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Author Spotlight: Exploring Salidroside's Molecular Mechanisms in Breast Cancer Treatment
Published on: June 9, 2023
The HER2 Signaling Network in Breast Cancer--Like a Spider in its Web
A Dittrich1, H Gautrey, D Browell
1Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK.
Abstract:
The human epidermal growth factor receptor 2 (HER2) is a major player in the survival and proliferation of tumour cells and is overexpressed in up to 30 % of breast cancer cases. A considerable amount of work has been undertaken to unravel the activity and function of HER2 to try and develop effective therapies that impede its action in HER2 positive breast tumours. Research has focused on exploring the HER2 activated phosphoinositide-3-kinase (PI3K)/AKT and rat sarcoma/mitogen-activated protein kinase (RAS/MAPK) pathways for therapies. Despite the advances, cases of drug resistance and recurrence of disease still remain a challenge to overcome. An important aspect for drug resistance is the complexity of the HER2 signaling network. This includes the crosstalk between HER2 and hormone receptors; its function as a transcription factor; the regulation of HER2 by protein-tyrosine phosphatases and a complex network of positive and negative feedback-loops. This review summarises the current knowledge of many different HER2 interactions to illustrate the complexity of the HER2 network from the transcription of HER2 to the effect of its downstream targets. Exploring the novel avenues of the HER2 signaling could yield a better understanding of treatment resistance and give rise to developing new and more effective therapies.
Insights
The human epidermal growth factor receptor 2 (HER2) drives tumor growth and resistance in breast cancer. Understanding its complex signaling network is key to developing new therapies.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Human epidermal growth factor receptor 2 (HER2) overexpression drives tumor cell survival and proliferation in up to 30% of breast cancer cases.
- Targeted therapies have been developed to impede HER2 action, focusing on pathways like phosphoinositide-3-kinase (PI3K)/AKT and rat sarcoma/mitogen-activated protein kinase (RAS/MAPK).
- Drug resistance and disease recurrence remain significant challenges in HER2-positive breast cancer treatment.
Purpose of the Study:
- To review the intricate signaling network of HER2, encompassing its interactions from transcription to downstream targets.
- To elucidate the complexity of HER2 signaling, including crosstalk with hormone receptors and feedback loops, contributing to treatment resistance.
- To explore novel avenues within HER2 signaling for improved understanding and development of more effective breast cancer therapies.
Main Methods:
- Literature review of current knowledge on HER2 signaling pathways and interactions.
- Analysis of HER2's role in tumor cell survival, proliferation, and therapeutic resistance.
- Synthesis of information on HER2's transcriptional regulation, feedback loops, and crosstalk with other signaling molecules.
Main Results:
- HER2 signaling is characterized by a complex network, including crosstalk with hormone receptors, transcriptional factor functions, and regulation by protein-tyrosine phosphatases.
- Positive and negative feedback loops significantly contribute to the complexity of the HER2 signaling network.
- Understanding these intricate interactions is crucial for addressing drug resistance and disease recurrence.
Conclusions:
- The complexity of the HER2 signaling network presents a major hurdle in overcoming drug resistance and disease recurrence in HER2-positive breast cancers.
- Further exploration of novel HER2 signaling pathways is essential for developing more effective therapeutic strategies.
- A comprehensive understanding of HER2 interactions can lead to breakthroughs in treating resistant and recurrent breast cancer.
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