a, b Lapatinib-resistant human BT474R cells exhibit a two-fold increased viability after 48 h treatment with lapatinib (a) and a significantly decreased apoptosis after treatment with 300 nM lapatinib for indicated times (measured by cleaved PARP, b) compared to lapatinib-sensitive parental BT474 cells. b Western blot analysis, GAPDH is a loading control. One representative experiment out of two independent experiments (each performed in triplicate) is shown; **p < 0.01 for three technical replicas, Student’s t-test (a). c Tumor onset is significantly delayed in R172H/+;ERBB2 females treated with 75 mg/kg lapatinib three times a week starting at 8 weeks of age lifelong (red line) compared to vehicle-treated siblings (black line). Kaplan–Meier analysis, log rank statistics. d, e Murine primary cell lines established from lapatinib-sensitive mammary tumors (1252, 1253, 1349) and from a lapatinib-resistant mammary tumor (125R) maintain lapatinib sensitivity and lapatinib resistance in vitro, respectively. d Short-term cell viability assay (48 h). One representative experiment out of two independent experiments (each performed in triplicate) is shown; **p < 0.01 for three technical replicas, Student’s t-test. e Long-term colony formation assay (4 weeks). f Lapatinib induces activation of multiple adaptive RTKs in vivo. Representative images of the mouse Phospho-RTK array kit comparing lapatinib-treated (i.e., lapatinib-resistant, top) with vehicle-treated (i.e., lapatinib-sensitive, bottom) tumors. 1. EGFR*, 2. ERBB2*, 3. ERBB3, 4. PDGFRα*, 5. PDGFRβ*, 6. Axl*, 7. NGFR, 8. VEGFR1*, 9. MUSK*, 10. EPHA2*, 11. EPHB2. Known Hsp90 clients are marked with an asterisk. Triangles mark reference spots. g, h Murine lapatinib-resistant 125R cells show upregulated PDGFRα and PDGFRβ compared to murine lapatinib-sensitive cells 1349, 1251, 1252, 1253 (g), while human lapatinib-resistant BT474R cells have upregulated MET and downregulated ErbB2 and EGFR signaling (measured by phospho-ERBB2 pY1221/2 and pY1248, two top panels, phospho-EGFR and their effector phospho-Erk), compared to parental BT474 cells (h). Note that both human and mouse lapatinib-resistant cells have upregulated HSF1 and its transcriptional targets Hsp90 (g) and Hsp70 (h). Western blot analysis, constitutive heat shock protein 70 (Hsc70) and GAPDH served as a loading control