HER2/neu

Reference work entry

Abstract

HER2 is a 185 kDa transmembrane glycoprotein in the receptor tyrosine kinase family that also includes EGFR or HER1 (erbB1), HER3 (erbB3), and HER4 19 (erbB4). HER2 gene amplification and protein overexpression is seen in 20–25% of breast cancers. HER2 protein overexpression is an independent predictor of poor prognosis, thus, the receptor has become a focus for several novel types of targeted therapies. Some patients whose tumors overexpress HER2 develop immunity directed against the protein. Immunotherapeutic approaches aimed at generating or augmenting immunity to HER2 have been also been developed.

Keywords

erbB2/neu. See Human epidermal growth factor receptor 2 (HER2) Human epidermal growth factor receptor 2 (HER2) Adoptive T cell therapy Assessment FISH assay Gene amplification Immunogenic in cancer Immunohistochemistry In cancer Inhibitors Lapatinib PI3K/AKT and RAS-MAPK pathways Plasmid DNA vaccines Preclinical studies Trastuzumab Vaccines Lapatinib Neratinib Pertuzumab Trastuzumab-DM1 (T-DM1) 

References

  1. Bargmann CI, Hung MC, Weinberg RA. The neu oncogene encodes an epidermal growth factor receptor-related protein. Nature. 1986;319(6050):226–30.CrossRefPubMedGoogle Scholar
  2. Bartlett JM, Munro AF, Dunn JA, et al. Predictive markers of anthracycline benefit: a prospectively planned analysis of the UK National Epirubicin Adjuvant Trial (NEAT/BR9601). Lancet Oncol. 2010;11(3):266–74.CrossRefPubMedGoogle Scholar
  3. Baselga J, Gelmon KA, Verma S, et al. Phase II trial of pertuzumab and trastuzumab in patients with human epidermal growth factor receptor 2-positive metastatic breast cancer that progressed during prior trastuzumab therapy. J Clin Oncol. 2010;28(7):1138–44.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Blackwell KL, Burstein HJ, Storniolo AM, et al. Randomized study of Lapatinib alone or in combination with trastuzumab in women with ErbB2-positive, trastuzumab-refractory metastatic breast cancer. J Clin Oncol. 2010;28(7):1124–30.CrossRefPubMedGoogle Scholar
  5. Burstein HJ, Sun Y, Dirix LY, et al. Neratinib, an irreversible ErbB receptor tyrosine kinase inhibitor, in patients with advanced ErbB2-positive breast cancer. J Clin Oncol. 2010;28(8):1301–7.CrossRefPubMedGoogle Scholar
  6. Buzdar AU, Ibrahim NK, Francis D, et al. Significantly higher pathologic complete remission rate after neoadjuvant therapy with trastuzumab, paclitaxel, and epirubicin chemotherapy: results of a randomized trial in human epidermal growth factor receptor 2-positive operable breast cancer. J Clin Oncol. 2005;23(16):3676–85.CrossRefPubMedGoogle Scholar
  7. Disis ML, Calenoff E, McLaughlin G, et al. Existent T-cell and antibody immunity to HER-2/neu protein in patients with breast cancer. Cancer Res. 1994;54(1):16–20.PubMedGoogle Scholar
  8. Disis ML, Gooley TA, Rinn K, et al. Generation of T-cell immunity to the HER-2/neu protein after active immunization with HER-2/neu peptide-based vaccines. J Clin Oncol. 2002;20(11):2624–32.CrossRefPubMedGoogle Scholar
  9. Disis ML, Wallace DR, Gooley TA, et al. Concurrent trastuzumab and HER2/neu-specific vaccination in patients with metastatic breast cancer. J Clin Oncol. 2009a;27(28):4685–92.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Disis ML, Salazar LG, Coveler A, et al. Phase I study of infusion of HER2/neu (HER2) specific T cells in patients with advanced-stage HER2 overexpressing cancers who have received a HER2 vaccine. J Clin Oncol. 2009b;27:15s. abstr 3000.CrossRefGoogle Scholar
  11. Gates JD, Carmichael MG, Benavides LC, et al. Long term follow up assessment of a HER2/neu peptide (E75) vaccine for prevention of recurrence in high-risk prostate cancer patients. J Am Coll Surg. 2009;208(2):193–201.CrossRefPubMedGoogle Scholar
  12. Geyer CE, Forster J, Lindquist D, et al. Lapatinib plus capecitabine for HER2-positive advanced breast cancer. N Engl J Med. 2006;355(26):2733–43.CrossRefPubMedGoogle Scholar
  13. Hynes NE, MacDonald G. ErbB receptors and signaling pathways in cancer. Curr Opin Cell Biol. 2009;21(2):177–84.CrossRefPubMedGoogle Scholar
  14. Jorgensen JT. Targeted HER2 treatment in advanced gastric cancer. Oncology. 2010;78(1):26–33.CrossRefPubMedGoogle Scholar
  15. Klos KS, Wyszomierski SL, Sun M, et al. ErbB2 increases vascular endothelial growth factor protein synthesis via activation of mammalian target of rapamycin/p70S6K leading to increased angiogenesis and spontaneous metastasis of human breast cancer cells. Cancer Res. 2006;66(4):2028–37.CrossRefPubMedGoogle Scholar
  16. Krainer M, Brodowicz T, Zeillinger R, et al. Tissue expression and serum levels of HER-2/neu in patients with breast cancer. Oncology. 1997;54(6):475–81.CrossRefPubMedGoogle Scholar
  17. Krop IE, Beeram M, Modi S, et al. Phase I study of trastuzumab-DM1, an HER2 antibody-drug conjugate, given every 3 weeks to patients with HER2-positive metastatic breast cancer. J Clin Oncol. 2010;28(16):2698–704.CrossRefPubMedGoogle Scholar
  18. Lemoine NR, Staddon S, Dickson C, et al. Absence of activating transmembrane mutations in the c-erbB-2 proto-oncogene in human breast cancer. Oncogene. 1990;5(2):237–9.PubMedGoogle Scholar
  19. Lu H, Goodell V, Disis ML. Humoral immunity directed against tumor-associated antigens as potential biomarkers for the early diagnosis of cancer. J Proteome Res. 2008;7(4):1388–94.CrossRefPubMedGoogle Scholar
  20. Massarweh S, Osborne CK, Creighton CJ, et al. Tamoxifen resistance in breast tumors is driven by growth factor receptor signaling with repression of classic estrogen receptor genomic function. Cancer Res. 2008;68(3):826–33.CrossRefPubMedGoogle Scholar
  21. Owens MA, Horten BC, Da Silva MM. HER2 amplification ratios by fluorescence in situ hybridization and correlation with immunohistochemistry in a cohort of 6556 breast cancer tissues. Clin Breast Cancer. 2004;5(1):63–9.CrossRefPubMedGoogle Scholar
  22. Peethambaram PP, Melisko ME, Rinn KJ, et al. A phase I trial of immunotherapy with lapuleucel-T (APC8024) in patients with refractory metastatic tumors that express HER-2/neu. Clin Cancer Res. 2009;15(18):5937–44.CrossRefPubMedPubMedCentralGoogle Scholar
  23. Peoples GE, Holmes JP, Hueman MT, et al. Combined clinical trial results of a HER2/neu (E75) vaccine for the prevention of recurrence in high-risk breast cancer patients: U.S. Military Cancer Institute Clinical Trials Group Study I-01 and I-02. Clin Cancer Res. 2008;14(3):797–803.CrossRefPubMedGoogle Scholar
  24. Ross JS, Slodkowska EA, Symmans WF, et al. The HER-2 receptor and breast cancer: ten years of targeted anti-HER-2 therapy and personalized medicine. Oncologist. 2009;14:320–68.CrossRefPubMedGoogle Scholar
  25. Sauter G, Lee J, Bartlett JM, et al. Guidelines for human epidermal growth factor receptor 2 testing: biologic and methodologic considerations. J Clin Oncol. 2009;27(8):1323–33.CrossRefPubMedGoogle Scholar
  26. Segatto O, King CR, Pierce JH, et al. Different structural alterations upregulate in vitro tyrosine kinase activity and transforming potency of the erbB-2 gene. Mol Cell Biol. 1988;8(12):5570–4.CrossRefPubMedPubMedCentralGoogle Scholar
  27. Slamon DJ, Leyland-Jones B, Shak S, et al. Use of chemotherapy plus a monoclonal antibody against HER2 for metastatic breast cancer that overexpresses HER2. N Engl J Med. 2001;344(11):783–92.CrossRefPubMedGoogle Scholar
  28. Taylor C, Hershman D, Shah N, et al. Augmented HER-2 specific immunity during treatment with trastuzumab and chemotherapy. Clin Cancer Res. 2007;13(17):5133–43.CrossRefPubMedGoogle Scholar
  29. Wolff AC, Hammond ME, Schwartz JN, et al. American Society of Clinical Oncology/College of American Pathologists guideline recommendations for human epidermal growth factor receptor 2 testing in breast cancer. J Clin Oncol. 2007;25(1):118–45.CrossRefPubMedGoogle Scholar
  30. Wu JT, Astill ME, Zhang P. Detection of the extracellular domain of c-erbB-2 oncoprotein in sera from patients with various carcinomas: correlation with tumor markers. J Clin Lab Anal. 1993;7(1):31–40.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Tumor Vaccine GroupUniversity of WashingtonSeattleUSA
  2. 2.Clinical DevelopmentSeattle Genetics, Inc.BothellUSA

Personalised recommendations