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[Predictive value of Her2/neu expression/amplification for the targeted treatment of breast cancer]
Hans-Anton Lehr1, Stephan C Schaefer, Jean-François Delaloye
1Institut universitaire de pathologie CHUV, Lausanne. hans-anton.lehr@chuv.ch
Abstract:
Her2/neu is a tyrosine kinase receptor which stimulates cell growth. The receptor is overexpressed in about 20% of breast cancers. Her2/neu expression is an indicator of poor prognosis but also the target of the treatment of breast cancer using humanised anti-Her2/ neu antibodies. Only cancers overexpressing the protein will respond to this therapy, but which has significant (cardiac) side effects and is expensive. It is therefore important to test for the overexpression of the protein on breast cancer cells. This paper discusses how this can be done and ongoing research into new therapeutic options targeting the involved signaling pathways.
Insights
Testing for Her2/neu overexpression in breast cancer is crucial. This identifies patients who will benefit from targeted antibody therapy, avoiding unnecessary side effects and costs.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Context:
- Her2/neu receptor tyrosine kinase plays a key role in cell proliferation.
- Overexpression of Her2/neu is observed in approximately 20% of breast cancer cases.
- Her2/neu expression correlates with a poor prognosis in breast cancer patients.
Purpose:
- To discuss methods for detecting Her2/neu overexpression in breast cancer cells.
- To review current therapeutic strategies targeting Her2/neu.
- To explore emerging research on novel therapeutic options for Her2/neu-driven cancers.
Summary:
- Her2/neu overexpression in breast cancer necessitates diagnostic testing for targeted therapy.
- Anti-Her2/neu antibody treatment is effective only in overexpressing cancers but carries significant side effects and cost.
- Accurate testing ensures appropriate patient selection for Her2/neu-targeted therapies.
Impact:
- Facilitates personalized medicine approaches in breast cancer treatment.
- Improves patient outcomes by enabling targeted therapy selection.
- Drives research into more effective and safer therapeutic interventions for Her2/neu-positive breast cancers.
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