Skip to main content
Top
Published in: BMC Cancer 1/2013

Open Access 01-12-2013 | Research article

αB-crystallin stimulates VEGF secretion and tumor cell migration and correlates with enhanced distant metastasis in head and neck squamous cell carcinoma

Authors: Chantal van de Schootbrugge, Johan Bussink, Paul N Span, Fred CGJ Sweep, Reidar Grénman, Hanneke Stegeman, Ger JM Pruijn, Johannes HAM Kaanders, Wilbert C Boelens

Published in: BMC Cancer | Issue 1/2013

Login to get access

Abstract

Background

αB-crystallin is able to modulate vascular endothelial growth factor (VEGF) secretion. In many solid tumors VEGF is associated with angiogenesis, metastasis formation and poor prognosis. We set out to assess whether αB-crystallin expression is correlated with worse prognosis and whether this is related to VEGF secretion and cell motility in head and neck squamous cell carcinoma (HNSCC).

Methods

αB-crystallin expression was determined immunohistochemically in tumor biopsies of 38 HNSCC patients. Locoregional control (LRC) and metastasis-free survival (MFS) of the patients were analyzed in relation to αB-crystallin expression. Additionally, the effects of αB-crystallin knockdown on VEGF secretion and cell motility were studied in vitro.

Results

Patients with higher staining fractions of αB-crystallin exhibited a significantly shorter MFS (Log-Rank test, p < 0.005). Under normoxic conditions αB-crystallin knockdown with two different siRNAs in a HNSCC cell line reduced VEGF secretion 1.9-fold and 2.1-fold, respectively. Under hypoxic conditions, a similar reduction of VEGF secretion was observed, 1.9-fold and 2.2-fold, respectively. The effect on cell motility was assessed by a gap closure assay, which showed that αB-crystallin knockdown decreased the rate by which HNSCC cells were able to close a gap by 1.5- to 2.0-fold.

Conclusions

Our data suggest that αB-crystallin expression is associated with distant metastases formation in HNSCC patients. This association might relate to the chaperone function of αB-crystallin in mediating folding and secretion of VEGF and stimulating cell migration.
Appendix
Available only for authorised users
Literature
1.
go back to reference Chin D, Boyle GM, Williams RM, Ferguson K, Pandeya N, Pedley J, Campbell CM, Theile DR, Parsons PG, Coman WB: αB-crystallin, a new independent marker for poor prognosis in head and neck cancer. Laryngoscope. 2005, 115: 1239-1242.CrossRefPubMed Chin D, Boyle GM, Williams RM, Ferguson K, Pandeya N, Pedley J, Campbell CM, Theile DR, Parsons PG, Coman WB: αB-crystallin, a new independent marker for poor prognosis in head and neck cancer. Laryngoscope. 2005, 115: 1239-1242.CrossRefPubMed
2.
go back to reference Boslooper K, King-Yin LA, Gao J, Weinstein S, Johnson N: The clinicopathological roles of αB-crystallin and p53 expression in patients with head and neck squamous cell carcinoma. Pathology. 2008, 40: 500-504.CrossRefPubMed Boslooper K, King-Yin LA, Gao J, Weinstein S, Johnson N: The clinicopathological roles of αB-crystallin and p53 expression in patients with head and neck squamous cell carcinoma. Pathology. 2008, 40: 500-504.CrossRefPubMed
3.
go back to reference Moyano JV, Evans JR, Chen F, Lu M, Werner ME, Yehiely F, Diaz LK, Turbin D, Karaca G, Wiley E, Nielsen TO, Perou CM, Cryns VL: αB-crystallin is a novel oncoprotein that predicts poor clinical outcome in breast cancer. J Clin Invest. 2006, 116: 261-270.CrossRefPubMedPubMedCentral Moyano JV, Evans JR, Chen F, Lu M, Werner ME, Yehiely F, Diaz LK, Turbin D, Karaca G, Wiley E, Nielsen TO, Perou CM, Cryns VL: αB-crystallin is a novel oncoprotein that predicts poor clinical outcome in breast cancer. J Clin Invest. 2006, 116: 261-270.CrossRefPubMedPubMedCentral
4.
go back to reference Sitterding SM, Wiseman WR, Schiller CL, Luan C, Chen F, Moyano JV, Watkin WG, Wiley EL, Cryns VL, Diaz LK: αB-crystallin: a novel marker of invasive basal-like and metaplastic breast carcinomas. Ann Diagn Pathol. 2008, 12: 33-40.CrossRefPubMed Sitterding SM, Wiseman WR, Schiller CL, Luan C, Chen F, Moyano JV, Watkin WG, Wiley EL, Cryns VL, Diaz LK: αB-crystallin: a novel marker of invasive basal-like and metaplastic breast carcinomas. Ann Diagn Pathol. 2008, 12: 33-40.CrossRefPubMed
5.
go back to reference Kim HS, Lee Y, Lim YA, Kang HJ, Kim LS: αB-Crystallin is a novel oncoprotein associated with poor prognosis in breast cancer. J. Breast Cancer. 2011, 14: 14-19.CrossRefPubMedPubMedCentral Kim HS, Lee Y, Lim YA, Kang HJ, Kim LS: αB-Crystallin is a novel oncoprotein associated with poor prognosis in breast cancer. J. Breast Cancer. 2011, 14: 14-19.CrossRefPubMedPubMedCentral
6.
go back to reference Arrigo AP, Simon S, Gibert B, Kretz-Remy C, Nivon M, Czekalla A, Guillet D, Moulin M, Diaz-Latoud C, Vicart P: Hsp27 (HspB1) and αB-crystallin (HspB5) as therapeutic targets. FEBS Lett. 2007, 581: 3665-3674.CrossRefPubMed Arrigo AP, Simon S, Gibert B, Kretz-Remy C, Nivon M, Czekalla A, Guillet D, Moulin M, Diaz-Latoud C, Vicart P: Hsp27 (HspB1) and αB-crystallin (HspB5) as therapeutic targets. FEBS Lett. 2007, 581: 3665-3674.CrossRefPubMed
8.
go back to reference Ghosh JG, Shenoy AK, Clark JI: Interactions between important regulatory proteins and human αB crystallin. Biochemistry. 2007, 46: 6308-6317.CrossRefPubMed Ghosh JG, Shenoy AK, Clark JI: Interactions between important regulatory proteins and human αB crystallin. Biochemistry. 2007, 46: 6308-6317.CrossRefPubMed
9.
go back to reference van de Schootbrugge C, Boelens WC: Introduction to Small Heat Shock Proteins. Small Stress Proteins and Human Diseases. Edited by: Simon S, Arrigo AP. 2010, : Nova Science Publishers. Protein Science and Engineering, 1-27. van de Schootbrugge C, Boelens WC: Introduction to Small Heat Shock Proteins. Small Stress Proteins and Human Diseases. Edited by: Simon S, Arrigo AP. 2010, : Nova Science Publishers. Protein Science and Engineering, 1-27.
10.
go back to reference Kase S, He S, Sonoda S, Kitamura M, Spee C, Wawrousek E, Ryan SJ, Kannan R, Hinton DR: αB-crystallin regulation of angiogenesis by modulation of VEGF. Blood. 2010, 115: 3398-3406.CrossRefPubMedPubMedCentral Kase S, He S, Sonoda S, Kitamura M, Spee C, Wawrousek E, Ryan SJ, Kannan R, Hinton DR: αB-crystallin regulation of angiogenesis by modulation of VEGF. Blood. 2010, 115: 3398-3406.CrossRefPubMedPubMedCentral
11.
12.
go back to reference Martiny-Baron G, Marme D: VEGF-mediated tumour angiogenesis: a new target for cancer therapy. Curr Opin Biotechnol. 1995, 6: 675-680.CrossRefPubMed Martiny-Baron G, Marme D: VEGF-mediated tumour angiogenesis: a new target for cancer therapy. Curr Opin Biotechnol. 1995, 6: 675-680.CrossRefPubMed
13.
go back to reference Hu Z, Fan C, Livasy C, He X, Oh DS, Ewend MG, Carey LA, Subramanian S, West R, Ikpatt F, Olopade OI, van de Rijn M, Perou CM: A compact VEGF signature associated with distant metastases and poor outcomes. BMC Med. 2009, 7: 9-CrossRefPubMedPubMedCentral Hu Z, Fan C, Livasy C, He X, Oh DS, Ewend MG, Carey LA, Subramanian S, West R, Ikpatt F, Olopade OI, van de Rijn M, Perou CM: A compact VEGF signature associated with distant metastases and poor outcomes. BMC Med. 2009, 7: 9-CrossRefPubMedPubMedCentral
14.
go back to reference Bremnes RM, Camps C, Sirera R: Angiogenesis in non-small cell lung cancer: the prognostic impact of neoangiogenesis and the cytokines VEGF and bFGF in tumours and blood. Lung Cancer. 2006, 51: 143-158.CrossRefPubMed Bremnes RM, Camps C, Sirera R: Angiogenesis in non-small cell lung cancer: the prognostic impact of neoangiogenesis and the cytokines VEGF and bFGF in tumours and blood. Lung Cancer. 2006, 51: 143-158.CrossRefPubMed
15.
go back to reference Parkin DM, Bray F, Ferlay J, Pisani P: Global cancer statistics, 2002. CA Cancer J Clin. 2005, 55: 74-108.CrossRefPubMed Parkin DM, Bray F, Ferlay J, Pisani P: Global cancer statistics, 2002. CA Cancer J Clin. 2005, 55: 74-108.CrossRefPubMed
16.
go back to reference Leemans CR, Braakhuis BJ, Brakenhoff RH: The molecular biology of head and neck cancer. Nat Rev Cancer. 2011, 11: 9-22.CrossRefPubMed Leemans CR, Braakhuis BJ, Brakenhoff RH: The molecular biology of head and neck cancer. Nat Rev Cancer. 2011, 11: 9-22.CrossRefPubMed
17.
go back to reference Hoogsteen IJ, Marres HA, Wijffels KI, Rijken PF, Peters JP, van den Hoogen FJ, Oosterwijk E, van der Kogel AJ, Kaanders JH: Colocalization of carbonic anhydrase 9 expression and cell proliferation in human head and neck squamous cell carcinoma. Clin Cancer Res. 2005, 11: 97-106.PubMed Hoogsteen IJ, Marres HA, Wijffels KI, Rijken PF, Peters JP, van den Hoogen FJ, Oosterwijk E, van der Kogel AJ, Kaanders JH: Colocalization of carbonic anhydrase 9 expression and cell proliferation in human head and neck squamous cell carcinoma. Clin Cancer Res. 2005, 11: 97-106.PubMed
18.
go back to reference Troost EG, Bussink J, Slootweg PJ, Peeters WJ, Merkx MA, van der Kogel AJ, Oyen WJ, Kaanders JH: Histopathologic validation of 3′-deoxy-3′-18F-fluorothymidine PET in squamous cell carcinoma of the oral cavity. J Nucl Med. 2010, 51: 713-719.CrossRefPubMed Troost EG, Bussink J, Slootweg PJ, Peeters WJ, Merkx MA, van der Kogel AJ, Oyen WJ, Kaanders JH: Histopathologic validation of 3′-deoxy-3′-18F-fluorothymidine PET in squamous cell carcinoma of the oral cavity. J Nucl Med. 2010, 51: 713-719.CrossRefPubMed
19.
go back to reference van de Klundert FA, Gijsen ML, van den IJssel PR, Snoeckx LH, de Jong WW: αB-crystallin and hsp25 in neonatal cardiac cells--differences in cellular localization under stress conditions. Eur J Cell Biol. 1998, 75: 38-45.CrossRefPubMed van de Klundert FA, Gijsen ML, van den IJssel PR, Snoeckx LH, de Jong WW: αB-crystallin and hsp25 in neonatal cardiac cells--differences in cellular localization under stress conditions. Eur J Cell Biol. 1998, 75: 38-45.CrossRefPubMed
20.
go back to reference Rijken PF, Bernsen HJ, Peters JP, Hodgkiss RJ, Raleigh JA, van der Kogel AJ: Spatial relationship between hypoxia and the (perfused) vascular network in a human glioma xenograft: a quantitative multi-parameter analysis. Int J Radiat Oncol Biol Phys. 2000, 48: 571-582.CrossRefPubMed Rijken PF, Bernsen HJ, Peters JP, Hodgkiss RJ, Raleigh JA, van der Kogel AJ: Spatial relationship between hypoxia and the (perfused) vascular network in a human glioma xenograft: a quantitative multi-parameter analysis. Int J Radiat Oncol Biol Phys. 2000, 48: 571-582.CrossRefPubMed
21.
go back to reference Yaromina A, Zips D, Thames HD, Eicheler W, Krause M, Rosner A, Haase M, Petersen C, Raleigh JA, Quennet V, Walenta S, Mueller-Klieser W, Baumann M: Pimonidazole labelling and response to fractionated irradiation of five human squamous cell carcinoma (hSCC) lines in nude mice: the need for a multivariate approach in biomarker studies. Radiother Oncol. 2006, 81: 122-129.CrossRefPubMed Yaromina A, Zips D, Thames HD, Eicheler W, Krause M, Rosner A, Haase M, Petersen C, Raleigh JA, Quennet V, Walenta S, Mueller-Klieser W, Baumann M: Pimonidazole labelling and response to fractionated irradiation of five human squamous cell carcinoma (hSCC) lines in nude mice: the need for a multivariate approach in biomarker studies. Radiother Oncol. 2006, 81: 122-129.CrossRefPubMed
22.
go back to reference Span PN, Grebenchtchikov N, Geurts-Moespot J, Westphal JR, Lucassen AM, Sweep CG: EORTC Receptor and Biomarker Study Group Report: a sandwich enzyme-linked immunosorbent assay for vascular endothelial growth factor in blood and tumor tissue extracts. Int J Biol Markers. 2000, 15: 184-191.PubMed Span PN, Grebenchtchikov N, Geurts-Moespot J, Westphal JR, Lucassen AM, Sweep CG: EORTC Receptor and Biomarker Study Group Report: a sandwich enzyme-linked immunosorbent assay for vascular endothelial growth factor in blood and tumor tissue extracts. Int J Biol Markers. 2000, 15: 184-191.PubMed
23.
go back to reference Zusterzeel PL, Span PN, Dijksterhuis MG, Thomas CM, Sweep FC, Massuger LF: Serum vascular endothelial growth factor: a prognostic factor in cervical cancer. J Cancer Res Clin Oncol. 2009, 135: 283-290.CrossRefPubMed Zusterzeel PL, Span PN, Dijksterhuis MG, Thomas CM, Sweep FC, Massuger LF: Serum vascular endothelial growth factor: a prognostic factor in cervical cancer. J Cancer Res Clin Oncol. 2009, 135: 283-290.CrossRefPubMed
24.
go back to reference Geback T, Schulz MM, Koumoutsakos P, Detmar M: TScratch: a novel and simple software tool for automated analysis of monolayer wound healing assays. Biotechniques. 2009, 46: 265-274.PubMed Geback T, Schulz MM, Koumoutsakos P, Detmar M: TScratch: a novel and simple software tool for automated analysis of monolayer wound healing assays. Biotechniques. 2009, 46: 265-274.PubMed
25.
go back to reference Goplen D, Bougnaud S, Rajcevic U, Boe SO, Skaftnesmo KO, Voges J, Enger PO, Wang J, Tysnes BB, Laerum OD, Niclou S, Bjerkvig R: αB-crystallin is elevated in highly infiltrative apoptosis-resistant glioblastoma cells. Am J Pathol. 2010, 177: 1618-1628.CrossRefPubMedPubMedCentral Goplen D, Bougnaud S, Rajcevic U, Boe SO, Skaftnesmo KO, Voges J, Enger PO, Wang J, Tysnes BB, Laerum OD, Niclou S, Bjerkvig R: αB-crystallin is elevated in highly infiltrative apoptosis-resistant glioblastoma cells. Am J Pathol. 2010, 177: 1618-1628.CrossRefPubMedPubMedCentral
26.
go back to reference Tang Q, Liu YF, Zhu XJ, Li YH, Zhu J, Zhang JP, Feng ZQ, Guan XH: Expression and prognostic significance of the αB-crystallin gene in human hepatocellular carcinoma. Hum Pathol. 2009, 40: 300-305.CrossRefPubMed Tang Q, Liu YF, Zhu XJ, Li YH, Zhu J, Zhang JP, Feng ZQ, Guan XH: Expression and prognostic significance of the αB-crystallin gene in human hepatocellular carcinoma. Hum Pathol. 2009, 40: 300-305.CrossRefPubMed
27.
go back to reference Cicek M, Samant RS, Kinter M, Welch DR, Casey G: Identification of metastasis-associated proteins through protein analysis of metastatic MDA-MB-435 and metastasis-suppressed BRMS1 transfected-MDA-MB-435 cells. Clin Exp Metastasis. 2004, 21: 149-157.CrossRefPubMed Cicek M, Samant RS, Kinter M, Welch DR, Casey G: Identification of metastasis-associated proteins through protein analysis of metastatic MDA-MB-435 and metastasis-suppressed BRMS1 transfected-MDA-MB-435 cells. Clin Exp Metastasis. 2004, 21: 149-157.CrossRefPubMed
28.
go back to reference Ivanov O, Chen F, Wiley EL, Keswani A, Diaz LK, Memmel HC, Rademaker A, Gradishar WJ, Morrow M, Khan SA, Cryns VL: αB-crystallin is a novel predictor of resistance to neoadjuvant chemotherapy in breast cancer. Breast Cancer Res Treat. 2008, 111: 411-417.CrossRefPubMed Ivanov O, Chen F, Wiley EL, Keswani A, Diaz LK, Memmel HC, Rademaker A, Gradishar WJ, Morrow M, Khan SA, Cryns VL: αB-crystallin is a novel predictor of resistance to neoadjuvant chemotherapy in breast cancer. Breast Cancer Res Treat. 2008, 111: 411-417.CrossRefPubMed
29.
go back to reference Geiger TR, Peeper DS: Metastasis mechanisms. Biochim Biophys Acta. 2009, 1796: 293-308.PubMed Geiger TR, Peeper DS: Metastasis mechanisms. Biochim Biophys Acta. 2009, 1796: 293-308.PubMed
30.
go back to reference Hicklin DJ, Ellis LM: Role of the vascular endothelial growth factor pathway in tumor growth and angiogenesis. J Clin Oncol. 2005, 23: 1011-1027.CrossRefPubMed Hicklin DJ, Ellis LM: Role of the vascular endothelial growth factor pathway in tumor growth and angiogenesis. J Clin Oncol. 2005, 23: 1011-1027.CrossRefPubMed
31.
go back to reference Christopoulos A, Ahn SM, Klein JD, Kim S: Biology of vascular endothelial growth factor and its receptors in head and neck cancer: beyond angiogenesis. Head Neck. 2011, 33: 1220-1229.CrossRefPubMed Christopoulos A, Ahn SM, Klein JD, Kim S: Biology of vascular endothelial growth factor and its receptors in head and neck cancer: beyond angiogenesis. Head Neck. 2011, 33: 1220-1229.CrossRefPubMed
32.
go back to reference Dimberg A, Rylova S, Dieterich LC, Olsson AK, Schiller P, Wikner C, Bohman S, Botling J, Lukinius A, Wawrousek EF, Claesson-Welsh L: αB-crystallin promotes tumor angiogenesis by increasing vascular survival during tube morphogenesis. Blood. 2008, 111: 2015-2023.CrossRefPubMed Dimberg A, Rylova S, Dieterich LC, Olsson AK, Schiller P, Wikner C, Bohman S, Botling J, Lukinius A, Wawrousek EF, Claesson-Welsh L: αB-crystallin promotes tumor angiogenesis by increasing vascular survival during tube morphogenesis. Blood. 2008, 111: 2015-2023.CrossRefPubMed
33.
go back to reference Ruan Q, Han S, Jiang WW, Boulton ME, Chen ZJ, Law BK, Cai J: αB-crystallin, a effecter of unfolded protein response, confers anti-VEGF resistance to breast cancer via maintenance of intracrine VEGF in endothelial cells. Mol Cancer Res. 2011, 9: 1632-1643.CrossRefPubMedPubMedCentral Ruan Q, Han S, Jiang WW, Boulton ME, Chen ZJ, Law BK, Cai J: αB-crystallin, a effecter of unfolded protein response, confers anti-VEGF resistance to breast cancer via maintenance of intracrine VEGF in endothelial cells. Mol Cancer Res. 2011, 9: 1632-1643.CrossRefPubMedPubMedCentral
34.
go back to reference Naresh KN, Nerurkar AY, Borges AM: Angiogenesis is redundant for tumour growth in lymph node metastases. Histopathology. 2001, 38: 466-470.CrossRefPubMed Naresh KN, Nerurkar AY, Borges AM: Angiogenesis is redundant for tumour growth in lymph node metastases. Histopathology. 2001, 38: 466-470.CrossRefPubMed
35.
go back to reference Kyzas PA, Stefanou D, Batistatou A, Agnantis NJ: Prognostic significance of VEGF immunohistochemical expression and tumor angiogenesis in head and neck squamous cell carcinoma. J Cancer Res Clin Oncol. 2005, 131: 624-630.CrossRefPubMed Kyzas PA, Stefanou D, Batistatou A, Agnantis NJ: Prognostic significance of VEGF immunohistochemical expression and tumor angiogenesis in head and neck squamous cell carcinoma. J Cancer Res Clin Oncol. 2005, 131: 624-630.CrossRefPubMed
36.
go back to reference Endo K, Shirai A, Furukawa M, Yoshizaki T: Prognostic value of cell motility activation factors in patients with tongue squamous cell carcinoma. Hum Pathol. 2006, 37: 1111-1116.CrossRefPubMed Endo K, Shirai A, Furukawa M, Yoshizaki T: Prognostic value of cell motility activation factors in patients with tongue squamous cell carcinoma. Hum Pathol. 2006, 37: 1111-1116.CrossRefPubMed
37.
go back to reference Ho PY, Chueh SC, Chiou SH, Wang SM, Lin WC, Lee IL, Yang HY, Peng HC, Lai MK: αB-Crystallin in clear cell renal cell carcinoma: Tumor progression and prognostic significance. 2012, Oncol: Urol Ho PY, Chueh SC, Chiou SH, Wang SM, Lin WC, Lee IL, Yang HY, Peng HC, Lai MK: αB-Crystallin in clear cell renal cell carcinoma: Tumor progression and prognostic significance. 2012, Oncol: Urol
38.
go back to reference Benke EM, Ji Y, Patel V, Wang H, Miyazaki H, Yeudall WA: VEGF-C contributes to head and neck squamous cell carcinoma growth and motility. Oral Oncol. 2010, 46: e19-e24.CrossRefPubMed Benke EM, Ji Y, Patel V, Wang H, Miyazaki H, Yeudall WA: VEGF-C contributes to head and neck squamous cell carcinoma growth and motility. Oral Oncol. 2010, 46: e19-e24.CrossRefPubMed
39.
go back to reference Lucas JT, Salimath BP, Slomiany MG, Rosenzweig SA: Regulation of invasive behavior by vascular endothelial growth factor is HEF1-dependent. Oncogene. 2010, 29: 4449-4459.CrossRefPubMedPubMedCentral Lucas JT, Salimath BP, Slomiany MG, Rosenzweig SA: Regulation of invasive behavior by vascular endothelial growth factor is HEF1-dependent. Oncogene. 2010, 29: 4449-4459.CrossRefPubMedPubMedCentral
40.
go back to reference Singh BN, Rao KS, Ramakrishna T, Rangaraj N, Rao C: Association of αB-crystallin, a small heat shock protein, with actin: role in modulating actin filament dynamics in vivo. J Mol Biol. 2007, 366: 756-767.CrossRefPubMed Singh BN, Rao KS, Ramakrishna T, Rangaraj N, Rao C: Association of αB-crystallin, a small heat shock protein, with actin: role in modulating actin filament dynamics in vivo. J Mol Biol. 2007, 366: 756-767.CrossRefPubMed
Metadata
Title
αB-crystallin stimulates VEGF secretion and tumor cell migration and correlates with enhanced distant metastasis in head and neck squamous cell carcinoma
Authors
Chantal van de Schootbrugge
Johan Bussink
Paul N Span
Fred CGJ Sweep
Reidar Grénman
Hanneke Stegeman
Ger JM Pruijn
Johannes HAM Kaanders
Wilbert C Boelens
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2013
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-13-128

Other articles of this Issue 1/2013

BMC Cancer 1/2013 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine