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Updated: Apr 11, 2026

Polymalic Acid-based Nano Biopolymers for Targeting of Multiple Tumor Markers: An Opportunity for Personalized Medicine?
Published on: June 13, 2014
A new strategy to ERADicate HER2-positive breast tumors?
Sanjeevani Arora1, Erica A Golemis2
1Program in Molecular Therapeutics, Fox Chase Cancer Center, Philadelphia, PA 19111, USA.
Abstract:
HER2-positive breast cancers that have become resistant to HER2-targeting agents, such as trastuzumab (also known as Herceptin), have limited treatment options. In this issue of Science Signaling, Singh et al. have identified a characteristic increase in the endoplasmic reticulum (ER)-associated degradation (ERAD) system in HER2-positive tumors as a mechanism of relieving proteotoxic stress. Synthetic lethality arising from targeted disruption of ERAD signaling in conjunction with other HER2-dependent signaling may improve therapeutic management of this difficult class of breast tumors.
Insights
HER2-positive breast cancers resistant to HER2-targeting agents show increased endoplasmic reticulum-associated degradation (ERAD). Targeting ERAD with HER2-dependent signaling may offer new treatment options for this challenging breast cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- HER2-positive breast cancers often develop resistance to HER2-targeting therapies like trastuzumab.
- Limited treatment options exist for patients with HER2-positive breast cancer resistant to standard therapies.
Purpose of the Study:
- To investigate the mechanisms underlying resistance to HER2-targeting agents in breast cancer.
- To identify novel therapeutic strategies for HER2-positive breast tumors that have become resistant to treatment.
Main Methods:
- Analysis of HER2-positive tumors for alterations in cellular stress response pathways.
- Investigation of the role of the endoplasmic reticulum-associated degradation (ERAD) system in treatment resistance.
Main Results:
- HER2-positive tumors exhibit a characteristic increase in the endoplasmic reticulum-associated degradation (ERAD) system.
- This ERAD system activation serves as a mechanism to relieve proteotoxic stress within the cancer cells.
Conclusions:
- Targeted disruption of ERAD signaling, in combination with HER2-dependent signaling pathways, presents a potential synthetic lethality approach.
- This strategy may significantly improve the therapeutic management of HER2-positive breast cancers resistant to current treatments.
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