Evidence map›Paper›PMID 32898548›Full record

ReviewPharmacology & therapeutics2021

The root cause of drug resistance in HER2-positive breast cancer and the therapeutic approaches to overcoming the resistance.

Yuesheng Zhang

Open access · greenAbstract readReview
In one paragraph

Review in Pharmacology & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Lactylation-Mediated HER2 Stabilization Promotes Trastuzumab Resistance in Gastric Cancer.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. In silico approach andContemporary oncology (Poznan, Poland) · 2026
    Article
  8. Article
  9. Advances in Nanobody-Based Platforms for Precision Cancer Diagnosis and Therapy.Polymer science & technology (Washington, D.C.) · 2025
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Unveiling the functions of five recently characterized lncRNAs in cancer progression.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  15. Article
  16. Review
  17. IRX4204 Induces Senescence and Cell Death in HER2-positive Breast Cancer and Synergizes with Anti-HER2 Therapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Yuesheng ZhangDepartment of Pharmacology and Therapeutics, Roswell Park Comprehensive Cancer Center, USA. Electronic address: yuesheng.zhang@roswellpark.org.
Roswell Park Comprehensive Cancer Center · US

Funding

Overcoming Drug Resistance in HER2-positive Breast CancerR01CA244601 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI ZHANG, YUESHENG · 2020 to 2024
$2.3M
Combating Cetuximab Resistance in Colorectal CancerR01CA215093 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI ZHANG, YUESHENG · 2017 to 2021
$2.0M
NCI NIH HHS R01 CA215093NCI NIH HHS R01 CA244601
6 · The paper itself

Abstract

HER2 is a well-known oncogenic receptor tyrosine kinase. HER2 gene amplification occurs in about 20% of breast cancer (BC), which leads to overexpression of HER2 protein, known as HER2-positive BC. Inhibitors of HER2 have significantly improved the prognosis of patients with this subset of BC. Since 1998, seven HER2 inhibitors have been developed to treat this disease. However, drug resistance is common and remains a major unresolved clinical problem. Patients typically show disease progression after some time on treatment. This review discusses the complexity and diversified nature of HER2 signaling, the mechanisms of actions and therapeutic activities of all HER2 inhibitors, the roles of HER2 and other signaling proteins in HER2-positive BC resistant to the inhibitors, the non-cell-autonomous mechanisms of drug resistance, and the heterogeneity of tumor HER2 expression. The review presents the concept that drug resistance in HER2-positive BC results primarily from the inability of HER2 inhibitors to deplete HER2. Emerging therapeutics that are promising for overcoming drug resistance are also discussed.

Indexed as

Antineoplastic AgentsBreast NeoplasmsDrug Resistance, NeoplasmFemaleHumansOncogenesAntineoplastic AgentsCancer treatmentHER2 inhibitorPEPD(G278D)Receptor tyrosine kinaseTargeted therapyTherapeutic resistance

Identifiers

PMID32898548
PMCPMC7855784
OpenAlexW3083166201

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.