HER2 Inhibitor Resistance Markers

HER2 Inhibitor Resistance Markers
Marker Name Biological Role Evidence References
PTEN Phosphatase and tensin homolog deleted on chromosome 10 PIP3 phosphatase that is a tumor suppressor that reverses the action of PI3 kinase, thereby reducing the activation of AKT and downstream signaling Loss of expression is correlated with resistance to trastuzumab in HER2+ breast cancer patients HER2 inhibitor resistance: PTEN references
PIK3CA Phosphatidyl-inositol triphosphate kinase catalytic domain, alpha subunit Phosphorylates the lipid phosphate PIP2 to form PIP3 which attracts signaling proteins to the membrane, where they are able to activate other downstream effectors, e.g., PDK and AKT Activating mutations are associated with resistance to trastuzumab and lapatinib in HER2+ breast cancer patients HER2 inhibitor resistance: PIK3CA references