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Therapeutic evolution in HR+/HER2- breast cancer: from targeted therapy to endocrine therapy
Lu-Qi Cao1,2, Haidong Sun3, Yuhao Xie2
1Institute for Biotechnology, St. John's University, Queens, NY, United States.
Abstract:
Breast cancer, a complex and varied disease, has four distinct subtypes based on estrogen receptor and human epidermal growth factor receptor 2 (HER2) levels, among which a significant subtype known as HR+/HER2-breast cancer that has spurred numerous research. The prevalence of breast cancer and breast cancer-related death are the most serious threats to women's health worldwide. Current progress in treatment strategies for HR+/HER2-breast cancer encompasses targeted therapy, endocrine therapy, genomic immunotherapy, and supplementing traditional methods like surgical resection and radiotherapy. This review article summarizes the current epidemiology of HR+/HER2-breast cancer, introduces the classification of HR+/HER2-breast cancer and the commonly used treatment methods. The mechanisms of action of various drugs, including targeted therapy drugs and endocrine hormone therapy drugs, and their potential synergistic effects are deeply discussed. In addition, clinical trials of these drugs that have been completed or are still in progress are included.
Insights
This review covers HR+/HER2- breast cancer, a major subtype. It details epidemiology, classification, and current treatments like targeted and endocrine therapies, including clinical trial updates.
Area of Science:
- Oncology
- Medical Research
Background:
- Breast cancer is a significant global health threat, with distinct subtypes.
- HR+/HER2- breast cancer is a prevalent subtype requiring focused research and treatment strategies.
Purpose of the Study:
- To review the epidemiology and classification of HR+/HER2- breast cancer.
- To discuss current and emerging treatment modalities for HR+/HER2- breast cancer.
Main Methods:
- Literature review of current epidemiological data.
- Analysis of treatment strategies including targeted therapy, endocrine therapy, and immunotherapy.
- Inclusion of completed and ongoing clinical trial data.
Main Results:
- Summary of HR+/HER2- breast cancer prevalence and classification.
- Detailed discussion on mechanisms of action for targeted and endocrine therapies.
- Overview of drug synergy and clinical trial outcomes.
Conclusions:
- HR+/HER2- breast cancer management involves a multi-faceted approach.
- Ongoing research and clinical trials are crucial for advancing treatment efficacy and patient outcomes.
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