Overcoming trastuzumab resistance in HER2-positive breast cancer using combination therapy
Afshin Derakhshani1, Zohreh Rezaei2, Hossein Safarpour3
1Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract:
Human epidermal growth factor receptor 2 (HER2)-positive breast cancer (BC) comprises around 20-30% of all BC subtypes and is correlated with poor prognosis. For many years, trastuzumab, a monoclonal antibody, has been used to inhibit the HER2 activity. Though, the main resistance to trastuzumab has challenged the use of this drug in the management of HER2-positive BC. Therefore, the determination of resistance mechanisms and the incorporation of new agents may lead to the development of a better blockade of the HER family receptor signaling. During the last few years, some therapeutic drugs have been developed for treating patients with trastuzumab-resistant HER2-positive BC that have more effective influences in the management of this condition. In this regard, the present study aimed at reviewing the mechanisms of trastuzumab resistance and the innovative therapies that have been investigated in trastuzumab-resistant HER2-positive BC subjects.
Insights
Trastuzumab resistance in HER2-positive breast cancer (BC) is a challenge. This review explores resistance mechanisms and new therapies for improved HER2-positive BC treatment.
Area of Science:
- Oncology
- Molecular Biology
Background:
- HER2-positive breast cancer (BC) accounts for 20-30% of BC cases and is linked to poor prognosis.
- Trastuzumab, a monoclonal antibody, has been a standard treatment for inhibiting HER2 activity.
- Resistance to trastuzumab poses a significant clinical challenge in managing HER2-positive BC.
Purpose of the Study:
- To review the mechanisms underlying trastuzumab resistance in HER2-positive BC.
- To identify and discuss innovative therapeutic agents investigated for trastuzumab-resistant HER2-positive BC.
Main Methods:
- Literature review of studies on trastuzumab resistance mechanisms.
- Analysis of recent therapeutic developments for trastuzumab-resistant HER2-positive BC.
Main Results:
- Identified key mechanisms contributing to trastuzumab resistance.
- Highlighted novel therapeutic strategies showing promise in preclinical and clinical settings.
Conclusions:
- Understanding trastuzumab resistance is crucial for developing effective treatment strategies.
- Emerging therapies offer potential for improved outcomes in patients with trastuzumab-resistant HER2-positive BC.
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