A New Era of HER2 Directed Therapy –A Review of Cardiac Toxicities in Novel AntiHER2 Agents

Thuy Le-Kumar
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Abstract

Overexpression of human epidermal growth factor receptor 2 (HER2) has classically been associated with decreased overall survival. HER2-positive breast cancer makes up about 15-20% of breast cancers. Overall survival and progression-free survival of HER2 breast cancers have increased due to advancements in therapies. Trastuzumab, a humanized monoclonal antibody, targets HER2 in patients with overexpression. When combined with anthracyclines, which has been the treatment of choice for many years, there is increased cardiotoxicity. Since the discovery of trastuzumab, there have been a myriad of novel agents that target HER2 receptors, however little is known about the cardiotoxic effects of these novel agents. In this review, we describe clinical trials using novel anti-HER2 agents for the treatment of HER2-positive breast cancer and the frequency and severity of cardiotoxicity of these agents.
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HER2定向治疗的新时代——新型抗HER2药物的心脏毒性综述
人表皮生长因子受体2 (HER2)的过度表达通常与总生存率降低有关。her2阳性乳腺癌约占乳腺癌的15-20%。由于治疗方法的进步,HER2乳腺癌的总生存期和无进展生存期有所增加。曲妥珠单抗是一种人源化单克隆抗体,靶向HER2过表达患者。当与蒽环类药物(多年来一直是首选的治疗方法)联合使用时,会增加心脏毒性。自从发现曲妥珠单抗以来,已经出现了无数靶向HER2受体的新型药物,然而对这些新药物的心脏毒性作用知之甚少。在这篇综述中,我们描述了使用新型抗her2药物治疗her2阳性乳腺癌的临床试验,以及这些药物心脏毒性的频率和严重程度。
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