PMID- 19346299 OWN - NLM STAT- MEDLINE DCOM- 20090615 LR - 20220408 IS - 1549-490X (Electronic) IS - 1083-7159 (Linking) VI - 14 IP - 4 DP - 2009 Apr TI - The HER-2 receptor and breast cancer: ten years of targeted anti-HER-2 therapy and personalized medicine. PG - 320-68 LID - 10.1634/theoncologist.2008-0230 [doi] AB - The human epidermal growth factor receptor (HER-2) oncogene encodes a transmembrane tyrosine kinase receptor that has evolved as a major classifier of invasive breast cancer and target of therapy for the disease. The validation of the general prognostic significance of HER-2 gene amplification and protein overexpression in the absence of anti-HER-2 targeted therapy is discussed in a study of 107 published studies involving 39,730 patients, which produced an overall HER-2-positive rate of 22.2% and a mean relative risk for overall survival (OS) of 2.74. The issue of HER-2 status in primary versus metastatic breast cancer is considered along with a section on the features of metastatic HER-2-positive disease. The major marketed slide-based HER-2 testing approaches, immunohistochemistry, fluorescence in situ hybridization, and chromogenic in situ hybridization, are presented and contrasted in detail against the background of the published American Society of Clinical Oncology-College of American Pathologists guidelines for HER-2 testing. Testing issues, such as the impact of chromosome 17 polysomy and local versus central HER-2 testing, are also discussed. Emerging novel HER-2 testing techniques, including mRNA-based testing by real-time polymerase chain reaction and DNA microarray methods, HER-2 receptor dimerization, phosphorylated HER-2 receptors, and HER-2 status in circulating tumor cells, are also considered. A series of biomarkers potentially associated with resistance to trastuzumab is discussed with emphasis on the phosphatase and tensin homologue deleted on chromosome ten/Akt and insulin-like growth factor receptor pathways. The efficacy results for the more recently approved small molecule HER-1/HER-2 kinase inhibitor lapatinib are also presented along with a more limited review of markers of resistance for this agent. Additional topics in this section include combinations of both anti-HER-2 targeted therapies together as well as with novel agents including bevacizumab, everolimus, and tenespimycin. A series of novel HER-2-targeting agents is also presented, including pertuzumab, ertumaxomab, HER-2 vaccines, and recently discovered tyrosine kinase inhibitors. Biomarkers predictive of HER-2 targeted therapy toxicity are included, and the review concludes with a consideration of HER-2 status in the prediction of response to non-HER-2 targeted treatments including hormonal therapy, anthracyclines, and taxanes. FAU - Ross, Jeffrey S AU - Ross JS AD - Department of Pathology and Laboratory Medicine, Albany Medical College, Albany, NY 12208, USA. rossj@mail.amc.edu FAU - Slodkowska, Elzbieta A AU - Slodkowska EA FAU - Symmans, W Fraser AU - Symmans WF FAU - Pusztai, Lajos AU - Pusztai L FAU - Ravdin, Peter M AU - Ravdin PM FAU - Hortobagyi, Gabriel N AU - Hortobagyi GN LA - eng PT - Journal Article PT - Review DEP - 20090403 PL - England TA - Oncologist JT - The oncologist JID - 9607837 RN - 0 (4-amino-5-(4-methylphenyl)-7-(tert-butyl)pyrazolo(3,4-d)pyrimidine) RN - 0 (Anthracyclines) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Biomarkers, Tumor) RN - 0 (Pyrazoles) RN - 0 (Pyrimidines) RN - 0 (Quinazolines) RN - 0 (RNA, Messenger) RN - 0 (Taxoids) RN - 0VUA21238F (Lapatinib) RN - 2S9ZZM9Q9V (Bevacizumab) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - K16AIQ8CTM (pertuzumab) RN - L5L45YGP1O (ertumaxomab) RN - P188ANX8CK (Trastuzumab) RN - W36ZG6FT64 (Sirolimus) SB - IM CIN - Oncologist. 2016 Mar;21(3):391. PMID: 26966227 MH - Anthracyclines/administration & dosage MH - Antibodies, Monoclonal/administration & dosage MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Bevacizumab MH - Biomarkers, Tumor/*analysis MH - Breast Neoplasms/*chemistry/*drug therapy/mortality/pathology MH - Everolimus MH - Evidence-Based Medicine MH - Female MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization MH - Lapatinib MH - Neoplasm Staging MH - Polymerase Chain Reaction MH - Practice Guidelines as Topic MH - Prognosis MH - Pyrazoles/administration & dosage MH - Pyrimidines/administration & dosage MH - Quinazolines/administration & dosage MH - RNA, Messenger/analysis MH - Receptor, ErbB-2/*analysis/*drug effects MH - Sirolimus/administration & dosage/analogs & derivatives MH - Survival Analysis MH - Taxoids/administration & dosage MH - Trastuzumab MH - Treatment Outcome MH - Up-Regulation/drug effects RF - 432 EDAT- 2009/04/07 09:00 MHDA- 2009/06/16 09:00 CRDT- 2009/04/07 09:00 PHST- 2009/04/07 09:00 [entrez] PHST- 2009/04/07 09:00 [pubmed] PHST- 2009/06/16 09:00 [medline] AID - theoncologist.2008-0230 [pii] AID - 10.1634/theoncologist.2008-0230 [doi] PST - ppublish SO - Oncologist. 2009 Apr;14(4):320-68. doi: 10.1634/theoncologist.2008-0230. Epub 2009 Apr 3.