Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA, 52242, USA,
Mol Diagn Ther. 2014 Apr;18(2):137-51. doi: 10.1007/s40291-013-0070-3.
The primary gynecologic cancers include cancers of the endometrium, ovary, and cervix. Worldwide, cervical cancer is the most common gynecologic cancer, whereas endometrial cancer is the most common in the US. Ovarian cancer is the fifth most deadly cancer in women, with 5-year survival rates for advanced disease at only 27 %. As such, there is an urgent need for reliable screening tools and novel targeted therapeutic regimens for these malignancies. The epidermal growth factor receptor (EGFR)/human EGFR (HER) family of receptors has been associated with the development and progression of many solid tumors. Despite clear roles for these receptors in other cancers, the expression of HER family members in gynecologic cancers and their relationship with disease stage, grade, and response to treatment remain controversial. In this review, we describe the existing evidence for the use of HER family members as diagnostic and prognostic indicators as well as their potential as therapeutic targets in gynecologic cancers.
原发性妇科癌症包括子宫内膜癌、卵巢癌和宫颈癌。在全球范围内,宫颈癌是最常见的妇科癌症,而子宫内膜癌是美国最常见的妇科癌症。卵巢癌是女性第五大最致命的癌症,晚期疾病的 5 年生存率仅为 27%。因此,迫切需要可靠的筛查工具和新的针对这些恶性肿瘤的靶向治疗方案。表皮生长因子受体 (EGFR)/人表皮生长因子受体 (HER) 受体家族与许多实体肿瘤的发生和发展有关。尽管这些受体在其他癌症中具有明确的作用,但 HER 家族成员在妇科癌症中的表达及其与疾病分期、分级和治疗反应的关系仍存在争议。在这篇综述中,我们描述了将 HER 家族成员用作诊断和预后指标的现有证据,以及它们作为妇科癌症治疗靶点的潜力。