Overexpression of human epidermal growth factor receptor type2 (HER2, also referred to as HER2/neu or ErbB-2), a 185-kD receptorfirst described more than two decades ago,1 occurs in 20 to30% of invasive breast carcinomas. In general, patients withbreast-cancer cells that overexpress this receptor or that havea high copy number of its gene have decreased overall survivaland may have differential responses to a variety of chemotherapeuticand hormonal agents.2,3,4,5,6 Thus, strategies to target HER2appear to be important in treating breast cancer. One such medicationis trastuzumab (Herceptin, Genentech), a humanized monoclonalantibody. Trastuzumab binds to . . . [Full Text of this Article]
Background
Human Epidermal Growth Factor Receptors and Their Functions
HER2 Signaling and Overexpression
Mechanism of Action of Trastuzumab
Results of Clinical Trials
Toxicity
Clinical Significance of HER2 Testing
Studies of Trastuzumab as Adjuvant Therapy
Clinical Use of Trastuzumab
Metastatic Breast Cancer
Adjuvant Therapy for Early-Stage Breast Cancer
Future Directions
Conclusions
Source Information
From the Solid Tumor Division, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York.
Address reprint requests to Dr. Hudis at the Breast Cancer Medicine Service, Solid Tumor Division, Department of Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., P.O. Box 206, New York, NY 10021, or at hudisc@mskcc.org.
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