PMID- 34277062 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210720 IS - 2072-1439 (Print) IS - 2077-6624 (Electronic) IS - 2072-1439 (Linking) VI - 13 IP - 6 DP - 2021 Jun TI - A narrative review of advances in treatment and survival prognosis of HER2-positive malignant lung cancers. PG - 3708-3720 LID - 10.21037/jtd-20-3265 [doi] AB - Human epidermal growth factor receptor 2 (HER2), as a receptor tyrosine kinase of EGF receptor family, whose mutation is often associated with even if less frequency but poor prognosis and shorter survival in pulmonary malignant tumor. HER2 status include mutation, overexpression, amplification and also some rare genotypes, detected by next generation sequencing (NGS), immunohistochemistry (IHC), and also fluorescence in situ hybridization (FISH). Different genotypes represent different therapeutic targets and indicate different clinical prognosis concluded by previous studies. Unfortunately, no standard guidelines for first-line treatment are widely recognized, and current therapeutic schedules include chemotherapy, radiotherapy, targeted therapy, and immunotherapy. Especially for patients with advanced metastasis, chemotherapy is based as a systemic therapy using studies of breast cancer or EGFR-positive lung adenocarcinoma as a template. Studies already explored treatment including EGFR tyrosine kinase inhibitors (TKIs) such as gefitinib and afatinib, and also trastuzumab and its conjugation like HER2-targeted antibody-drug conjugate trastuzumab emtansine (T-DM1) and conjugate trastuzumab deruxtecan (T-DXd). Also, he researches explored combination therapy with chemotherapy and TKIs or monoclonal antibodies. This review describes commonly used therapies for HER2-positive/HER2-overexpression patients and general relationship between genotypes of HER2, drug selection and final prognosis in order to provide suggestions for future diagnosis and treatment. CI - 2021 Journal of Thoracic Disease. All rights reserved. FAU - Wu, Ranpu AU - Wu R AD - Department of Respiratory and Critical Care Medicine, Jinling Hospital, Southeast University of Medicine, Nanjing, China. FAU - Yuan, Bingxiao AU - Yuan B AD - Department of Respiratory and Critical Care Medicine, Affiliated Jinling Hospital, Medical School of Nanjing Medical University, Nanjing, China. FAU - Li, Chuling AU - Li C AD - Department of Respiratory and Critical Care Medicine, Affiliated Jinling Hospital, Medical School of Nanjing Medical University, Nanjing, China. FAU - Wang, Zimu AU - Wang Z AD - Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China. FAU - Song, Yong AU - Song Y AD - Department of Respiratory and Critical Care Medicine, Jinling Hospital, Southeast University of Medicine, Nanjing, China. AD - Department of Respiratory and Critical Care Medicine, Affiliated Jinling Hospital, Medical School of Nanjing Medical University, Nanjing, China. FAU - Liu, Hongbing AU - Liu H AD - Department of Respiratory and Critical Care Medicine, Jinling Hospital, Southeast University of Medicine, Nanjing, China. AD - Department of Respiratory and Critical Care Medicine, Affiliated Jinling Hospital, Medical School of Nanjing Medical University, Nanjing, China. LA - eng PT - Journal Article PT - Review PL - China TA - J Thorac Dis JT - Journal of thoracic disease JID - 101533916 PMC - PMC8264687 OTO - NOTNLM OT - Non-small cell lung cancer (NSCLC) OT - chemotherapy OT - human epidermal growth factor receptor 2 (HER2) OT - trastuzumab OT - tyrosine kinase inhibitors (TKIs) COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/jtd-20-3265). The authors have no conflicts of interest to declare. EDAT- 2021/07/20 06:00 MHDA- 2021/07/20 06:01 PMCR- 2021/06/01 CRDT- 2021/07/19 05:56 PHST- 2020/11/09 00:00 [received] PHST- 2021/04/14 00:00 [accepted] PHST- 2021/07/19 05:56 [entrez] PHST- 2021/07/20 06:00 [pubmed] PHST- 2021/07/20 06:01 [medline] PHST- 2021/06/01 00:00 [pmc-release] AID - jtd-13-06-3708 [pii] AID - 10.21037/jtd-20-3265 [doi] PST - ppublish SO - J Thorac Dis. 2021 Jun;13(6):3708-3720. doi: 10.21037/jtd-20-3265.