What is the status of pathologists in the context of a multidisciplinary tumor boards?
Fréderique PENAULT LORCA
Chairwoman of the Pathology department, University Hospital, Clermont Ferrand, France
Historically, Human Epidermal Growth Factor Receptor 2 (HER2) has been a significant factor in resistance and prognosis for certain cancers undergoing endocrine treatment. High levels of gene amplification and protein expression correlate with pathway activation and resistance.
While initially HER2 served as a target for its role in activating the pathway, recent research reveals new possibilities. It appears that even low levels of HER2 presence on tumor cells can facilitate chemotherapy delivery without necessarily activating the pathway.
The advent of Antibody-Drug Conjugates (ADCs) offers a novel strategy in utilizing HER2 as a target. These therapeutics, which combine an antibody against a specific receptor with a cytotoxic agent, can now deliver chemotherapy to HER2-positive or even -low tumors.
By capitalizing on this dual functionality, ADCs may potentially target not only pathway inhibition but also allow for chemotherapy delivery in HER2-positive cancers. Furthermore, it opens the door to investigating their potential effects on ‘urge to allow positive tumors,’ a concept yet to be fully explored.
“As we refine our understanding and application of HER2-targeted therapies, we move closer to tailoring treatments for individual patients, ultimately enhancing their quality of life and survival prospects.”
With innovative approaches like ADCs at the forefront, we can harness the power of targeted therapies to address cancer resistance more effectively. By exploring new delivery mechanisms and understanding nuanced interactions within tumors, we can continue pushing the boundaries of personalized medicine.
Fréderique PENAULT LORCA
Chairwoman of the Pathology department, University Hospital, Clermont Ferrand, France
Marc SPIELMANN
Expert Opinions Dubai 2022
BCU Honorary President
Kinda DAIDOUAIRI
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