PMID- 37314204 OWN - NLM STAT- MEDLINE DCOM- 20230814 LR - 20230814 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 153 IP - 7 DP - 2023 Oct 1 TI - The trichotomy of HER2 expression confers new insights into the understanding and managing for breast cancer stratified by HER2 status. PG - 1324-1336 LID - 10.1002/ijc.34570 [doi] AB - Human epidermal growth factor receptor 2 (HER2) is a tyrosine kinase receptor that plays a carcinogenic role in breast cancer (BC) through gene amplification, mutation, or overexpression. Traditional methods of HER2 detection were divided into positive (immunohistochemistry (IHC) 3+/fluorescence in situ hybridization (FISH) amplification) and negative (IHC 2+/FISH-, IHC 1+, IHC 0) according to the dichotomy method. Anti-HER2-targeted therapies, such as trastuzumab and pertuzumab, have significantly improved the prognosis of HER2-positive patients. However, up to 75% to 85% of patients remain HER2-negative. In recent years, with the rapid development of molecular biology, gene detection technology, targeted therapy, and immunotherapy, researchers have actively explored the clinicopathological characteristics, molecular biological characteristics, treatment methods, and HER2 detection methods of HER2-low/zero breast cancer. With the clinical efficacy of new anti-HER2 targeted drugs, accurate classification of breast cancer is very important for the treatment choice. Therefore, the following review summarizes the necessity of developing HER2 detection methods, and the clinicopathological and drug treatment characteristics of patients with HER2-low/zero, to light the dawn of the treatment of breast cancer patients with HER2-low/zero expression. CI - (c) 2023 UICC. FAU - Jiang, Mingxia AU - Jiang M AD - Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Liu, Jiaxuan AU - Liu J AD - Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Li, Qiao AU - Li Q AUID- ORCID: 0000-0002-4547-1266 AD - Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Xu, Binghe AU - Xu B AUID- ORCID: 0000-0003-4195-337X AD - Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230614 PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Humans MH - Female MH - *Breast Neoplasms/genetics/therapy/metabolism MH - In Situ Hybridization, Fluorescence/methods MH - Receptor, ErbB-2/genetics/metabolism MH - Trastuzumab/therapeutic use MH - Prognosis MH - Treatment Outcome MH - Gene Amplification OTO - NOTNLM OT - HER2-low expression OT - HER2-zero expression OT - IHC OT - breast cancer OT - therapy EDAT- 2023/06/14 13:07 MHDA- 2023/08/14 06:42 CRDT- 2023/06/14 09:04 PHST- 2023/04/26 00:00 [revised] PHST- 2023/01/20 00:00 [received] PHST- 2023/04/28 00:00 [accepted] PHST- 2023/08/14 06:42 [medline] PHST- 2023/06/14 13:07 [pubmed] PHST- 2023/06/14 09:04 [entrez] AID - 10.1002/ijc.34570 [doi] PST - ppublish SO - Int J Cancer. 2023 Oct 1;153(7):1324-1336. doi: 10.1002/ijc.34570. Epub 2023 Jun 14.