Evidence map›Paper›PMID 42278208›Full record

ReviewInternational journal of molecular sciences2026

HER2-Low Gastric and Gastroesophageal Junction Adenocarcinoma: From Assessment to Treatment Strategies.

Alexandra Georgiana Scurtu, Daniela Tatiana Sala, Ioan Jung, Tivadar Bara, Radu Mircea Neagoe, Zsolt Zoltán Fülöp, Simona Gurzu

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Alexandra Georgiana ScurtuDepartment of Pathology, George Emil Palade University of Medicine, Pharmacy, Science and Technology, 540139 Targu Mures, Romania.ORCID 0000-0001-8851-6789
Daniela Tatiana Sala2nd Clinic of Surgery, Mureș County Emergency Clinical Hospital, 540136 Targu Mures, Romania.
Ioan JungDepartment of Pathology, George Emil Palade University of Medicine, Pharmacy, Science and Technology, 540139 Targu Mures, Romania.
Tivadar Bara2nd Clinic of Surgery, Mureș County Emergency Clinical Hospital, 540136 Targu Mures, Romania.
Radu Mircea Neagoe2nd Clinic of Surgery, Mureș County Emergency Clinical Hospital, 540136 Targu Mures, Romania.
Zsolt Zoltán FülöpSzegedi Tudományegyetem, Szent-Györgyi Albert Klinikai Központ, Sebészeti Klinika, 6725 Szeged, Hungary.ORCID 0000-0002-0854-5617
Simona GurzuDepartment of Pathology, George Emil Palade University of Medicine, Pharmacy, Science and Technology, 540139 Targu Mures, Romania.ORCID 0000-0003-3968-5118

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human epidermal growth factor receptor 2 (HER2) dysregulation contributes to tumorigenesis in gastric and gastroesophageal junction adenocarcinomas (GC/GEJ). HER2 overexpression has been associated in multiple cohorts with aggressive behavior and poor outcomes. While HER2 amplification has long guided therapy in HER2-positive disease, antibody-drug conjugates (ADCs) have shifted attention toward the HER2-low category, typically defined as immunohistochemistry (IHC) 1+ or IHC 2+ with negative in situ hybridization (ISH). This narrative review integrates evidence from the peer-reviewed literature, current testing recommendations, and registered clinical trials. It clarifies practical issues in HER2-low assessment and maps the evolving therapeutic landscape of HER2-targeted ADCs including rational combination strategies that may extend benefit beyond conventionally HER2-positive tumors. A cross-tumor perspective contrasts GC/GEJ testing and biology with the breast cancer paradigm and summarizes the importance of HER2-low expression in non-gastric malignancies. Finally, we discuss the therapeutic strategies in HER2-low GC/GEJ and highlight key safety and monitoring considerations for HER2-directed ADCs.

Indexed as

AdenocarcinomaErb-b2 Receptor Tyrosine KinasesEsophageal NeoplasmsEsophagogastric JunctionStomach NeoplasmsHumansImmunoconjugatesTrastuzumabERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesImmunoconjugatesTrastuzumabantibody–drug conjugatedisitamab vedotingastric cancergastroesophageal junction adenocarcinomaHER2-lowtrastuzumab deruxtecan

Identifiers

PMID42278208
PMCPMC13256649

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.