2021
DOI: 10.1007/s10549-021-06280-x
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Trastuzumab-induced cardiotoxicity: a review of clinical risk factors, pharmacologic prevention, and cardiotoxicity of other HER2-directed therapies

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Cited by 89 publications
(62 citation statements)
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“…4, Table 2). These affinities were measured with purified proteins and calculated using a 1:1 stoichiometry, but the physiologically relevant interaction involves ~10 5 FcγRIIIa receptors expressed on an NK cell (45). FcγRIIIa signalling is triggered after binding antibody Fc domains that are clustered due to their Fab arms recognizing multiple adjacent ligand molecules on the target cell surface (46).…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…4, Table 2). These affinities were measured with purified proteins and calculated using a 1:1 stoichiometry, but the physiologically relevant interaction involves ~10 5 FcγRIIIa receptors expressed on an NK cell (45). FcγRIIIa signalling is triggered after binding antibody Fc domains that are clustered due to their Fab arms recognizing multiple adjacent ligand molecules on the target cell surface (46).…”
Section: Discussionmentioning
confidence: 99%
“…During treatment of Her2+ breast cancer with the anti-Her2 Trastuzumab, clinical results have shown a clear correlation between treatment and impairment of the left ventricular ejection fraction (3,4), resulting in cardiac dysfunction. These complications can lead to a reduced tolerance for and even discontinuation of therapy (5). In addition to expressing tumor-associated antigens, tumors also alter their local tissue environments, which presents opportunities for tumor targeting via characteristics orthogonal to antigen specificity.…”
Section: Introductionmentioning
confidence: 99%
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“…Cardiovascular (CV) adverse effects have been reported with HER2-, VEGF-, and EGFR-targeted antibodies. All 5 anti-HER2 antibodies on the US market are associated with cardiotoxicity, and the greatest CV risk is with trastuzumab [ 59 ]. Risk factors include advanced age, comorbid cardiac disease, and treatment with anthracyclines.…”
Section: Targeted Antibodiesmentioning
confidence: 99%
“…Pertuzumab is a recombinant humanized mAb binding to the extracellular dimerization domain II of HER2 to prevent the ligandinduced HER2 heterodimer formation and reduce the survival of tumor (Barthelemy et al, 2014). However, mAb-based immunotherapy has raised new questions about assessment of drug toxicity, the economics of cancer therapy, and resistance to treatments (Kristeleit et al, 2016;Dempsey et al, 2021). Hitherto, HER2-targeted medications have not been applied clinically to treat OSCC, so that there is an urgent need to develop HER2based alternative and safe therapies.…”
Section: Introductionmentioning
confidence: 99%