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[Targeted therapies in breast cancer]
G Jerusalem1, J Collignon, A Rorive
1Service d'Oncologie médicale, CHU de Liège, Belgique. g.jerusalem@chu.ulg.ac.be
Abstract:
The better understanding of the biology of breast cancer has allowed the identification of new targets for anticancer therapy. Trastuzumab, a monoclonal antibody binding the HER2 receptor, is used since several years in the treatment of HER2 overexpressing breast cancer, including in the adjuvant setting. Lapatinib, a tyrosine kinase inhibitor, was introduced more recently into the clinic. New treatment options under evaluation in HER2 overexpressing breast cancer include combinations of anti-HER2 treatments, drugs targeting the downstream signaling pathway and new anti-HER2 agents such as pertuzumab and T-DM1. This article also reviews other targeted treatments of interest in the field of breast cancer including antiangiogenic agents and drugs targeting the PI3K-AKT-mTOR pathway.
Insights
Advances in breast cancer biology reveal new therapeutic targets. Current treatments like trastuzumab and lapatinib are evolving, with novel agents and pathway inhibitors showing promise for HER2-positive breast cancer.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Improved understanding of breast cancer biology has identified novel therapeutic targets.
- Trastuzumab (anti-HER2 monoclonal antibody) and lapatinib (tyrosine kinase inhibitor) are established treatments for HER2-overexpressing breast cancer.
- The landscape of breast cancer treatment is continually evolving with new targeted therapies.
Purpose of the Study:
- To review current and emerging targeted therapies for HER2-overexpressing breast cancer.
- To discuss novel anti-HER2 agents and drugs targeting downstream signaling pathways.
- To highlight other targeted treatments relevant to breast cancer, including antiangiogenic and PI3K-AKT-mTOR pathway inhibitors.
Main Methods:
- Literature review of targeted therapies in breast cancer.
- Analysis of clinical data for HER2-targeted agents.
- Discussion of emerging treatment strategies and pathways.
Main Results:
- Trastuzumab and lapatinib are key treatments for HER2-positive breast cancer.
- New agents like pertuzumab and T-DM1, along with pathway inhibitors, are under evaluation.
- Antiangiogenic agents and PI3K-AKT-mTOR pathway drugs represent other promising avenues.
Conclusions:
- Targeted therapies have significantly advanced breast cancer treatment, particularly for HER2-overexpressing subtypes.
- Combination strategies and novel agents offer future treatment options.
- Continued research into molecular pathways is crucial for developing more effective breast cancer therapies.
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