HER2/Neu/ERBB2 is a receptor tyrosine kinase overexpressed in approximately
20% of human breast tumors. Truncated or mutant isoforms which show increased
oncogenicity compared to the wild-type receptor are found in many breast tumors. Here
we report that constitutively active ERBB2 sensitizes human breast epithelial cells to
agents that induce endoplasmic reticulum (ER) stress, altering the unfolded protein
response (UPR) of these cells. Deregulation of the ERK, AKT and mTOR activities
elicited by mutant ERBB were involved in mediating this differential UPR response,
elevating the response to ER stress and apoptotic cell death. Mechanistic investigations
revealed that the increased sensitivity of mutant ERBB2-expressing cells to ER stress
relied upon a UPR effector signaling involving the PERK-ATF4-CHOP pathway,
upregulation of the proapoptotic cell surface receptor TRAIL-R2 and activation of
proapoptotic caspase-8. Collectively, our results offer a rationale for
the therapeutic exploration of treatments inducing ER stress against mutant ERBB2-
expressing breast tumor cells.