国际肿瘤学杂志››2023,Vol. 50››Issue (4): 236-240.doi:10.3760/cma.j.cn371439-20221230-00046
朱军1, 黄美金1, 李媛2, 刘泽刚3, 荀欣1, 陈宏1()
收稿日期:
2022-12-30修回日期:
2023-03-02出版日期:
2023-04-08发布日期:
2023-06-12通讯作者:
陈宏,Email:
基金资助:
Zhu Jun1, Huang Meijin1, Li Yuan2, Liu Zegang3, Xun Xin1, Chen Hong1()
Received:
2022-12-30Revised:
2023-03-02Online:
2023-04-08Published:
2023-06-12Contact:
Chen Hong, Email:
Supported by:
摘要:
乳腺癌目前已成为女性发病率最高的恶性肿瘤,其中人表皮生长因子受体2(HER2)阳性乳腺癌占比15%~20%。随着抗HER2靶向药物的不断发展,HER2阳性乳腺癌的生存及预后显著获益。乳腺癌中45%~55%的患者为HER2低表达,该类患者通常不再接受抗HER2治疗。但HER2低表达乳腺癌的生物学行为和预后与HER2零表达乳腺癌之间存在显著差异,对此进行区分并采取相应治疗策略有助于改善患者预后。目前关于HER2低表达乳腺癌的靶向治疗已有诸多研究进展,为HER2低表达乳腺癌的精准化治疗提供了有益参考。
朱军, 黄美金, 李媛, 刘泽刚, 荀欣, 陈宏. HER2低表达乳腺癌的靶向治疗研究进展[J]. 国际肿瘤学杂志, 2023, 50(4): 236-240.
Zhu Jun, Huang Meijin, Li Yuan, Liu Zegang, Xun Xin, Chen Hong. Research progress on targeted therapy of breast cancer with low expression of HER2[J]. Journal of International Oncology, 2023, 50(4): 236-240.
[1] | Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249. DOI: 10.3322/caac.21660. doi:10.3322/caac.21660 |
[2] | 郑荣寿, 孙可欣, 张思维, 等. 2015年中国恶性肿瘤流行情况分析[J]. 中华肿瘤杂志, 2019, 41(1): 19-28. DOI: 10.3760/cma.j.issn.0253-3766.2019.01.008. doi:10.3760/cma.j.issn.0253-3766.2019.01.008 |
[3] | Gradishar WJ, Moran MS, Abraham J, et al. Breast Cancer, Version 3.2022, NCCN Clinical Practice Guidelines in Oncology[J]. J Natl Compr Canc Netw, 2022, 20(6): 691-722. DOI: 10.6004/jnccn.2022.0030. doi:10.6004/jnccn.2022.0030 |
[4] | Tarantino P, Hamilton E, Tolaney SM, et al. HER2-low breast cancer: pathological and clinical landscape[J]. J Clin Oncol, 2020, 38(17): 1951-1962. DOI: 10.1200/JCO.19.02488. doi:10.1200/JCO.19.02488pmid:32330069 |
[5] | Zhang H, Peng Y. Current biological, pathological and clinical landscape of HER2-low breast cancer[J]. Cancers (Basel), 2022, 15(1): 126. DOI: 10.3390/cancers15010126. doi:10.3390/cancers15010126 |
[6] | Perez J, Garrigós L, Gion M, et al. Trastuzumab deruxtecan in HER2-positive metastatic breast cancer and beyond[J]. Expert Opin Biol Ther, 2021, 21(7): 811-824. DOI: 10.1080/14712598.2021.1890710. doi:10.1080/14712598.2021.1890710pmid:33759669 |
[7] | 中国临床肿瘤学会指南工作委员会. 中国临床肿瘤学会(CSCO)乳腺癌诊疗指南 2022[M]. 北京: 人民卫生出版社, 2022. |
[8] | Tarantino P, Gandini S, Nicolò E, et al. Evolution of low HER2 expression between early and advanced-stage breast cancer[J]. Eur J Cancer, 2022, 163: 35-43. DOI: 10.1016/j.ejca.2021.12.022. doi:10.1016/j.ejca.2021.12.022pmid:35032815 |
[9] | Zhang H, Katerji H, Turner BM, et al. HER2-low breast cancers[J]. Am J Clin Pathol, 2022, 157(3): 328-336. DOI: 10.1093/ajcp/aqab117. doi:10.1093/ajcp/aqab117 |
[10] | Ferrando-Díez A, Felip E, Pous A, et al. Targeted therapeutic options and future perspectives for HER2-positive breast cancer[J]. Cancers (Basel), 2022, 14(14): 3305. DOI: 10.3390/cancers14143305. doi:10.3390/cancers14143305 |
[11] | Schettini F, Chic N, Brasó-Maristany F, et al. Clinical, pathological, and PAM50 gene expression features of HER2-low breast cancer[J]. NPJ Breast Cancer, 2021, 7(1): 1. DOI: 10.1038/s41523-020-00208-2. doi:10.1038/s41523-020-00208-2pmid:33397968 |
[12] | Mohamed M, Mohd Nafi SN, Jaafar H, et al. A retrospective hospital-based study of HMGCR expression in HER2 IHC 2+ and 3+ breast cancer[J]. Asian Pac J Cancer Prev, 2021, 22(7): 2043-2047. DOI: 10.31557/APJCP.2021.22.7.2043. doi:10.31557/APJCP.2021.22.7.2043 |
[13] | Denkert C, Seither F, Schneeweiss A, et al. Clinical and molecular characteristics of HER2-low-positive breast cancer: pooled analysis of individual patient data from four prospective, neoadjuvant clinical trials[J]. Lancet Oncol, 2021, 22(8): 1151-1161. DOI: 10.1016/S1470-2045(21)00301-6. doi:10.1016/S1470-2045(21)00301-6pmid:34252375 |
[14] | Zhang G, Ren C, Li C, et al. Distinct clinical and somatic mutational features of breast tumors with high-, low-, or non-expressing human epidermal growth factor receptor 2 status[J]. BMC Med, 2022, 20(1): 142. DOI: 10.1186/s12916-022-02346-9. doi:10.1186/s12916-022-02346-9pmid:35484593 |
[15] | Chumsri S, Li Z, Serie DJ, et al. Incidence of late relapses in patients with HER2-positive breast cancer receiving adjuvant trastuzumab: combined analysis of NCCTG N9831 (alliance) and NRG oncology/NSABP B-31[J]. J Clin Oncol, 2019, 37(35): 3425-3435. DOI: 10.1200/JCO.19.00443. doi:10.1200/JCO.19.00443pmid:31622131 |
[16] | Chumsri S, Serie DJ, Li Z, et al. Effects of age and immune landscape on outcome in HER2-positive breast cancer in the NCCTG N9831 (alliance) and NSABP B-31 (NRG) trials[J]. Clin Cancer Res, 2019, 25(14): 4422-4430. DOI: 10.1158/1078-0432.CCR-18-2206. doi:10.1158/1078-0432.CCR-18-2206pmid:30808774 |
[17] | Fehrenbacher L, Cecchini RS, Geyer CE Jr, et al. NSABP B-47/NRG oncology phase Ⅲ randomized trial comparing adjuvant chemotherapy with or without trastuzumab in high-risk invasive breast cancer negative for HER2 by FISH and with IHC 1+ or 2[J]. J Clin Oncol, 2020, 38(5): 444-453. DOI: 10.1200/JCO.19.01455. doi:10.1200/JCO.19.01455pmid:31821109 |
[18] | Modi S. Trastuzumab deruxtecan in previously treated HER2-positive metastatic breast cancer: plain language summary of the DESTINY-Breast01 study[J]. Future Oncol, 2021, 17(26): 3415-3423. DOI: 10.2217/fon-2021-0427. doi:10.2217/fon-2021-0427pmid:34263665 |
[19] | U.S. Food & Drug Administration. FDA news release: FDA approves new treatment option for patients with HER2-positive breast cancer who have progressed on available therapies[EB/OL]. (2019-12-20)[2022-12-22]. https://www.fda.gov/news-events/press-announ-cements/fda-approves-new-treatment-option-patients-her2-positive-breast-cancer-who-have-progressed-available. |
[20] | Modi S, Jacot W, Yamashita T, et al. Trastuzumab deruxtecan in previously treated HER2-low advanced breast cancer[J]. N Engl J Med, 2022, 387(1): 9-20. DOI: 10.1056/NEJMoa2203690. doi:10.1056/NEJMoa2203690 |
[21] | T-DXd: new standard for HER2-low breast cancer[J]. Cancer Discov, 2022, 12(8): 1828. DOI: 10.1158/2159-8290.CD-NB2022-0043. doi:10.1158/2159-8290.CD-NB2022-0043pmid:35666611 |
[22] | Schlam I, Tolaney SM, Tarantino P. How I treat HER2-low advanced breast cancer[J]. Breast, 2023, 67: 116-123. DOI: 10. 1016/j.breast.2023.01.005. doi:10. 1016/j.breast.2023.01.005 |
[23] | Tarantino P, Curigliano G, Tolaney SM. Navigating the HER2-low paradigm in breast oncology: new standards, future horizons[J]. Cancer Discov, 2022, 12(9): 2026-2030. DOI: 10.1158/2159-8290.CD-22-0703. doi:10.1158/2159-8290.CD-22-0703 |
[24] | U.S. Food & Drug Administration. FDA news release: FDA approves first targeted therapy for HER2-low breast cancer[EB/OL]. (2022-08-05)[2022-09-07]. https://www.fda.gov/news-events/press-announcements/fda-approves-first-targeted-therapy-her2-low-breast-cancer. |
[25] | Li H, Zhang X, Xu Z, et al. Preclinical evaluation of MRG002, a novel HER2-targeting antibody-drug conjugate with potent antitumor activity against HER2-positive solid tumors[J]. Antib Ther, 2021, 4(3): 175-184. DOI: 10.1093/abt/tbab017. doi:10.1093/abt/tbab017pmid:34532642 |
[26] | Jiang Z, Sun T, Wang X, et al. A multiple center, open-label, single-arm, phase Ⅱ clinical trial of MRG002, an HER2-targeted antibody-drug conjugate, in patients with HER2-low expressing advanced or metastatic breast cancer[J]. J Clin Oncol, 2022, 40(16_suppl): 1102. DOI: 10.1200/JCO.2022.40.16_suppl.1102. doi:10.1200/JCO.2022.40.16_suppl.1102 |
[27] | Banerji U, Saura C, et al. Trastuzumab duocarmazine in locally advanced and metastatic solid tumours and HER2-expressing breast cancer: a phase 1 dose-escalation and dose-expansion study[J]. Lancet Oncol, 2019, 20(8): 1124-1135. DOI: 10.1016/S1470-2045(19)30328-6. doi:S1470-2045(19)30328-6pmid:31257177 |
[28] | Saura C, Thistlethwaite F, Banerji U, et al. A phase Ⅰ expansion cohorts study of SYD985 in heavily pretreated patients with HER2-positive or HER2-low metastatic breast cancer[J]. J Clin Oncol, 2018, 36(15_suppl): 1014. DOI: 10.1200/JCO.2018.36.15_suppl.1014. doi:10.1200/JCO.2018.36.15_suppl.1014 |
[29] | Xu B, Wang J, Fang J, et al. Abstract PD4-06: early clinical development of RC48-ADC in patients with HER2 positive metastatic breast cancer[J]. Cancer Res, 2020, 80(4_Supplement): PD4-06. DOI: 10.1158/1538-7445.SABCS19-PD4-06. doi:10.1158/1538-7445.SABCS19-PD4-06 |
[30] | Wang J, Liu Y, Zhang Q, et al. RC48-ADC, a HER2-targeting antibody-drug conjugate, in patients with HER2-positive and HER2-low expressing advanced or metastatic breast cancer: a pooled analysis of two studies[J]. J Clin Oncol, 2021, 39(15_suppl): 1022. DOI: 10.1200/JCO.2021.39.15_suppl.1022. doi:10.1200/JCO.2021.39.15_suppl.1022 |
[31] | Bergstrom D, Bodyak N, Park P, et al. Abstract P4-14-28: XMT-1522 induces tumor regressions in preclinical models representing HER2 positive and HER2 low expressing breast cancer[J]. Cancer Res, 2016, 76 (4_Supplement): P4-14-28. DOI: 10.1158/1538-7445.SABCS15-P4-14-28. doi:10.1158/1538-7445.SABCS15-P4-14-28 |
[32] | Hamilton EP, Barve MA, Bardia A, et al. Phase 1 dose escalation of XMT-1522, a novel HER2-targeting antibody-drug conjugate (ADC), in patients (pts) with HER2-expressing breast, lung and gastric tumors[J]. J Clin Oncol, 2018, 36(15_suppl): 2546. DOI: 10.1200/JCO.2018.36.15_suppl.2546. doi:10.1200/JCO.2018.36.15_suppl.2546 |
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