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Author
- Clevenger, Charles V2
- Ahmad, Akhlaq1
- Ahn, Eun-Young Erin1
- Alamoudi, Mariam K1
- Alexander, Caroline M1
- Alexander, Peter B1
- Alshagawi, Mohammed A1
- Anandan, Lavanya1
- Asara, John M1
- Ashrafzadeh, Sepideh1
- Badwe, Rajendra A1
- Bagchi, Indrani C1
- Bagchi, Milan K1
- Baglioni, María Virginia1
- Bai, Yu1
- Bajpai, Prachi1
- Bao, Liwei1
- Bauer, Matthias R1
- Bicciato, Silvio1
- Bonk, Kristen L Weber1
- Borini Etichetti, Carla1
- Borrero-Garcia, Luis D1
- Bradner, James E1
- Bridges, Sydney1
- Bronsert, Peter1
Keyword
- microRNA (miRNA)5
- p534
- tumor cell biology4
- cancer therapy3
- receptor tyrosine kinase3
- transcription regulation3
- DNA damage2
- DNA damage response2
- DNA methylation2
- gene expression2
- gene regulation2
- HBXIP2
- transcription factor2
- transcriptional regulation2
- 1,10-dihydropyrrolo[2,3-a]carbazole-3-carbaldehyde1
- AP1 transcription factor (AP-1)1
- AR1
- ARE1
- ATF6α1
- Aurora kinase1
- BCa1
- C promoter-binding factor 1, Suppressor of Hairless, Lag-11
- C2 domain1
- CAM1
Molecular Bases of Disease
39 Results
- Research ArticleOpen Access
Ubiquitin-specific peptidase 14 maintains estrogen receptor α stability via its deubiquitination activity in endometrial cancer
Journal of Biological ChemistryVol. 299Issue 1102734Published online: November 21, 2022- Yingjie Su
- Kai Zeng
- Shuchang Liu
- Yi Wu
- Chunyu Wang
- Shengli Wang
- and others
Cited in Scopus: 0USP14 deubiquitinates ERα to maintain its stability in ECEndometrial cancer (EC) is one of the common gynecological malignancies of which the incidence has been rising for decades. It is considered that continuously unopposed estrogen exposure is the main risk factor for EC initiation. Thus, exploring the modulation of estrogen/estrogen receptor α (ERα) signaling pathway in EC would be helpful to well understand the mechanism of EC development and find the potential target for EC therapy. Ubiquitin-specific peptidase 14 (USP14), a member of the proteasome-associated deubiquitinating enzyme family, plays a crucial role in a series of tumors. - Research ArticleOpen Access
Isoform a4 of the vacuolar ATPase a subunit promotes 4T1-12B breast cancer cell–dependent tumor growth and metastasis in vivo
Journal of Biological ChemistryVol. 298Issue 10102395Published online: August 18, 2022- Kevin Su
- Michael P. Collins
- Christina M. McGuire
- Mohammed A. Alshagawi
- Mariam K. Alamoudi
- Zhen Li
- and others
Cited in Scopus: 0The vacuolar H+-ATPase (V-ATPase) is an ATP-dependent proton pump that governs the pH of various intracellular compartments and also functions at the plasma membrane in certain cell types, including cancer cells. Membrane targeting of the V-ATPase is controlled by isoforms of subunit a, and we have previously shown that isoforms a3 and a4 are important for the migration and invasion of several breast cancer cell lines in vitro. Using CRISPR-mediated genome editing to selectively disrupt each of the four a subunit isoforms, we also recently showed that a4 is critical to plasma membrane V-ATPase localization, as well as in vitro migration and invasion of 4T1-12B murine breast cancer cells. - Research ArticleOpen Access
HBXIP is a novel regulator of the unfolded protein response that sustains tamoxifen resistance in ER+ breast cancer
Journal of Biological ChemistryVol. 298Issue 3101644Published online: January 27, 2022- Shenghong Zhang
- Ranran Wang
- Xinyue Wang
- Xueling Guo
- Yanyan Du
- Xin Guo
- and others
Cited in Scopus: 0Endocrine-therapy-resistant estrogen receptor–positive (ER+) breast cancer cells often exhibit an augmented capacity to maintain endoplasmic reticulum (EnR) homeostasis under adverse conditions. Oncoprotein hepatitis B X-interacting protein (HBXIP) is a known transcriptional coactivator that promotes cancer development. However, it is unclear whether HBXIP participates in maintaining EnR homeostasis and promoting drug resistance in ER+ breast cancer. Here, we report that tamoxifen-resistant (TmaR) breast cancer cells exhibit increased expression of HBXIP, which acts as an inactivator of the unfolded protein response (UPR) to diminish tamoxifen-induced EnR stress. - Research ArticleOpen Access
PIM-induced phosphorylation of Notch3 promotes breast cancer tumorigenicity in a CSL-independent fashion
Journal of Biological ChemistryVol. 296100593Published online: March 25, 2021- Sebastian K.J. Landor
- Niina M. Santio
- William B. Eccleshall
- Valeriy M. Paramonov
- Ellen K. Gagliani
- Daniel Hall
- and others
Cited in Scopus: 4Dysregulation of the developmentally important Notch signaling pathway is implicated in several types of cancer, including breast cancer. However, the specific roles and regulation of the four different Notch receptors have remained elusive. We have previously reported that the oncogenic PIM kinases phosphorylate Notch1 and Notch3. Phosphorylation of Notch1 within the second nuclear localization sequence of its intracellular domain (ICD) enhances its transcriptional activity and tumorigenicity. In this study, we analyzed Notch3 phosphorylation and its functional impact. - Cell BiologyOpen Access
Survivin in breast cancer–derived exosomes activates fibroblasts by up-regulating SOD1, whose feedback promotes cancer proliferation and metastasis
Journal of Biological ChemistryVol. 295Issue 40p13737–13752Published online: July 24, 2020- Kangdi Li
- Ting Liu
- Jie Chen
- Huying Ni
- Wenhua Li
Cited in Scopus: 27Cancer-associated fibroblasts (CAFs) play a critical role in the coevolution of breast tumor cells and their microenvironment by modifying cellular compartments and regulating cancer cell functions via stromal-epithelial dialogue. However, the relationship and interaction between stromal and epithelial cells is still poorly understood. Herein, we revealed that breast cancer cells have a stronger ability to activate fibroblasts and transform them into myofibroblasts (CAF-like) than normal breast epithelial cells, and this stronger ability occurs through paracrine signaling. - Molecular Bases of DiseaseOpen Access
Combined p53- and PTEN-deficiency activates expression of mesenchyme homeobox 1 (MEOX1) required for growth of triple-negative breast cancer
Journal of Biological ChemistryVol. 295Issue 34p12188–12202Published online: May 28, 2020- Mari Gasparyan
- Miao-Chia Lo
- Hui Jiang
- Chang-Ching Lin
- Duxin Sun
Cited in Scopus: 8Triple-negative breast cancer (TNBC) is an aggressive cancer subtype for which effective therapies are unavailable. TNBC has a high frequency of tumor protein p53 (Tp53/p53)- and phosphatase and tensin homolog (PTEN) deficiencies, and combined p53- and PTEN-deficiency is associated with poor prognosis and poor response to anticancer therapies. In this study, we discovered that combined p53- and PTEN-deficiency in TNBC activates expression of the transcription factor mesenchyme homeobox 1 (MEOX1). - Molecular Bases of DiseaseOpen Access
A novel tumor suppressor ZBTB1 regulates tamoxifen resistance and aerobic glycolysis through suppressing HER2 expression in breast cancer
Journal of Biological ChemistryVol. 295Issue 41p14140–14152Published online: July 20, 2020- Panhong Zhang
- Yutao Yang
- Kai Qian
- Lianlian Li
- Cuiping Zhang
- Xiaoyi Fu
- and others
Cited in Scopus: 10Transcriptional repressor zinc finger and BTB domain containing 1 (ZBTB1) is required for DNA repair. Because DNA repair defects often underlie genome instability and tumorigenesis, we determined to study the role of ZBTB1 in cancer. In this study, we found that ZBTB1 is down-regulated in breast cancer and this down-regulation is associated with poor outcome of breast cancer patients. ZBTB1 suppresses breast cancer cell proliferation and tumor growth. The majority of breast cancers are estrogen receptor (ER) positive and selective estrogen receptor modulators such as tamoxifen have been widely used in the treatment of these patients. - Editors' PicksOpen Access
Inhibition of the polyamine synthesis enzyme ornithine decarboxylase sensitizes triple-negative breast cancer cells to cytotoxic chemotherapy
Journal of Biological ChemistryVol. 295Issue 19p6263–6277Published online: March 5, 2020- Renee C. Geck
- Jackson R. Foley
- Tracy Murray Stewart
- John M. Asara
- Robert A. Casero Jr.
- Alex Toker
Cited in Scopus: 25Treatment of patients with triple-negative breast cancer (TNBC) is limited by a lack of effective molecular therapies targeting this disease. Recent studies have identified metabolic alterations in cancer cells that can be targeted to improve responses to standard-of-care chemotherapy regimens. Using MDA-MB-468 and SUM-159PT TNBC cells, along with LC-MS/MS and HPLC metabolomics profiling, we found here that exposure of TNBC cells to the cytotoxic chemotherapy drugs cisplatin and doxorubicin alter arginine and polyamine metabolites. - Signal TransductionOpen Access
DLC1 SAM domain-binding peptides inhibit cancer cell growth and migration by inactivating RhoA
Journal of Biological ChemistryVol. 295Issue 2p645–656Published online: December 5, 2019- Rakesh Joshi
- Lyugao Qin
- Xuan Cao
- Shanshan Zhong
- Courtney Voss
- Weiping Min
- and others
Cited in Scopus: 15Deleted-in-liver cancer 1 (DLC1) exerts its tumor suppressive function mainly through the Rho-GTPase–activating protein (RhoGAP) domain. When activated, the domain promotes the hydrolysis of RhoA-GTP, leading to reduced cell migration. DLC1 is kept in an inactive state by an intramolecular interaction between its RhoGAP domain and the DLC1 sterile α motif (SAM) domain. We have shown previously that this autoinhibited state of DLC1 may be alleviated by tensin-3 (TNS3) or PTEN. We show here that the TNS3/PTEN-DLC1 interactions are mediated by the C2 domains of the former and the SAM domain of the latter. - ArticleOpen Access
The DNA repair helicase RECQ1 has a checkpoint-dependent role in mediating DNA damage responses induced by gemcitabine
Journal of Biological ChemistryVol. 294Issue 42p15330–15345Published online: August 23, 2019- Swetha Parvathaneni
- Sudha Sharma
Cited in Scopus: 11The response of cancer cells to therapeutic drugs that cause DNA damage depends on genes playing a role in DNA repair. RecQ-like helicase 1 (RECQ1), a DNA repair helicase, is critical for genome stability, and loss-of-function mutations in the RECQ1 gene are associated with increased susceptibility to breast cancer. In this study, using a CRISPR/Cas9-edited cell-based model, we show that the genetic or functional loss of RECQ1 sensitizes MDA-MB-231 breast cancer cells to gemcitabine, a nucleoside analog used in chemotherapy for triple-negative breast cancer. - Gene RegulationOpen Access
Hypoxia induces cancer cell-specific chromatin interactions and increases MALAT1 expression in breast cancer cells
Journal of Biological ChemistryVol. 294Issue 29p11213–11224Published online: June 5, 2019- Joshua K. Stone
- Jung-Hyun Kim
- Lana Vukadin
- Alexander Richard
- Hannah K. Giannini
- Ssang-Taek Steve Lim
- and others
Cited in Scopus: 31Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) is a long noncoding RNA overexpressed in various cancers that promotes cell growth and metastasis. Although hypoxia has been shown to up-regulate MALAT1, only hypoxia-inducible factors (HIFs) have been implicated in activation of the MALAT1 promoter in specific cell types and other molecular mechanisms associated with hypoxia-mediated MALAT1 up-regulation remain largely unknown. Here, we demonstrate that hypoxia induces cancer cell-specific chromatin–chromatin interactions between newly identified enhancer-like cis-regulatory elements present at the MALAT1 locus. - Cell BiologyOpen Access
Isoprenylcysteine carboxy methyltransferase (ICMT) is associated with tumor aggressiveness and its expression is controlled by the p53 tumor suppressor
Journal of Biological ChemistryVol. 294Issue 13p5060–5073Published online: January 17, 2019- Carla Borini Etichetti
- Carolina Di Benedetto
- Carolina Rossi
- María Virginia Baglioni
- Silvio Bicciato
- Giannino Del Sal
- and others
Cited in Scopus: 6Isoprenyl cysteine carboxyl methyltransferase (ICMT) plays a key role in post-translational regulation of prenylated proteins. On the basis of previous results, we hypothesized that the p53 pathway and ICMT expression may be linked in cancer cells. Here, we studied whether WT p53 and cancer-associated p53 point mutants regulate ICMT levels and whether ICMT overexpression affects tumor progression. Studying the effect of p53 variants on ICMT mRNA and protein levels in cancer cells, we found that WT p53 and p53 mutants differentially affect ICMT expression, indicating that p53 status influences ICMT levels in tumors. - Molecular Bases of DiseaseOpen Access
Up-regulation of the kinase gene SGK1 by progesterone activates the AP-1–NDRG1 axis in both PR-positive and -negative breast cancer cells
Journal of Biological ChemistryVol. 293Issue 50p19263–19276Published online: October 18, 2018- Mukul Godbole
- Trupti Togar
- Kuldeep Patel
- Bhasker Dharavath
- Neelima Yadav
- Sharan Janjuha
- and others
Cited in Scopus: 15Preoperative progesterone intervention has been shown to confer a survival benefit to breast cancer patients independently of their progesterone receptor (PR) status. This observation raises the question how progesterone affects the outcome of PR-negative cancer. Here, using microarray and RNA-Seq–based gene expression profiling and ChIP-Seq analyses of breast cancer cells, we observed that the serum- and glucocorticoid-regulated kinase gene (SGK1) and the tumor metastasis–suppressor gene N-Myc downstream regulated gene 1 (NDRG1) are up-regulated and that the microRNAs miR-29a and miR-101-1 targeting the 3′-UTR of SGK1 are down-regulated in response to progesterone. - Gene RegulationOpen Access
NRF2 transcriptionally activates the heat shock factor 1 promoter under oxidative stress and affects survival and migration potential of MCF7 cells
Journal of Biological ChemistryVol. 293Issue 50p19303–19316Published online: October 11, 2018- Soumyadip Paul
- Suvranil Ghosh
- Sukhendu Mandal
- Subrata Sau
- Mahadeb Pal
Cited in Scopus: 32Functional up-regulation of heat shock factor 1 (HSF1) activity through different posttranslational modifications has been implicated in the survival and proliferation of various cancers. It is increasingly recognized that the HSF1 gene is also up-regulated at the transcriptional level, a phenomenon correlated with poor prognosis for patients with different cancers, including breast cancer. Here, we analyzed the transcriptional up-regulation of HSF1 in human cells upon arsenite- or peroxide-induced oxidative stress. - Molecular Bases of DiseaseOpen Access
E4BP4/NFIL3 modulates the epigenetically repressed RAS effector RASSF8 function through histone methyltransferases
Journal of Biological ChemistryVol. 293Issue 15p5624–5635Published online: February 21, 2018- Isai Pratha Karthik
- Pavitra Desai
- Sudarkodi Sukumar
- Aleksandra Dimitrijevic
- Krishnaraj Rajalingam
- Sundarasamy Mahalingam
Cited in Scopus: 7RAS proteins are major human oncogenes, and most of the studies are focused on enzymatic RAS effectors. Recently, nonenzymatic RAS effectors (RASSF, RAS association domain family) have garnered special attention because of their tumor-suppressive properties in contrast to the oncogenic potential of the classical enzymatic RAS effectors. Whereas most members of RASSF family are deregulated by promoter hypermethylation, RASSF8 promoter remains unmethylated in many cancers but the mechanism(s) of its down-regulation remains unknown. - Gene RegulationOpen Access
The curcumin analog HO-3867 selectively kills cancer cells by converting mutant p53 protein to transcriptionally active wildtype p53
Journal of Biological ChemistryVol. 293Issue 12p4262–4276Published online: January 30, 2018- Esha Madan
- Taylor M. Parker
- Matthias R. Bauer
- Alisha Dhiman
- Christopher J. Pelham
- Masaki Nagane
- and others
Cited in Scopus: 31p53 is an important tumor-suppressor protein that is mutated in more than 50% of cancers. Strategies for restoring normal p53 function are complicated by the oncogenic properties of mutant p53 and have not met with clinical success. To counteract mutant p53 activity, a variety of drugs with the potential to reconvert mutant p53 to an active wildtype form have been developed. However, these drugs are associated with various negative effects such as cellular toxicity, nonspecific binding to other proteins, and inability to induce a wildtype p53 response in cancer tissue. - Molecular Bases of DiseaseOpen Access
Aberrantly high expression of the CUB and zona pellucida-like domain-containing protein 1 (CUZD1) in mammary epithelium leads to breast tumorigenesis
Journal of Biological ChemistryVol. 293Issue 8p2850–2864Published online: January 10, 2018- Janelle Mapes
- Lavanya Anandan
- Quanxi Li
- Alison Neff
- Charles V. Clevenger
- Indrani C. Bagchi
- and others
Cited in Scopus: 11The peptide hormone prolactin (PRL) and certain members of the epidermal growth factor (EGF) family play central roles in mammary gland development and physiology, and their dysregulation has been implicated in mammary tumorigenesis. Our recent studies have revealed that the CUB and zona pellucida-like domain-containing protein 1 (CUZD1) is a critical factor for PRL-mediated activation of the transcription factor STAT5 in mouse mammary epithelium. Of note, CUZD1 controls production of a specific subset of the EGF family growth factors and consequent activation of their receptors. - LipidsOpen Access
Nitro-fatty acid inhibition of triple-negative breast cancer cell viability, migration, invasion, and tumor growth
Journal of Biological ChemistryVol. 293Issue 4p1120–1137Published online: November 20, 2017- Chen-Shan Chen Woodcock
- Yi Huang
- Steven R. Woodcock
- Sonia R. Salvatore
- Bhupinder Singh
- Franca Golin-Bisello
- and others
Cited in Scopus: 41Triple-negative breast cancer (TNBC) comprises ∼20% of all breast cancers and is the most aggressive mammary cancer subtype. Devoid of the estrogen and progesterone receptors, along with the receptor tyrosine kinase ERB2 (HER2), that define most mammary cancers, there are no targeted therapies for patients with TNBC. This, combined with a high metastatic rate and a lower 5-year survival rate than for other breast cancer phenotypes, means there is significant unmet need for new therapeutic strategies. - Gene RegulationOpen Access
Epigenetic modification of miR-663 controls mitochondria-to-nucleus retrograde signaling and tumor progression
Journal of Biological ChemistryVol. 292Issue 50p20694–20706Published online: October 24, 2017- Trevor Carden
- Bhupendra Singh
- Ved Mooga
- Prachi Bajpai
- Keshav K. Singh
Cited in Scopus: 42The normal cellular function requires communication between mitochondria and the nucleus, termed mitochondria-to-nucleus retrograde signaling. Disruption of this mechanism has been implicated in the development of cancers. Many proteins are known modulators of retrograde signaling, but whether microRNAs (miRNAs) are also involved is unknown. We conducted an miRNA microarray analysis using RNA from a parental cell line, a Rho0 line lacking mitochondrial DNA (mtDNA) and a Rho0 line with restored mtDNA. - Signal TransductionOpen Access
SUMOylation regulates nuclear accumulation and signaling activity of the soluble intracellular domain of the ErbB4 receptor tyrosine kinase
Journal of Biological ChemistryVol. 292Issue 48p19890–19904Published online: October 3, 2017- Anna M. Knittle
- Maria Helkkula
- Mark S. Johnson
- Maria Sundvall
- Klaus Elenius
Cited in Scopus: 11Erb-B2 receptor tyrosine kinase 4 (ErbB4) is a kinase that can signal via a proteolytically released intracellular domain (ICD) in addition to classical receptor tyrosine kinase–activated signaling cascades. Previously, we have demonstrated that ErbB4 ICD is posttranslationally modified by the small ubiquitin-like modifier (SUMO) and functionally interacts with the PIAS3 SUMO E3 ligase. However, direct evidence of SUMO modification in ErbB4 signaling has remained elusive. Here, we report that the conserved lysine residue 714 in the ErbB4 ICD undergoes SUMO modification, which was reversed by sentrin-specific proteases (SENPs) 1, 2, and 5. - Gene RegulationOpen Access
Post-transcriptional regulation of ERBB2 by miR26a/b and HuR confers resistance to tamoxifen in estrogen receptor-positive breast cancer cells
Journal of Biological ChemistryVol. 292Issue 33p13551–13564Published online: June 21, 2017- Sheng Tan
- Keshuo Ding
- Qing-Yun Chong
- Junsong Zhao
- Yuan Liu
- Yunying Shao
- and others
Cited in Scopus: 24Tamoxifen-resistant (TAMR) estrogen receptor-positive (ER+) breast cancer is characterized by elevated Erb-B2 receptor tyrosine kinase 2 (ERBB2) expression. However, the underlying mechanisms responsible for the increased ERBB2 expression in the TAMR cells remain poorly understood. Herein, we reported that the ERBB2 expression is regulated at the post-transcriptional level by miR26a/b and the RNA-binding protein human antigen R (HuR), both of which associate with the 3′-UTR of the ERBB2 transcripts. - Molecular Bases of DiseaseOpen Access
Tumor-associated myoepithelial cells promote the invasive progression of ductal carcinoma in situ through activation of TGFβ signaling
Journal of Biological ChemistryVol. 292Issue 27p11466–11484Published online: May 16, 2017- Pang-Kuo Lo
- Yongshu Zhang
- Yuan Yao
- Benjamin Wolfson
- Justine Yu
- Shu-Yan Han
- and others
Cited in Scopus: 28The normal myoepithelium has a tumor-suppressing nature and inhibits the progression of ductal carcinoma in situ (DCIS) into invasive ductal carcinoma (IDC). Conversely, a growing number of studies have shown that tumor-associated myoepithelial cells have a tumor-promoting effect. Moreover, the exact role of tumor-associated myoepithelial cells in the DCIS-to-IDC development remains undefined. To address this, we explored the role of tumor-associated myoepithelial cells in the DCIS-to-IDC progression. - Molecular Bases of DiseaseOpen Access
Pharmacological targeting of RAD6 enzyme-mediated translesion synthesis overcomes resistance to platinum-based drugs
Journal of Biological ChemistryVol. 292Issue 25p10347–10363Published online: May 10, 2017- Matthew A. Sanders
- Brittany Haynes
- Pratima Nangia-Makker
- Lisa A. Polin
- Malathy P. Shekhar
Cited in Scopus: 26Platinum drug-induced cross-link repair requires the concerted activities of translesion synthesis (TLS), Fanconi anemia (FA), and homologous recombination repair pathways. The E2 ubiquitin-conjugating enzyme RAD6 is essential for TLS. Here, we show that RAD6 plays a universal role in platinum-based drug tolerance. Using a novel RAD6-selective small-molecule inhibitor (SMI#9) targeting the RAD6 catalytic site, we demonstrate that SMI#9 potentiates the sensitivities of cancer cells with innate or acquired cisplatin or oxaliplatin resistance. - Gene RegulationOpen Access
Histone H1 and Chromosomal Protein HMGN2 Regulate Prolactin-induced STAT5 Transcription Factor Recruitment and Function in Breast Cancer Cells
Journal of Biological ChemistryVol. 292Issue 6p2237–2254Published online: December 29, 2016- Suzanne M. Schauwecker
- J. Julie Kim
- Jonathan D. Licht
- Charles V. Clevenger
Cited in Scopus: 18The hormone prolactin (PRL) contributes to breast cancer pathogenesis through various signaling pathways, one of the most notable being the JAK2/signal transducer and activator of transcription 5 (STAT5) pathway. PRL-induced activation of the transcription factor STAT5 results in the up-regulation of numerous genes implicated in breast cancer pathogenesis. However, the molecular mechanisms that enable STAT5 to access the promoters of these genes are not well understood. Here, we show that PRL signaling induces chromatin decompaction at promoter DNA, corresponding with STAT5 binding. - Molecular Bases of DiseaseOpen Access
Distinct Receptor Tyrosine Kinase Subsets Mediate Anti-HER2 Drug Resistance in Breast Cancer
Journal of Biological ChemistryVol. 292Issue 2p748–759Published online: November 30, 2016- Peter B. Alexander
- Rui Chen
- Chang Gong
- Lifeng Yuan
- Jeff S. Jasper
- Yi Ding
- and others
Cited in Scopus: 25Targeted inhibitors of the human epidermal growth factor receptor 2 (HER2), such as trastuzumab and lapatinib, are among the first examples of molecularly targeted cancer therapy and have proven largely effective for the treatment of HER2-positive breast cancers. However, approximately half of those patients either do not respond to these therapies or develop secondary resistance. Although a few signaling pathways have been implicated, a comprehensive understanding of mechanisms underlying HER2 inhibitor drug resistance is still lacking.