Review of the clinical status of cardiotoxicity of HER-2 positive breast cancer targeted therapeutic drugs

Breast cancer is a major health challenge for women worldwide, and human epidermal growth factor receptor 2 (HER-2)-positive breast cancers have a relatively high incidence and are highly aggressive. Targeted therapeutic agents, represented by trastuzumab, have been effective in improving the surviv...

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Main Authors: Xiang Zhang, Yulian Yin, Qiuting Yu, Xinlin Chen, Yiqin Cheng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1492203/full
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author Xiang Zhang
Yulian Yin
Qiuting Yu
Xinlin Chen
Yiqin Cheng
author_facet Xiang Zhang
Yulian Yin
Qiuting Yu
Xinlin Chen
Yiqin Cheng
author_sort Xiang Zhang
collection DOAJ
description Breast cancer is a major health challenge for women worldwide, and human epidermal growth factor receptor 2 (HER-2)-positive breast cancers have a relatively high incidence and are highly aggressive. Targeted therapeutic agents, represented by trastuzumab, have been effective in improving the survival rate of HER-2-positive breast cancer patients. However, in clinical applications, this type of targeted drugs exhibits varying degrees of cardiotoxicity, and the mechanism of their cardiotoxicity is currently unclear. In this paper, we classify them into three categories: monoclonal antibodies (mAbs), small-molecule tyrosine kinase inhibitors (TKIs), and antibody-drug conjugate (ADCs). We list the evidence of cardiotoxicity for various drugs based on current clinical trials and summarize their corresponding epidemiological profiles. We also discuss the regulation of cardiotoxicity from three perspectives: clinical biomarkers of cardiotoxicity, permissive cardiotoxicity, and the current status of cardiotoxicity regulation.
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institution Kabale University
issn 2234-943X
language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj-art-e1fec814f9084832864b6a1e57e583312025-02-07T05:10:31ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-02-011410.3389/fonc.2024.14922031492203Review of the clinical status of cardiotoxicity of HER-2 positive breast cancer targeted therapeutic drugsXiang Zhang0Yulian Yin1Qiuting Yu2Xinlin Chen3Yiqin Cheng4Department of Cardiology, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Breast Surgery, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Cardiology, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaHospital Administration Office, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Breast Surgery, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaBreast cancer is a major health challenge for women worldwide, and human epidermal growth factor receptor 2 (HER-2)-positive breast cancers have a relatively high incidence and are highly aggressive. Targeted therapeutic agents, represented by trastuzumab, have been effective in improving the survival rate of HER-2-positive breast cancer patients. However, in clinical applications, this type of targeted drugs exhibits varying degrees of cardiotoxicity, and the mechanism of their cardiotoxicity is currently unclear. In this paper, we classify them into three categories: monoclonal antibodies (mAbs), small-molecule tyrosine kinase inhibitors (TKIs), and antibody-drug conjugate (ADCs). We list the evidence of cardiotoxicity for various drugs based on current clinical trials and summarize their corresponding epidemiological profiles. We also discuss the regulation of cardiotoxicity from three perspectives: clinical biomarkers of cardiotoxicity, permissive cardiotoxicity, and the current status of cardiotoxicity regulation.https://www.frontiersin.org/articles/10.3389/fonc.2024.1492203/fullbreast cancerHER-2cardiotoxicitytargeted therapyreview
spellingShingle Xiang Zhang
Yulian Yin
Qiuting Yu
Xinlin Chen
Yiqin Cheng
Review of the clinical status of cardiotoxicity of HER-2 positive breast cancer targeted therapeutic drugs
Frontiers in Oncology
breast cancer
HER-2
cardiotoxicity
targeted therapy
review
title Review of the clinical status of cardiotoxicity of HER-2 positive breast cancer targeted therapeutic drugs
title_full Review of the clinical status of cardiotoxicity of HER-2 positive breast cancer targeted therapeutic drugs
title_fullStr Review of the clinical status of cardiotoxicity of HER-2 positive breast cancer targeted therapeutic drugs
title_full_unstemmed Review of the clinical status of cardiotoxicity of HER-2 positive breast cancer targeted therapeutic drugs
title_short Review of the clinical status of cardiotoxicity of HER-2 positive breast cancer targeted therapeutic drugs
title_sort review of the clinical status of cardiotoxicity of her 2 positive breast cancer targeted therapeutic drugs
topic breast cancer
HER-2
cardiotoxicity
targeted therapy
review
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1492203/full
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