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Updated: May 22, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Mechanisms of trastuzumab resistance and their clinical implications
Keng-Hsueh Lan1, Chien-Hsing Lu, Dihua Yu
1Department of Surgical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX 77030, USA.
Abstract:
Trastuzumab (Herceptin) is an excellent model of rationally designed targeted cancer treatment. However, less than 35% of patients with ErbB2-positive breast tumors respond to trastuzumab as a single agent, and 2-5% of trastuzumab-treated patients suffer from severe side effects, including cardiac dysfunction. Recent progress in understanding the mechanisms of trastuzumab antitumor function and cellular defects leading to trastuzumab resistance is summarized. Also explored is the potential of combination therapies for reversing trastuzumab resistance.
Insights
Trastuzumab is a targeted cancer therapy for ErbB2-positive breast tumors. This review explores resistance mechanisms and combination therapies to improve treatment effectiveness and patient outcomes.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Trastuzumab (Herceptin) represents a targeted therapy for ErbB2-positive breast cancer.
- Limited response rates (less than 35%) and severe side effects like cardiac dysfunction (2-5%) necessitate further research.
Purpose of the Study:
- To summarize recent advancements in understanding trastuzumab's antitumor mechanisms.
- To explore cellular defects contributing to trastuzumab resistance.
- To investigate the potential of combination therapies for overcoming resistance.
Main Methods:
- Literature review of recent progress in trastuzumab research.
- Analysis of mechanisms underlying trastuzumab efficacy and resistance.
- Exploration of combination therapy strategies.
Main Results:
- Progress has been made in elucidating trastuzumab's antitumor functions.
- Key cellular defects leading to resistance have been identified.
- Combination therapies show potential for reversing trastuzumab resistance.
Conclusions:
- Understanding trastuzumab resistance mechanisms is crucial for improving patient outcomes.
- Combination therapies offer a promising strategy to enhance the efficacy of trastuzumab treatment.
- Further research is warranted to optimize combination approaches for ErbB2-positive breast cancer.
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