Trastuzumab

Ian E Smith1, Susan G Cross

  • 1Breast Unit, Department of Medicine, The Royal Marsden Hospital, Fulham Road,London, SW3 6JJ, UK. ian.smith@rmh.nthames.nhs.uk.

Insights

Human epidermal growth factor receptor 2 (HER2) is overexpressed in aggressive breast cancers. Trastuzumab, a targeted therapy, shows effectiveness in treating metastatic, neoadjuvant, and adjuvant breast cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Breast cancer exhibits significant heterogeneity with diverse clinical and biological subtypes.
  • Human epidermal growth factor receptor 2 (HER2) overexpression occurs in about 20% of breast cancers, often linked to gene amplification.
  • HER2 overexpression typically signifies a more aggressive tumor type and a poorer prognosis.

Purpose of the Study:

  • To review the role and efficacy of trastuzumab in breast cancer treatment.
  • To highlight trastuzumab's targeted action against HER2-overexpressing breast cancer cells.

Main Methods:

  • Review of clinical trials and published data on trastuzumab therapy.
  • Analysis of trastuzumab's effectiveness as a single agent and in combination therapies.
  • Evaluation of trastuzumab's application in metastatic, neoadjuvant, and adjuvant settings.

Main Results:

  • Trastuzumab is an effective humanized monoclonal antibody targeting HER2.
  • Demonstrated activity in metastatic breast cancer, both alone and with chemotherapy.
  • Recent studies show benefits in neoadjuvant and adjuvant breast cancer treatment.

Conclusions:

  • Trastuzumab is a key therapeutic agent for HER2-positive breast cancer.
  • Its efficacy spans various stages of breast cancer, improving patient outcomes.
  • Targeted therapy against HER2 represents a significant advancement in breast cancer treatment.

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.
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...