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HER2-Mediated Internalization of Cytotoxic Agents in ERBB2 Amplified or Mutant Lung Cancers [Research Articles]

Amplification of and oncogenic mutations in ERBB2, the gene encoding the HER2 receptor tyrosine kinase, promote receptor hyperactivation and tumor growth. Here we demonstrate that HER2 ubiquitination and internalization, rather than its overexpression, are key mechanisms underlying endocytosis and consequent efficacy of the anti-HER2 antibody–drug conjugates (ADC) ado-trastuzumab emtansine (T-DM1) and trastuzumab deruxtecan (T-DXd) in lung cancer cell lines and patient-derived xenograft models. These data translated into a 51% response rate in a clinical trial of T-DM1 in 49 patients with ERBB2-amplified or -mutant lung cancers. We show that cotreatment with irreversible pan-HER inhibitors enhances receptor ubiquitination and consequent ADC internalization and efficacy. We also demonstrate that ADC switching to T-DXd, which harbors a different cytotoxic payload, achieves durable responses in a patient with lung cancer and corresponding xenograft model developing resistance to T-DM1. Our findings may help guide future clinical trials and expand the field of ADC as cancer therapy.

Significance:

T-DM1 is clinically effective in lung cancers with amplification of or mutations in ERBB2. This activity is enhanced by cotreatment with irreversible pan-HER inhibitors, or ADC switching to T-DXd. These results may help address unmet needs of patients with HER2-activated tumors and no approved targeted therapy.

See related commentary by Rolfo and Russo, p. 643.

This article is highlighted in the In This Issue feature, p. 627




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HER2 Mutations in Non-Small Cell Lung Cancer: A Herculean Effort to Hit the Target [In the Spotlight]

Summary:

Over the last two decades HER2 aberrations have been thoroughly investigated as potential therapeutic targets in advanced non–small cell lung cancer, with relatively modest results. Two articles published in this issue of Cancer Discovery further expand the knowledge on therapeutic exploitation of HER2 in lung cancer, addressing a large unmet medical need.

See related article by Li et al., p. 674.

See related article by Tsurutani et al., p. 688.




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Epigenetic Therapy Can Suppress Premetastatic Changes in the Lung [Metastasis]

Low-dose adjuvant epigenetic therapy (AET) reduced metastasis and promoted survival in mouse models.




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[CORRIGENDUM] Corrigendum: Niche Cells and Signals that Regulate Lung Alveolar Stem Cells In Vivo




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Total Antioxidant Capacity and Pancreatic Cancer Incidence and Mortality in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial

Background:

Total antioxidant capacity (TAC) reflects an individual's overall antioxidant intake. We sought to clarify whether higher TAC is associated with lower risks of pancreatic cancer incidence and mortality in the U.S. general population.

Methods:

A total of 96,018 American adults were identified from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial. A ferric-reducing ability of plasma score was used to reflect an individual's TAC intake from diet and/or supplements. Cox regression was used to calculate hazard ratios (HR) for pancreatic cancer incidence, and competing risk regression was used to calculate subdistribution HRs for pancreatic cancer mortality. Restricted cubic spline regression was used to test nonlinearity.

Results:

A total of 393 pancreatic cancer cases and 353 pancreatic cancer–related deaths were documented. Total (diet + supplements) TAC was found to be inversely associated with pancreatic cancer incidence (HR quartile 4 vs. quartile 1 = 0.53; 95% confidence interval, 0.39–0.72; Ptrend = 0.0002) and mortality (subdistribution HR quartile 4 vs. quartile 1 = 0.52; 95% confidence interval 0.38–0.72; Ptrend = 0.0003) in a nonlinear dose–response manner (all Pnonlinearity < 0.01). Similar results were observed for dietary TAC. No association of supplemental TAC with pancreatic cancer incidence and mortality was found.

Conclusions:

In the U.S. general population, dietary but not supplemental TAC level is inversely associated with risks of pancreatic cancer incidence and mortality in a nonlinear dose–response pattern.

Impact:

This is the first prospective study indicating that a diet rich in antioxidants may be beneficial in decreasing pancreatic cancer incidence and mortality.




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Accuracy of Self-reported Colonic Polyps: Results from the Prostate, Lung, Colorectal, and Ovarian Screening Trial Study of Colonoscopy Utilization

Background:

Colonoscopy follow-up recommendations depend on the presence or absence of polyps, and if found, their number, size, and histology. Patients may be responsible for conveying results between primary and specialty care or providing medical information to family members; thus, accurate reporting is critical. This analysis assessed the accuracy of self-reported colonoscopy findings.

Methods:

3,986 participants from the Study of Colonoscopy Utilization, an ancillary study nested within the Prostate, Lung, Colorectal, and Ovarian Screening Trial, were included. Self-reports of polyp and adenoma were compared to medical records, and measures of sensitivity and specificity were calculated. Correlates of accurate self-report of polyp were assessed using logistic regression and weighted to account for study sampling.

Results:

The sensitivity and specificity of self-reported polyp findings were 88% and 85%, respectively, and for adenoma 11% and 99%, respectively. Among participants with a polyp, older age was associated with lower likelihood while polyp severity and non-white race were associated with increased likelihood of accurate recall. Among participants without a polyp, having multiple colonoscopies was associated with lower likelihood while family history of colorectal cancer was associated with increased likelihood of accurate recall. Among both groups, longer time since colonoscopy was associated with lower likelihood of accurate recall.

Conclusions:

Participants recalled with reasonable accuracy whether they had a prior polyp; however, recall of histology, specifically adenoma, was much less accurate.

Impact:

Identification of strategies to increase accurate self-report of colonic polyps are needed, particularly for patient–provider communications and patient reporting of results to family members.




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Những thiết kế phòng ngủ cực "chất" trên gác lửng

Với những ngôi nhà có trần cao và gác lửng, bạn hoàn toàn có thể bố trí một phòng ngủ tiện nghi trên gác lửng, vừa tối ưu hóa không gian, vừa khiến ngôi nhà thêm phong cách, cá tính.




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Sân vườn thêm lung linh với 5 ý tưởng treo đèn phong cách Rustic

Trang hoàng sân vườn không phải lúc nào cũng tốn công và đắt đỏ. Chỉ với những chiếc đèn phong cách Rustic mộc mạc, bạn sẽ dễ dàng “hô biến” góc sân và khu vườn nhỏ của mình thành chốn lung linh huyền ảo cho những bữa tiệc ngoài trời.




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Bán gấp MT Nguyễn Cư Trinh, đoạn đẹp, DT 8m x 20m, trệt - lửng, giá 22 tỷ (thương lượng) 0913299211

Cần bán gấp nhà mặt tiền vị trí cực đẹp, đường Nguyễn Cư Trinh, ngay vòng xoay Cống Quỳnh - Nguyễn Cư Trinh, đối diện dự án Alpha King, liền kề Pullman. - DT: 8m x 20m, trệt - lửng. - Nhà có lề đường rộng 8m, đậu được xe hơi, view thoáng, không vướng cây xanh, cột đèn, không lỗi ...




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Bán nhà phố 1 trệt 1 lửng 3 lầu đúc kiến cố Gò Vấp, đường Lê Đức Thọ

Một sản phẩm cao cấp của tập đoàn địa ốc Vạn Xuân Group nằm ngay công viên văn hoá Gò Vấp. - Vị trí cực đẹp nằm trong cụm dân đồng bộ văn minh. Cơ sở hạ tầng hoàn thiện, công viên vui chơi mát mẻ. Kế bên trường THCS An Nhơn, và công Viên Nguyễn Văn Lượng. Thuộc phường 6 Gò Vấp. -...




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Tư vấn sửa nhà cấp 4 gác lửng, diện tính 5x7m=35m2

Tôi muốn xây nhà cấp 4 có gác lửng, 2 phòng ngủ, 1 WC, 1 khu bếp, phòng khách và ăn chung. Nhà hướng Bắc. Tôi mạng Tây tứ trạch, phong thủy hợp lý, báo giá trọn gói chìa khóa trao tay.




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Real Men Like Trump Dare the Virus to Punch Them in the Lungs

Brendan Smialowski/Getty

On Tuesday the president took his first trip since the coronavirus grounded the country, to a Honeywell factory in battleground state Arizona. This particular Honeywell factory produces N95 masks. Pictures of the trip immediately surfaced on the internet, and they showed a president sporting his usual mango-tinted, ever-tan skin, his usual topiary-structured hair tinted a baffling yellowish, and a pair of clear safety goggles.

But what was missing? What we did not see on the president’s face was a mask. While the rest of us cover our faces as recommended by the CDC, the president does not. In fact, we have never seen a mask on the president, despite the president’s love of masking himself when it comes to his tax returns, his sexual assault allegations, and his financial dealings.   

On Wednesday, when pressed on his decision not to wear a mask at a mask factory, the president responded with the very fishy, “I had a mask on for a period of time, I had it on back, backstage. But they said you didn’t need it, so, I didn’t need it. And by the way, if you noticed, nobody else had it on that was in the group.” Okay. Whatever you say. 

Read more at The Daily Beast.




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Employment plunges 53K in Saskatchewan from March to April

The plunge in jobs was 73,800 relative to February, but Saskatchewan saw a shallower decline than any other province as COVID-19 devastates labour markets across Canada.




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Wall Street Week Ahead: U.S. data deluge to underscore divide between roaring market, plunging economy

A week packed with U.S. economic data is likely to provide investors with more evidence of the extent to which the coronavirus pandemic has hit growth, sharpening the debate on whether a rebound in stocks has been justified amid an unprecedented slowdown.




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Oil prices in US drop below zero for first time in history as demand plunges amid coronavirus pandemic

Oil prices in the US have dropped into negative territory due to collapse in demand amid the coronavirus pandemic.




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John Lewis sales plunge as online growth fails to offset shop closures with people &apos;buying more Scrabble but fewer sofas&apos;

John Lewis sales have plunged, despite a surge in online orders, after it was forced to shut stores in face of coronavirus.




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Toddler with chronic lung disease and heart defect becomes one of UK&apos;s youngest coronavirus survivors

A one-year-old girl with chronic lung disease and a heart defect has become one of the UK's youngest coronavirus survivors.




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UK weather forecast: Wet and windy conditions to last all week as temperatures plunge

Britain's weather woes are set to continue with wet and windy conditions expected to last all week.




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UK weather forecast: Britain braced for wet weekend and plunging temperatures with eight flood alerts in force

Rain will batter all four corners of the country for periods on both Saturday and Sunday and temperatures will plummet following the sunniest ever April.




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Child, five, in hospital after plunging from window in north London

A five-year-old child has been taken to hospital after falling out of a window in north London.




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Vedanta plunges 5.59% on LSE amid talks to buy Cairn stake

In the late afternoon session, the scrip was being traded at 20.61 pounds, down by 5.50 per cent on the LSE. Vedanta opened on a positive note, but soon swung into the red.




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British Covid-19 patient in Vietnam could have lung transplant

Vietnam Airlines pilot one of only two serious cases in country with mass testing regime

A 43-year-old British man may undergo a lung transplant in Vietnam, where he is critically ill with Covid-19.

The man, a Vietnam Airlines pilot, developed a fever and cough on 17 March, and was later admitted to Ho Chi Minh City Hospital for Tropical Diseases.

Continue reading...




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NSW Government urged to hit pause on major housing development described as 'lung cancer for Sydney'

Court documents provide insight into the shambolic and costly planning issues being created by a major housing expansion on the southern outskirts of Sydney.




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Column: You can thank the coronavirus for plunge in robocalls

With call centers in India, the Philippines and elsewhere shut down for the coronavirus, many robocall companies have simply stopped making calls.




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Pediatric coronavirus disease (COVID-19) x-ray, CT in review of new lung disorders

Although the clinical symptoms of SARS, H1N1, MERS, EVALI, and COVID-19 may be nonspecific, some characteristic imaging findings are emerging, says the American Journal of Roentgenology (AJR). Careful evaluation of the distribution, lung zone preference, and symmetry of the abnormalities with an eye for a few unique differentiating imaging features can allow radiologists to offer a narrower differential diagnosis in pediatric patients, leading to optimal patient care.




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World War Two veteran, 98, with lung condition recovers from coronavirus

Douglas Moore, who also has a lung condition, received a round of applause as he was discharged from Kettering General Hospital.





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ASX rises as Afterpay surges on Chinese investment, job ads plunge

The Australian share market closes higher, shaking off initial falls, while Afterpay shares surge after revealing investment by Chinese firm Tencent. Job ads fell by 50 per cent in April as coronavirus hit businesses.




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David Warner’s Dance On Tamil Song ‘Inji Idupazhagi’ Is Cool But His ‘Lungi’ Is The Killer Here




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The groundbreaking way to search lungs for signs of Covid-19

Artificial intelligence technology is being rapidly deployed worldwide to help tackle Covid-19.




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Novartis Drug Wins FDA Approval for Lung Cancers With Specific Mutation

As cancer research reveals the genetic basis of the disease, pharmaceutical companies are pursuing targeted therapies that address certain groups of patients. One such drug from Novartis won FDA approval Wednesday, making it the first therapy cleared by the agency to treat patients whose non-small cell lung cancer (NSCLC) carries a certain genetic mutation. The […]




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Phase 3 Libtayo monotherapy trial halted early due to strong benefit in advanced non-small cell lung cancer

A Phase 3 study of Sanofi and Regeneron’s Libtayo (cemiplimab) as a monotherapy for advanced or metastatic non-small cell lung cancer (NSCLC) has been stopped early after showing strong overall survival benefit, it has emerged.




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FDA approval for Tabrecta in metastatic non-small cell lung cancer with METex14

The FDA has awarded marketing authorisation to Novartis for the Oral MET inhibitor Tabrecta for the first-line treatment of metastatic non-small cell lung cancer in patients whose tumors have a mutation that leads to MET exon 14 skipping (METex14), regardless of whether they have previously received any type of treatment.




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Checkpoint blocker plus chemo shows impact in lung cancer

A multi-year collaboration between China’s Innovent Biologics and USA-based Eli Lilly is bearing fruit,…



  • Biotechnology/China/Drug Trial/Eli Lilly & Company/Gemzar/Immuno-oncology/Innovent Biologics/Research/Tyvyt/USA

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First targeted therapy for aggressive form of lung cancer approved by FDA

Late Wednesday, the US Food and Drug Administration said it has granted accelerated approved for Tabrecta…



  • Biotechnology/capmatinib/Focus On/Incyte Corp/Medical Devices and Diagnostics/Novartis/Oncology/Rare diseases/Regulation/Research/Switzerland/Tabrecta/USA

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FDA backs Retevmo for certain lung and thyroid cancers

The US Food and Drug Administration has granted accelerated approval for Retevmo (selpercatinib) capsules…



  • Biotechnology/Eli Lilly/Focus On/Immuno-oncology/Loxo Oncology/Oncology/Regulation/Retevmo/selpercatinib/US FDA/USA

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Phase 3 trial of Libtayo® (cemiplimab) as monotherapy for first-line advanced non-small cell lung cancer stopped early due to highly significant improvement in overall survival

- Libtayo decreased the risk of death by 32.4% compared to chemotherapy




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Erianin, a novel dibenzyl compound in Dendrobium extract, inhibits lung cancer cell growth and migration via calcium/calmodulin-dependent ferroptosis




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Connectivity map-based drug repositioning of bortezomib to reverse the metastatic effect of GALNT14 in lung cancer




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Early assessment of <i>KRAS</i> mutation in cfDNA correlates with risk of progression and death in advanced non-small-cell lung cancer




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Irradiation induces cancer lung metastasis through activation of the cGAS–STING–CCL5 pathway in mesenchymal stromal cells




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Who's Looking Out for Your Lungs? Industry and Legislators Pressing EPA to Drop Tighter Ozone Standards

You can't blame them for trying: With the White House set to change hands in less than a year's time - likely bringing on board a more eco-friendly administration - industry groups have been pressing the EPA to squelch stricter air-quality standards




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Cancer-sniffing dogs detect lung cancer with 97% accuracy

Authors of a new study say dogs may help develop over-the-counter tests capable of life-saving early detection.




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Laura Dern, Kellie Pickler, Valerie Harper Among Notable Voices Kicking Off National Women's Lung Health Week - #ShareYourVoice for LUNG FORCE

Laura Dern, Kellie Pickler, Valerie Harper Among Notable Voices Kicking Off National Women’s Lung Health Week




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Grammy Award-Winning Singer Patti LaBelle Teams Up With American Lung Association's LUNG FORCE To Educate The Public About Lung Cancer - 2nd Annual Women’s Lung Health Barometer Animated Video

2nd Annual Women’s Lung Health Barometer Animated Video




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Consumer confidence plunges in April as millions lose jobs

The Conference Board said Tuesday that its confidence index tumbled to a reading of 86.9, the lowest level in nearly six years and down from 118.8 in March.




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Plunge in health-care spending a big reason US economy sank in first quarter

The coronavirus crisis actually caused consumer health-care spending to plunge 18% in Q1.




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US consumer spending plunges 7.5% in March, reflecting virus

U.S. consumer spending plunged 7.5% in March, reflecting the growing impact of the coronavirus pandemic as Americans complied with stay-at-home orders.




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For investors shaken by Dow plunge, Warren Buffett's new advice on finding long-term market winners

At a time of short-term market panic about the coronavirus, Warren Buffett offers a new lesson on how to identify long-term stock winners. The key: a focus on corporate reinvestment.




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Exxon loses $610 million in the first quarter on write-downs tied to plunging oil

Exxon Mobil reported a loss in the first quarter as oil prices dropped to historic lows.