Evidence map›Paper›PMID 41793646›Full record

ArticleApplied biochemistry and biotechnology2026

Repurposing Lapatinib and Tucatinib as Dual Inhibitors of Bcl-2 and TYMS in Breast Cancer: Insights from Transcriptomic, Computational and Cellular Assays.

Mehreen Aftab, Shagufta, Sandeep Sisodiya, Asiya Khan, Sandeep Kumar, Pranay Tanwar, Showket Hussain

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Article in Applied biochemistry and biotechnology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Mehreen AftabDivision of Cellular and Molecular Diagnostics (Molecular Biology Group), ICMR-National Institute of Cancer Prevention and Research, Noida, India.ORCID http://orcid.org/0000-0003-3259-482X
ShaguftaDivision of Cellular and Molecular Diagnostics (Molecular Biology Group), ICMR-National Institute of Cancer Prevention and Research, Noida, India.
Sandeep SisodiyaDivision of Cellular and Molecular Diagnostics (Molecular Biology Group), ICMR-National Institute of Cancer Prevention and Research, Noida, India.
Asiya KhanLaboratory Oncology, Dr. B.R. Ambedkar Institute-Rotary Cancer Hospital, AIIMS, New Delhi, India.
Sandeep KumarDivision of Cellular and Molecular Diagnostics (Molecular Biology Group), ICMR-National Institute of Cancer Prevention and Research, Noida, India.
Pranay TanwarLaboratory Oncology, Dr. B.R. Ambedkar Institute-Rotary Cancer Hospital, AIIMS, New Delhi, India.
Showket HussainDivision of Cellular and Molecular Diagnostics (Molecular Biology Group), ICMR-National Institute of Cancer Prevention and Research, Noida, India. showket.hussain@gov.in.

Funding

Indian Council of Medical Research Grant No. 3/2/3/73/2022-NCD-III
6 · The paper itself

Abstract

Breast cancer remains a leading cause of cancer related deaths worldwide. HER2-positive subtypes, marked by HER2 receptor over expression often exhibit aggressive behavior. Advances in high-throughput sequencing have revealed new molecular targets, paving the way for more precise therapies. Targeted therapies inhibit HER2 signaling, improving clinical outcomes. However, tumour resistance and survival pathways remain challenges. Identifying alternative targets of HER2 inhibitors may uncover new pathways to suppress tumour growth and improve treatment efficacy. Publicly available RNA-Seq datasets were processed in Galaxy to profile differential gene expression. Bcl-2, an anti-apoptotic regulator and TYMS, a key enzyme in DNA synthesis have emerged as lead candidates. Twenty literatures derived HER2 inhibitors were docked against both proteins, and 100 ns molecular dynamics simulations refined binding stability and validated by functional in-vitro cellular assays. Lapatinib showed the strongest binding to Bcl-2, while tucatinib had the lowest binding energy for TYMS. Both drugs displayed binding profiles resembling their respective controls. Lapatinib and tucatinib are both targeted therapies primarily used to treat HER2-positive cancers. Our study suggests that these agents may also exert effects beyond their primary targets, including potential roles in modulation of Bcl-2 for lapatinib and TYMS inhibition for tucatinib. Furthermore, we observed correlation between Bcl-2 and TYMS expression in breast cancer suggesting that their interplay may influence tumour progression, prognosis, and therapy responsiveness. Our study highlights that lapatinib and tucatinib, beyond HER2 inhibition, may also target Bcl-2 and TYMS respectively. This dual functionality could improve therapeutic strategies against HER2-positive breast cancer. Further biochemical and clinical validation will be necessary to confirm their mechanistic significance.

Indexed as

Breast NeoplasmsDrug RepositioningLapatinibProto-Oncogene Proteins c-bcl-2PyridinesQuinazolinesTranscriptomeAntineoplastic AgentsCell Line, TumorErb-b2 Receptor Tyrosine KinasesFemaleHumansMolecular Docking SimulationMolecular Dynamics SimulationOxazolesAntineoplastic AgentsBCL2 protein, humanErb-b2 Receptor Tyrosine KinasesLapatinibOxazolesProto-Oncogene Proteins c-bcl-2PyridinesQuinazolinestucatinibBreast cancerDockingGene expressionMD simulationRNA-Seq data

Identifiers

PMID41793646

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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.