Increased expression of the epidermal growth factor (EGF) receptor (EGFR) and ErbB-2 is implicated into the development and progression of breast cancer. Constant ligand-induced activation of EGFR and ErbB-2 receptortyrosine kinases is thought to be involved in the transformation of fibroblasts and mammary epithelial cells. Data herein show that ligand stimulation of cells that express both the EGFR and the ErbB-2 may result either in cell proliferation or apoptosis depending on the expression levels of EGFR and ErbB-2. Mammary tumor cells that express low levels of both receptors or high levels of ErbB-2 and low levels of EGFR survive and proliferate in the presence of EGF. In contrast, fibroblastic cells or mammary tumor cells, which co-express high levels of EGFR and ErbB-2 invariably undergo apoptosis in response to EGF. In these cells persistent activation of p38 MAPK is an essential element of the apoptotic mechanism. Also, the data implicate a p38-dependent change in mitochondrial membrane permeability as a downstream effector of apoptosis. Ligand-dependent apoptosis in cells co-expressing high levels of EGFR and ErbB-2 could be a natural mechanism that protects tissues from unrestricted proliferation in response to the sustained activation of receptor-tyrosine kinases.
EGFR1 /ErbB-1 and ErbB-2 are type I receptor-tyrosine kinases characterized by the presence of an extracellular ligand binding domain, a single transmembrane domain, and a cytoplasmic region that includes a tyrosine kinase domain. The extracellular domain of the EGFR is recognized by seven distinct ligands that are related in primary sequence, which results in tyrosine kinase activation (1). In response to ligand stimulation, the EGFR forms homo-or heterodimers as part of the activation and signaling mechanism (2, 3). ErbB-2 has no known direct ligand but can be activated through heterodimerization with EGFR or other members of the ErbB family. Studies of the interactions between ErbB receptors have shown that ErbB-2 is the preferred partner for heterodimerization and thereby potentiates transformation and pro-survival signaling pathways (2-6).Ligand binding induces the rapid internalization of the EGFR and its subsequent lysosomal degradation (7). In contrast, ErbB-2 transactivation by the activated EGFR does not stimulate rapid internalization of ErbB-2 (8 -11). Removal of transactivated ErbB-2 from the cell surface proceeds slowly through a combination of intracellular degradation mechanisms, including lysosomes, the proteasome, and other intracellular proteases (10, 12-13). Heterodimerization of ErbB-2 and the EGFR actually impedes the rapid ligand-dependent internalization of the EGFR and, thereby, results in increased activation of signaling pathways (4, 9, 14).Increased EGFR or ErbB-2 expression or structural alterations in either receptor are frequent in human malignancies (2, 15-17). Overexpression of the EGFR is observed in a significant proportion of brain tumors (18 -20). Also, glioblastomas and other tumors often express a del...