History and Future of HER2-Targeted Therapy for Advanced Gastric Cancer

被引:7
作者
Ariga, Shin [1 ,2 ]
机构
[1] Hokkaido Univ, Fac Med, Dept Med Oncol, Sapporo 0608638, Japan
[2] Hokkaido Univ, Grad Sch Med, Sapporo 0608638, Japan
关键词
gastric cancer; HER2; targeted therapy; heterogeneity; METASTATIC BREAST-CANCER; ANTIBODY-DRUG CONJUGATE; DERUXTECAN T-DXD; GASTROESOPHAGEAL JUNCTION; TRASTUZUMAB DERUXTECAN; PHASE-II; MONOCLONAL-ANTIBODY; OPEN-LABEL; PLUS CHEMOTHERAPY; HER-2; RECEPTOR;
D O I
10.3390/jcm12103391
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Human epidermal growth factor receptor 2 (HER2) is a receptor tyrosine kinase that belongs to the human epidermal growth factor receptor family. It is overexpressed/amplified in approximately 20% of gastric or gastroesophageal junction cancers. HER2 is being developed as a therapeutic target in a variety of cancers, and several agents have been shown to be effective in breast cancer. The development of HER2-targeted therapy for gastric cancer successfully began with trastuzumab. However, while effective in breast cancer, the successive anti-HER2 agents lapatinib, T-DM1, and pertuzumab failed to demonstrate benefits regarding survival in gastric cancer compared with the existing standard therapies. Intrinsic differences lie between gastric and breast cancer in terms of HER2-positive tumor biology, which may make development difficult. Recently, a novel anti-HER2 agent, trastuzumab deruxtecan, was introduced, and the development of HER2-positive gastric cancer agents has been moving to the next stage. This review summarizes the current HER2-targeted therapy for gastric or gastroesophageal cancer in chronological order and describes the promising future of HER2-targeted therapy.
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页数:16
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