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Published on: April 22, 2019
HER2 and HER3 as Therapeutic Targets in Head and Neck Cancer
Abstract:
Work over the past several decades has identified that aberrations in the ErbB signaling pathways are key drivers of oncogenesis, and concurrent efforts to discover targetable vulnerabilities to counter this aberrant oncogenic signaling offer tremendous promise in treating a host of human cancers. These efforts have been centered primarily on EGFR (also known as HER1), leading to the discovery of the first targeted therapies approved for head and neck cancer. More recently, HER2 and HER3 signaling pathways have been identified as highly dysregulated in head and neck cancer. This review highlights the HER2 and HER3 signaling pathways and clinical efforts to target these receptors and their aberrant signaling to treat head and neck squamous cell carcinomas and other head and neck malignancies, including salivary gland carcinomas. This includes the use of small molecule inhibitors and blocking antibodies, both as single agents or as part of multimodal precision targeted and immunotherapies.
Insights
Aberrant ErbB signaling pathways, particularly HER2 and HER3, drive head and neck cancers. Targeting these pathways with small molecules or antibodies shows promise for precision therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling
Background:
- Aberrations in ErbB signaling pathways are key drivers of oncogenesis.
- Targeting these pathways offers promise for treating human cancers.
- EGFR (HER1) targeted therapies are approved for head and neck cancer.
Purpose of the Study:
- To review HER2 and HER3 signaling pathways in head and neck cancer.
- To highlight clinical efforts targeting HER2 and HER3.
- To discuss treatment strategies for head and neck malignancies.
Main Methods:
- Review of scientific literature on ErbB signaling.
- Analysis of clinical trials and therapeutic strategies.
- Focus on small molecule inhibitors and blocking antibodies.
Main Results:
- HER2 and HER3 signaling pathways are highly dysregulated in head and neck cancer.
- Targeting HER2 and HER3 is a promising therapeutic strategy.
- Combination therapies including targeted agents and immunotherapies are being explored.
Conclusions:
- Targeting HER2 and HER3 represents a significant advancement in head and neck cancer treatment.
- Precision therapies offer new hope for patients with head and neck squamous cell carcinomas and salivary gland carcinomas.
- Further research into multimodal precision targeted and immunotherapies is warranted.
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