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Updated: Mar 13, 2026

Profiling of Estrogen-regulated MicroRNAs in Breast Cancer Cells
Published on: February 21, 2014
Involvement of microRNAs in HER2 signaling and trastuzumab treatment
Ling Mao1,2, Ai-Jun Sun2, Jian-Zhong Wu1
1Nanjing Medical University Affiliated Cancer Hospital, Cancer Institute of Jiangsu Province, Nanjing, Jiangsu, China.
Abstract:
The prognostic value of HER2 has been demonstrated in many human cancer types such us breast cancer, gastric cancer and ovarian cancer. Trastuzumab is the first anti-HER2 monoclonal antibody that has remarkably improved outcomes of patients with HER2-positive breast cancer. For HER2-positive metastatic gastric cancers, the addition of trastuzumab to traditional chemotherapy also significantly prolonged overall survival. However, intrinsic and acquired resistance to trastuzumab is common and results in disease progression. HER2 signaling network and mechanisms underlying the resistance have been broadly investigated in order to develop strategy to overcome the dilemma. Increasing evidence indicates that microRNAs (miRNA), a group of small non-coding RNAs, are involved in HER2 signaling and trastuzumab treatment. This review summarizes all the miRNAs that target HER2 and describes their activity on biological processes. Moreover, miRNAs that regulate trastuzumab resistance and relevant molecular mechanisms are highlighted. MiRNA signatures associated with HER2, miRNAs that mediate trastuzumab activity, and potential miRNA biomarkers of trastuzumab sensitivity are also discussed.
Insights
MicroRNAs (miRNAs) play a crucial role in HER2 signaling and trastuzumab treatment for cancers like breast and gastric. This review explores miRNAs targeting HER2 and mechanisms of trastuzumab resistance.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- HER2 protein is a prognostic marker in breast, gastric, and ovarian cancers.
- Trastuzumab, an anti-HER2 antibody, improves outcomes for HER2-positive cancers but resistance is a challenge.
- Understanding HER2 signaling and resistance mechanisms is key to developing new strategies.
Approach:
- This review summarizes microRNAs (miRNAs) that target HER2.
- It details miRNA activity in biological processes and their role in HER2 signaling.
- The review highlights miRNAs regulating trastuzumab resistance and associated molecular mechanisms.
Key Points:
- miRNAs are small non-coding RNAs involved in HER2 signaling and trastuzumab response.
- Specific miRNAs target HER2, influencing cancer progression.
- miRNAs are implicated in both intrinsic and acquired resistance to trastuzumab.
Conclusions:
- miRNAs offer potential strategies to overcome trastuzumab resistance.
- miRNA signatures associated with HER2 and trastuzumab activity are discussed.
- Potential miRNA biomarkers for trastuzumab sensitivity are explored.
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