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- ItemAcesso aberto (Open Access)Peptídeos Potencialmente Úteis no Tratamento do Câncer de Mama e o Envolvimento de Componentes da Matriz Extracelular na Resistência ao Trastuzumab.(Universidade Federal de São Paulo (UNIFESP), 2011-02-22) Suarez, Eloah Rabello [UNIFESP]; Pinhal, Maria Aparecida da Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)HER2 is a member of epidermal growth factor family of receptors that is an essential mediator of cell proliferation and differentiation. In breast cancer patients, HER2 overexpression is associated with disease aggressiveness, chemo and hormone therapy resistance and poor prognosis. Currently, a HER2 specific monoclonal antibody named trastuzumab, was developed as a treatment for breast cancer; however, there are some reports of resistance to this treatment and it can also cause a high rate of cardiac failure, despite the high cost. The aim of the present study was select specific peptides target to recombinant HER2 protein using a phage display technology. The selected cyclic peptides, called Hercid and Tavelorb, were chemically synthesized. The bacteriophages expressing the specific peptides selected, as well as the synthetic peptides were assayed using different breast cancer cell lines compared to the trastuzumab. Cellular viability, migration and apoptosis/necrosis were evaluated. The results showed that the peptides were able to reduce the cell viability around 50% alone and 85% in association. Tavelorb was able to induce apoptosis/ necrosis in 70% of SKBR3 cells and when associated with Hercid, the effect has increased to 90%. This association decreases tumor cells migration around 85%. The HER2 binding assays showed that the peptides compete with trastuzumab. These peptides co-localize with acidic vesicles around 40-50%, suggesting a possible endocytosis induction and HER2 degradation. The peptides and trastuzumab co-localized with heparan sulfate around 70% suggesting that the binding of these molecules and heparan sulfate could play an important role in antitumoral activity over breast cancer cells. The data propose a potential use of these peptides as an alternative for breast cancer treatment. In addition, we analyzed whether some extracellular matrix components influence trastuzumab treatment. Heparanase-1 (HPSE-1) overexpression effect was analyzed using MCF7 cells stable transfected with HPSE-1 cDNA (MCF7-HPSE-1). The glycosaminoglycans profile, HPSE-1, HPSE-2, Syndecan-1 (Syn-1) and HER2 mRNA expression, HPSE- 1 activity and cell viability were evaluated in different breast cancer cells treated or not with trastuzumab. MCF7-HPSE-1 becomes completely resistant to trastuzumab. HPSE-1 transfection changes the galactosaminoglycans profile of MCF7. Trastuzumab co-localizes in high levels with heparan sulfate (HS) and their binding is necessary to antibody activity. In MCF7 cells, trastuzumab decreases HPSE-1, HPSE-2, HER2 and Syn-1 mRNA expression, while in MCF7-HPSE-1 the antibody increases the mRNA expression of these molecules. SKBR3 cells have the highest expression levels of these molecules, but low HPSE-1 activity, which seems to be determinant to trastuzumab response and modulated by HPSE-2. Our results have demonstrated that an ideal concentration of HS in cell surface and medium, regulated by trastuzumab, is necessary to its action. Secreted HS can sequester trastuzumab, decreasing the antibody amount disposable to interact with HER2 in cell surface. HS secreted could also block HPSE-2, which will not be able to inhibit HPSE-1 activity, contributing for tumor resistance to trastuzumab and supporting tumoral progression. In addition, as the relation HPSE-1/HER2 expression decreases, breast cancer cells sensibility to trastuzumab also decreases. These new insights could be useful when devising strategies for overcoming trastuzumab resistance in HER2 positive cancers.