Evidence map›Paper›PMID 40579589›Full record

ArticleNature cancer2025

p95HER2, a truncated form of the HER2 oncoprotein, drives an immunosuppressive program in HER2

Dong Hu, Xiaoshuang Lyu, Zheqi Li, Prasanna Ekambaram, Anushka Dongre, Tanner Freeman, Marion Joy, Jennifer M Atkinson, Daniel D Brown, Zongyou Cai and 25 more

Abstract read
In one paragraph

Article in Nature cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The immunology of human breast cancer.Nature reviews. Immunology · 2026
    Review
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  9. The impact of the PI3K/AKT/mTOR signaling pathway on trastuzumab resistance in HER2-positive gastric cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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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

35 authors.

Dong HuDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA. hu.dong@mayo.edu.ORCID http://orcid.org/0009-0009-3537-8605
Xiaoshuang LyuDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Zheqi LiDepartment of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0003-1213-640X
Prasanna EkambaramDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Anushka DongreDepartment of Biomedical Sciences, Cornell University, Ithaca, NY, USA.
Tanner FreemanDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Marion JoyUPMC Hillman Cancer Center, Pittsburgh, PA, USA.
Jennifer M AtkinsonDepartment of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Daniel D BrownDepartment of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-7410-9514
Zongyou CaiDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0009-0003-7566-7678
Neil M CarletonUPMC Hillman Cancer Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-6985-7510
Hannah E CrentsilDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
John LittleDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0003-2034-2684
Felicia KempDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Linda R KleiDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Maria BeecherDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Jeff SperindeMonogram Biosciences, Laboratory Corporation of America Holdings, South San Francisco, CA, USA.
Weidong HuangMonogram Biosciences, Laboratory Corporation of America Holdings, South San Francisco, CA, USA.
Heikki JoensuuComprehensive Cancer Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0003-0281-2507
Ashok SrinivasanNSABP Foundation, Inc., Pittsburgh, PA, USA.
Katherine L Pogue-GeileNSABP Foundation, Inc., Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-9855-046X
Ying WangNSABP Foundation, Inc., Pittsburgh, PA, USA.
Huichen FengNSABP Foundation, Inc., Pittsburgh, PA, USA.
Lisa D EliPuma Biotechnology, Los Angeles, CA, USA.
Alshad S LalaniPuma Biotechnology, Los Angeles, CA, USA.
Jian ZouDepartment of Biostatistics, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
George C TsengDepartment of Biostatistics, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-5447-1014
Tullia C BrunoUPMC Hillman Cancer Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-6433-0207
Adrian V LeeDepartment of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-9917-514X
Steffi OesterreichDepartment of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-2537-6923
Norman WolmarkUPMC Hillman Cancer Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-7156-1110
Carmen J AllegraDepartment of Medicine, University of Florida Health, Gainesville, FL, USA.
Samuel A JacobsNSABP Foundation, Inc., Pittsburgh, PA, USA.
Linda M McAllister-LucasUPMC Hillman Cancer Center, Pittsburgh, PA, USA. mcallister.linda@mayo.edu.ORCID http://orcid.org/0000-0002-9875-5043
Peter C LucasDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA. lucas.peter@mayo.edu.ORCID http://orcid.org/0000-0003-4880-7172

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHRISTOPHER J. BAKKENIST · 1988 to 2026
$158.0M
Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Lila J. Rutten · 1985 to 2026
$151.3M
The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI PETER C LUCAS · 2005 to 2026
$49.9M
TRAINING PROGRAM FOR MD/PHD STUDENTST32GM008208 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STEINMAN, RICHARD A · 1987 to 2021
$15.4M
Promotion of ER+ Breast Cancer Progression in the ElderlyF30CA264963 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CARLETON, NEIL · 2021 to 2025
$243k
NCI NIH HHS F30 CA264963NCI NIH HHS P30 CA015083NCI NIH HHS P30 CA047904NCI NIH HHS P50 CA116201NIGMS NIH HHS T32 GM008208U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) F30-CA2649632U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P30-CA047904U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P30-CA15083U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P50-CA116201U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) T32-GM008208
6 · The paper itself

Abstract

Resistance to human epidermal growth factor receptor 2 (HER2)-targeted therapies and immuno-oncology agents poses a major challenge in treating HER2-positive breast cancer. Here we demonstrate that p95HER2, a truncated form of HER2, drives immune evasion in HER2-positive female breast cancer, enhancing tumor growth and conferring therapy resistance. This stems from the unique ability of p95HER2 to promote cancer cell-intrinsic programmed death ligand 1 expression and secretion of immunosuppressive mediators including interleukin 6. In preclinical models, this impairs the efficacy of trastuzumab deruxtecan, a HER2-directed antibody-drug conjugate (ADC) that relies on immunogenic responses to cell death for full efficacy. Importantly, we find that neratinib potently directs proteasomal degradation of p95HER2, relieving its immunosuppressive effects, and provide proof of concept that neratinib and/or agents targeting p95HER2 downstream mediators can restore antitumor immunity and trastuzumab deruxtecan efficacy. This study reveals a p95HER2-specific therapy resistance mechanism in HER2-positive female breast cancer and highlights the potential value of targeting p95HER2 to improve outcomes with ADCs or immuno-oncology agents.

Indexed as

Breast NeoplasmsErb-b2 Receptor Tyrosine KinasesImmunoconjugatesTrastuzumabAnimalsAntineoplastic Agents, ImmunologicalCamptothecinCell Line, TumorDrug Resistance, NeoplasmFemaleHumansMiceQuinolinesXenograft Model Antitumor AssaysAntineoplastic Agents, ImmunologicalCamptothecinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesImmunoconjugatesneratinibQuinolinesTrastuzumabtrastuzumab deruxtecan

Identifiers

PMID40579589
PMCPMC13218304

What OpenQuestion holds

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Registered trials

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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.