel BurgaDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.
Peng ZhangDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.
Aida RashidiDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.
Brandyn CastroDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.ORCID 0000-0003-3412-9761
Ting XiaoDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.
Catalina Lee-ChangDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.
Jason MiskaDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.
Irina V BalyasnikovaDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.ORCID 0000-0002-4664-9441
Atique U AhmedDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611.
Maciej S LesniakDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, IL 60611; maciej.lesniak@northwestern.edu.ORCID 0000-0002-0096-5107
Northwestern University · US

Funding

Therapeutic Targeting of Malignant Glioma Stem CellsR35CA197725 · NCI · UNIVERSITY OF CHICAGO · PI LESNIAK, MACIEJ S · 2015 to 2021
$6.2M
Genetic Approaches to Optimize CAR T cells for Glioblastoma TherapyR01NS106379 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BALYASNIKOVA, IRINA V, GOTTSCHALK, STEPHEN · 2018 to 2022
$2.7M
Metabolic Control of Immune Suppression in GliomasR01NS093903 · NINDS · UNIVERSITY OF CHICAGO · PI LESNIAK, MACIEJ S · 2015 to 2019
$2.3M
Development of B-cell-based vaccine for GlioblastomaR37CA258426 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Catalina Lee Chang · 2021 to 2026
$2.2M
Arginine Metabolism Regulates Myeloid Immune Suppression in GlioblastomaR01NS115955 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LESNIAK, MACIEJ S, MISKA, JASON · 2020 to 2024
$1.9M
Neural Stem Cell Carriers for Glioblastoma ImmunotherapyR33NS101150 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BALYASNIKOVA, IRINA V · 2019 to 2019
$395k
NCI NIH HHS R35 CA197725NCI NIH HHS R37 CA258426NINDS NIH HHS R01 NS093903NINDS NIH HHS R01 NS106379NINDS NIH HHS R01 NS115955NINDS NIH HHS R33 NS101150
6 · The paper itself

Abstract

Brain metastases are a leading cause of death in patients with breast cancer. The lack of clinical trials and the presence of the blood-brain barrier limit therapeutic options. Furthermore, overexpression of the human epidermal growth factor receptor 2 (HER2) increases the incidence of breast cancer brain metastases (BCBM). HER2-targeting agents, such as the monoclonal antibodies trastuzumab and pertuzumab, improved outcomes in patients with breast cancer and extracranial metastases. However, continued BCBM progression in breast cancer patients highlighted the need for novel and effective targeted therapies against intracranial metastases. In this study, we engineered the highly migratory and brain tumor tropic human neural stem cells (NSCs) LM008 to continuously secrete high amounts of functional, stable, full-length antibodies against HER2 (anti-HER2Ab) without compromising the stemness of LM008 cells. The secreted anti-HER2Ab impaired tumor cell proliferation in vitro in HER2+ BCBM cells by inhibiting the PI3K-Akt signaling pathway and resulted in a significant benefit when injected in intracranial xenograft models. In addition, dual HER2 blockade using anti-HER2Ab LM008 NSCs and the tyrosine kinase inhibitor tucatinib significantly improved the survival of mice in a clinically relevant model of multiple HER2+ BCBM. These findings provide compelling evidence for the use of HER2Ab-secreting LM008 NSCs in combination with tucatinib as a promising therapeutic regimen for patients with HER2+ BCBM.

Indexed as

Brain NeoplasmsErb-b2 Receptor Tyrosine KinasesNeoplasms, ExperimentalNeural Stem CellsAnimalsAntineoplastic Agents, ImmunologicalCell Line, TumorHumansMiceMice, NudeNeoplasm MetastasisOxazolesPyridinesQuinazolinesXenograft Model Antitumor AssaysAntineoplastic Agents, ImmunologicalERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesOxazolesPyridinesQuinazolinestucatinibbrain metastasisHER2neural stem cellstucatinib

Identifiers

PMID34969858
PMCPMC8740706
OpenAlexW4206166022

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.