PMID- 37600670 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230823 IS - 1179-1314 (Print) IS - 1179-1314 (Electronic) IS - 1179-1314 (Linking) VI - 15 DP - 2023 TI - HER2-Low Breast Cancer: Current Landscape and Future Prospects. PG - 605-616 LID - 10.2147/BCTT.S366122 [doi] AB - More than 50% of breast cancers are currently defined as "Human epidermal growth factor receptor 2 (HER2) low breast cancer (BC)", with HER2 immunohistochemistry (IHC) scores of +1 or +2 with a negative fluorescence in situ hybridization (FISH) test. In most studies that compared the clinical and biological characteristics of HER2-low BC with HER2-negative BC, HER2-low was not associated with unique clinical and molecular characteristics, and it seems that the importance of HER2 in these tumors is being a docking site for the antibody portion of antibody drug conjugates (ADCs). Current pathological methods may underestimate the proportion of BCs that express low levels of HER2 due to analytical limitations and tumor heterogeneity. In this review we summarize and contextualize the most recent literature on HER2-low breast cancers, including clinical and translational studies We also review the challenges of assessing low HER2 expression in BC and discuss the current and future therapeutic landscape for these tumors. CI - (c) 2023 Shirman et al. FAU - Shirman, Yelena AU - Shirman Y AD - Division of Oncology, Rambam Health Care Campus, Haifa, Israel. FAU - Lubovsky, Shlomit AU - Lubovsky S AD - Division of Oncology, Rambam Health Care Campus, Haifa, Israel. FAU - Shai, Ayelet AU - Shai A AD - Division of Oncology, Rambam Health Care Campus, Haifa, Israel. LA - eng PT - Journal Article PT - Review DEP - 20230814 PL - New Zealand TA - Breast Cancer (Dove Med Press) JT - Breast cancer (Dove Medical Press) JID - 101591856 PMC - PMC10439285 OTO - NOTNLM OT - ERBB2 low OT - HER2 targeted therapy OT - HER2-low OT - T-DXd OT - breast cancer OT - trastuzumab OT - trastuzumab-deruxtecan COIS- AS reports receiving travel funds and honoraria from AstraZeneca. YS and SL report no conflicts of interest in this work. EDAT- 2023/08/21 06:42 MHDA- 2023/08/21 06:43 PMCR- 2023/08/14 CRDT- 2023/08/21 04:48 PHST- 2023/04/08 00:00 [received] PHST- 2023/08/09 00:00 [accepted] PHST- 2023/08/21 06:43 [medline] PHST- 2023/08/21 06:42 [pubmed] PHST- 2023/08/21 04:48 [entrez] PHST- 2023/08/14 00:00 [pmc-release] AID - 366122 [pii] AID - 10.2147/BCTT.S366122 [doi] PST - epublish SO - Breast Cancer (Dove Med Press). 2023 Aug 14;15:605-616. doi: 10.2147/BCTT.S366122. eCollection 2023.