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Published on: December 5, 2017
Prevalence and role of HER2 mutations in cancer
Emiliano Cocco1, Salvatore Lopez2, Alessandro D Santin3
1Human Oncology & Pathogenesis Program (HOPP), Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Abstract:
HER2 activating mutations act as oncogenic drivers in various cancer types. In the clinic, they can be identified by next generation sequencing (NGS) in either tumor biopsies or circulating cell-free DNA (cfDNA). Preclinical data indicate that HER2 "hot spot" mutations are constitutively active, have transforming capacity in vitro and in vivo and show variable sensitivity to anti-HER2 based therapies. Recent clinical trials also revealed activity of HER2-targeted drugs against a variety of tumors harboring HER2 mutations. Here, we review the prevalence and type of HER2 mutations identified in different human cancers, their biochemical and biological characterization, and their sensitivity to anti HER2-based therapies in both preclinical and clinical settings.
Insights
HER2 mutations drive cancer and can be detected using next-generation sequencing (NGS). These mutations show varied sensitivity to HER2-targeted therapies, with recent trials demonstrating drug activity in HER2-mutated tumors.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- HER2 (Human Epidermal growth factor Receptor 2) activating mutations are key oncogenic drivers in multiple cancer types.
- These mutations can be detected via next-generation sequencing (NGS) in tumor biopsies or circulating cell-free DNA (cfDNA).
Purpose of the Study:
- To review the prevalence and types of HER2 mutations across various human cancers.
- To characterize the biochemical and biological properties of these mutations.
- To assess the sensitivity of HER2 mutations to anti-HER2 therapies in preclinical and clinical contexts.
Main Methods:
- Literature review of preclinical data and clinical trials.
- Analysis of HER2 mutation prevalence and types in different cancer indications.
- Evaluation of in vitro and in vivo functional data for HER2 mutations.
- Synthesis of clinical trial outcomes for HER2-targeted therapies in mutated cancers.
Main Results:
- HER2 "hot spot" mutations are constitutively active and possess transforming capacity.
- Preclinical and clinical data show variable sensitivity of these mutations to anti-HER2 therapies.
- Recent clinical trials highlight the efficacy of HER2-targeted drugs in tumors with HER2 mutations.
Conclusions:
- HER2 mutations represent actionable targets in oncology.
- Understanding mutation-specific sensitivity is crucial for optimizing anti-HER2 therapy selection.
- Targeted therapies show promise for patients with HER2-mutated cancers.
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