Monoclonal antibody-based targeted therapy in breast cancer: current status and future directions

Chantal Bernard-Marty1, Fabienne Lebrun, Ahmad Awada

  • 1Jules Bordet Institute, Brussels, Belgium.

Drugs
|September 8, 2006
PubMed

Insights

Monoclonal antibodies like trastuzumab and pertuzumab target erbB2, while bevacizumab targets vascular endothelial growth factor-A, offering new breast cancer treatments. These targeted therapies represent significant advancements in oncology for physicians and researchers.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Targeted therapies, particularly monoclonal antibodies, have revolutionized cancer treatment.
  • Understanding molecular pathways driving tumor growth is key to developing effective therapies.
  • Breast cancer treatment has significantly benefited from advances in targeted therapy.

Purpose of the Study:

  • To review key monoclonal antibodies used in breast cancer treatment.
  • To highlight the mechanisms and applications of trastuzumab, pertuzumab, and bevacizumab.
  • To discuss the current and potential roles of these targeted agents in managing breast cancer.

Main Methods:

  • Review of scientific literature on monoclonal antibodies in breast cancer.
  • Focus on recombinant humanized monoclonal antibodies with demonstrated clinical activity.
  • Analysis of drugs targeting growth factor receptors and angiogenic pathways.

Main Results:

  • Trastuzumab (anti-erbB2) is a standard treatment for erbB2-positive metastatic and adjuvant breast cancer.
  • Pertuzumab, targeting a different erbB2 epitope, shows promise in early clinical evaluation for broader patient populations.
  • Bevacizumab (anti-vascular endothelial growth factor-A) demonstrates antiangiogenic properties and promising results in metastatic breast cancer.

Conclusions:

  • Monoclonal antibodies targeting growth factor receptors are crucial in modern breast cancer management.
  • Trastuzumab, pertuzumab, and bevacizumab represent significant therapeutic options with distinct mechanisms of action.
  • Continued research into targeted therapies promises further improvements in breast cancer outcomes.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Modified-Release Drug Delivery Systems: Site-Targeted01:24

Modified-Release Drug Delivery Systems: Site-Targeted

Site-targeted drug delivery systems enhance therapeutic efficacy while minimizing systemic toxicity and treatment costs. Unlike conventional methods, these systems ensure precise drug delivery, improving bioavailability and reducing side effects. Targeted drug delivery is classified into three levels. First-order targeting directs drugs to the capillary beds of specific organs or tissues. Second-order targets specific cell types, such as tumor cells, using receptor-mediated interactions.