2011
DOI: 10.1586/era.10.226
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HER2-amplified breast cancer: mechanisms of trastuzumab resistance and novel targeted therapies

Abstract: HER2 amplification is seen in up to 20% of breast cancers and is associated with an aggressive phenotype. Trastuzumab, a monoclonal antibody to HER2, accrues significant clinical benefit in the metastatic and adjuvant settings. However, some patients suffer disease recurrence despite adjuvant trastuzumab therapy, and many patients with metastatic disease do not respond to therapy or develop refractory disease within 1 year of treatment. Given the increased recognition of de novo and acquired resistance to ther… Show more

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Cited by 422 publications
(309 citation statements)
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“…Evidence from previous studies strongly suggests that the molecular subtype influences the systemic therapy and clinical outcome of BC (11). Her2-amplified BC accounts for ~20-25% of all invasive BC cases, and presents a poor overall survival (OS) rate (12). However, following the development of drugs such as trastuzumab, which selectively targets Her2, an improved prognosis may be achieved for this subtype of BC (12).…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Evidence from previous studies strongly suggests that the molecular subtype influences the systemic therapy and clinical outcome of BC (11). Her2-amplified BC accounts for ~20-25% of all invasive BC cases, and presents a poor overall survival (OS) rate (12). However, following the development of drugs such as trastuzumab, which selectively targets Her2, an improved prognosis may be achieved for this subtype of BC (12).…”
Section: Introductionmentioning
confidence: 99%
“…Her2-amplified BC accounts for ~20-25% of all invasive BC cases, and presents a poor overall survival (OS) rate (12). However, following the development of drugs such as trastuzumab, which selectively targets Her2, an improved prognosis may be achieved for this subtype of BC (12). Basal-like BC accounts for ~10% of all BC cases, and presents the worst prognosis, as there is currently no available endocrine or targeted therapy for this subtype of BC (13).…”
Section: Introductionmentioning
confidence: 99%
“…3 de novo and acquired resistance to the anti-HER2 monoclonal antibody trastuzumab have also been identified. 4 Besides, no targeted therapy is available for aggressive triplenegative breast cancer which is characterized by the absence of expression of estrogen, progesterone, and HER2 receptors. 5 These limitations in breast cancer therapy are strong arguments for the search for optimized therapeutic strategies and the development of new therapeutic agents.…”
Section: Introductionmentioning
confidence: 99%
“…For patients undergoing targeted therapy, HER-2 expression is used as a biomarker for identifying subgroups that are likely to achieve a survival benefit from trastuzumab therapy (6). Unfortunately, trastuzumab resistance is universally observed in both breast cancer and GC.…”
Section: Introductionmentioning
confidence: 99%