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Analyzing Tumor and Tissue Distribution of Target Antigen Specific Therapeutic Antibody
Published on: May 16, 2020
Biological considerations and clinical applications of new HER2-targeted agents
Gerald M Higa1, Vikramjit Singh, Jame Abraham
1Schools of Pharmacy and Medicine, Mary Babb Randolph Cancer Center, West Virginia University, Morgantown, WV 26506-9162, USA.
Abstract:
Over the past two decades, since the discovery of the human EGF receptor 2 (HER2) oncogene, the oncoprotein has become one of the best known and intensively studied tumor targets in oncology. In fact, laboratory findings were the basis for clinical proof-of-principle studies, whose results not only confirmed the relationship between gene amplification and an aggressive tumor phenotype but also demonstrated that the poor prognosis associated with receptor overexpression could be improved. Indeed, the success in treating patients with HER2-positive breast cancer extends to those with early as well as advanced disease. Nonetheless, not all tumors respond to treatment targeting the receptor; disease progression also occurs after initially responding to anti-HER2 therapy. This article focuses on the biology of HER2 and three novel agents currently in clinical trials that target HER2 beyond disease progression.
Insights
The human epidermal growth factor receptor 2 (HER2) is a key oncology target. Novel agents are being developed to overcome resistance to HER2-targeted therapies in patients with HER2-positive cancers.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The human epidermal growth factor receptor 2 (HER2) oncogene is a well-established target in cancer therapy.
- HER2 amplification is linked to aggressive tumor phenotypes and poor prognosis in certain cancers.
- Anti-HER2 therapies have improved outcomes for HER2-positive breast cancer patients, but resistance remains a challenge.
Purpose of the Study:
- To review the biology of HER2 and its role in cancer.
- To discuss novel therapeutic agents targeting HER2 in patients who have progressed on existing therapies.
- To explore strategies for overcoming treatment resistance in HER2-driven cancers.
Main Methods:
- Review of preclinical and clinical studies on HER2 biology and targeted therapies.
- Analysis of data from ongoing clinical trials of novel anti-HER2 agents.
- Discussion of mechanisms of resistance to HER2-targeted treatments.
Main Results:
- HER2 overexpression drives tumor growth and is a validated therapeutic target.
- Despite initial success, many patients develop resistance to current HER2-targeted treatments.
- Several novel agents are in clinical development to address treatment resistance and disease progression.
Conclusions:
- Targeting HER2 has revolutionized the treatment of HER2-positive cancers.
- Understanding HER2 biology is crucial for developing effective therapeutic strategies.
- Novel HER2-targeting agents hold promise for improving outcomes in patients with refractory or progressive disease.
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