Pan-HER-targeted approach for cancer therapy: Mechanisms, recent advances and clinical prospect

Cancer Lett. 2018 Dec 28:439:113-130. doi: 10.1016/j.canlet.2018.07.014. Epub 2018 Sep 12.

Abstract

The Human Epidermal Growth Factor Receptor family is composed of 4 structurally related receptor tyrosine kinases that are involved in many human cancers. The efficacy and safety of HER inhibitors have been compared in a wide range of clinical trials, suggesting the superior inhibitory ability of multiple- HER-targeting blockade compared with single receptor antagonists. However, many patients are currently resistant to current therapeutic treatment and novel strategies are warranted to conquer the resistance. Thus, we performed a critical review to summarize the molecular involvement of HER family receptors in tumour progression, recent anti-HER drug development based on clinical trials, and the potential resistance mechanisms of anti-HER therapy.

Keywords: Cancer; Pan-HER; Target therapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / therapeutic use*
  • Antineoplastic Agents, Immunological / therapeutic use
  • Drug Resistance, Neoplasm / drug effects
  • Drug Resistance, Neoplasm / immunology
  • ErbB Receptors / antagonists & inhibitors*
  • ErbB Receptors / classification
  • ErbB Receptors / immunology
  • Humans
  • Molecular Targeted Therapy / methods*
  • Neoplasms / drug therapy*
  • Neoplasms / immunology
  • Neoplasms / metabolism
  • Receptor Protein-Tyrosine Kinases / antagonists & inhibitors*
  • Receptor Protein-Tyrosine Kinases / classification
  • Receptor Protein-Tyrosine Kinases / immunology
  • Signal Transduction / drug effects
  • Signal Transduction / immunology
  • Trastuzumab / therapeutic use

Substances

  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents, Immunological
  • ErbB Receptors
  • Receptor Protein-Tyrosine Kinases
  • Trastuzumab