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Updated: Jun 21, 2026

Analyzing Tumor and Tissue Distribution of Target Antigen Specific Therapeutic Antibody
Published on: May 16, 2020
[Monoclonal antibodies and breast cancer. Current therapeutic progress]
J Collignon1, C Gennigens, A Rorive
1Service d'Oncologie Médicale, CHU de Liège, Belgique.
Abstract:
About 9,500 new breast cancers are diagnosed in Belgium every year. Improvement of our knowledge of altered molecular events leading to the proliferation of tumor cells has resulted in the development of targeted therapies in subgroups of cancers. One of the first validation of targeted therapy is the anti-HER-2 monoclonal antibody trastuzumab (Herceptin) in patients with overexpression of human epidermal growth factor receptor type 2 (HER2) occurring in 20 to 25% of invasive breast carcinoma. Trastuzumab binds the extracellular juxtamembrane domain and is only active in tumor with HER2 gene amplification detected by fluorescence in situ hybridization (FISH). The results from randomized trials have rapidly lead to the approvement of the drug in the metastatic and then in the adjuvant setting. Another targeted therapy, also approved in the treatment of breast cancer, is the monoclonal antibody bevacizumab with an anti-VEGF (Vascular Endothelial Growth Factor) activity. We will review the benefit of these targeted therapies in breast cancer and their role in the treatment of breast cancer.
Insights
Targeted therapies like trastuzumab and bevacizumab offer new breast cancer treatment options. These therapies target specific molecular events, improving outcomes for certain patient subgroups.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Context:
- Breast cancer affects approximately 9,500 individuals in Belgium annually.
- Advances in understanding tumor cell proliferation drivers have enabled targeted therapy development.
- Trastuzumab and bevacizumab represent key targeted therapies in breast cancer treatment.
Purpose:
- To review the benefits and roles of targeted therapies in breast cancer treatment.
- To discuss the mechanism of action for trastuzumab and bevacizumab.
- To highlight the significance of HER2 overexpression and VEGF inhibition.
Summary:
- Trastuzumab, an anti-HER2 monoclonal antibody, is effective in breast cancers with human epidermal growth factor receptor type 2 (HER2) gene amplification, detected by fluorescence in situ hybridization (FISH).
- Bevacizumab, an anti-VEGF monoclonal antibody, is another approved targeted therapy for breast cancer.
- These targeted agents have demonstrated efficacy in both metastatic and adjuvant settings.
Impact:
- Targeted therapies have revolutionized breast cancer treatment by addressing specific molecular alterations.
- Improved patient outcomes are achievable through personalized treatment strategies based on molecular profiling.
- The review underscores the evolving landscape of breast cancer therapeutics.
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