HER2 therapy - Molecular mechanisms of trastuzumab resistance

被引:310
作者
Nahta, Rita
Esteva, Francisco J.
机构
[1] Univ Texas, MD Anderson Canc Ctr, Breast Canc Translat Res Lab, Dept Breast Med Oncol, Houston, TX 77030 USA
[2] Univ Texas, MD Anderson Canc Ctr, Dept Mol & Cellular Oncol, Breast Canc Translat Res Lab, Houston, TX 77030 USA
[3] Univ Texas, Grad Sch Biomed Sci, Houston, TX 77030 USA
来源
BREAST CANCER RESEARCH | 2006年 / 8卷 / 06期
关键词
D O I
10.1186/bcr1612
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Trastuzumab is a monoclonal antibody targeted against the HER2 tyrosine kinase receptor. The majority of patients with metastatic breast cancer who initially respond to trastuzumab develop resistance within one year of treatment initiation, and in the adjuvant setting 15% of patients still relapse despite trastuzumab-based therapy. In this review, we discuss potential mechanisms of antitumor activity by trastuzumab, and how these mechanisms become altered to promote therapeutic resistance. We also discuss novel therapies that may improve the efficacy of trastuzumab, and that offer hope that the survival of breast cancer patients with HER2-overexpressing tumors can be vastly improved.
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页数:8
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