Today I am going to embark on a new series of posts where I create for you brief, journalistic style breakdowns of high impact scientific publications. I am calling this series "Research News" (if anyone would like to create me a unique thumbnail for this series, please reach out to me on the steemSTEM [Discord](https://discord.gg/mKSKQ7T), and I can describe to you what I envision) <center>![](https://steemitimages.com/DQmckhKFpJqargda9BV69h6u8e9nM4erqpvV55F7oVcGt5H/image.png)</center> A consortium of researchers from prestigious institutions such as [Memorial Sloan Kettering Cancer Center](https://www.mskcc.org/) (in New York City), and the [Dana-Farmer Cancer Institute](http://www.dana-farber.org/) (in Boston MA) have just [published a work in Nature](https://www.nature.com/articles/nature25475). Where they discuss the use of a SUMMET (a clinical trial composed of patients with a wide variety of histories and mutations) on some commonly identified mutations in two kinases (HER2 and HER3) which are found in a variety of cancer types. > [Kinases](https://en.wikipedia.org/wiki/Kinase) are enzymes which have a specialized function in our cells. They attach [phosphate](https://en.wikipedia.org/wiki/Phosphate) molecules to various amino acids on other proteins. This is done for a variety of reasons including: activating (speeding up), deactivating (slowing down), and complex assembly (allowing several proteins to come together and make a larger protein machine). Thus the function of kinases are essential to the fine tuned, and interwoven web of enzyme activities that keep our cells running smoothly. If kinases go haywire, so do our cells, resulting in one of the many ways that we can develop [cancer](https://en.wikipedia.org/wiki/Cancer). To date, little is known what the consequences of many of these identified mutations in the HER kinases are (and as a result, little is known about how to effectively treat them), some are thought to activate these enzymes (speeding them up) however most have not been characterized. What is known however, is that the mutations promote the development of cancer. <div class=pull-left>https://steemitimages.com/DQmaCVAexNP1PSmnmf7nJAf362FKxqKbkrkp5q7Qv1pWXim/220px-Neratinib_skeletal.svg.png <center> Neratinib </center> </div> To tackle the generation of a broad swath of information regarding the viability of targeting the various mutant forms of the HER kinases, researchers embarked on a clinical trial where a large group of patients were treated with a drug that stops the functioning of these enzymes, called [neratinib](https://en.wikipedia.org/wiki/Neratinib). It was noted which tumors responded positively or negatively to the treatment, and samples from those patients tumors were collected allowing for sequencing of each of the genomes. The information gained will allow for better understanding of the precise role that the mutated forms of these kinases play in the development of the patients cancers. It also furthers our ability to perform modern 'Precision Medicine' where knowing the effect of a treatment down to the genetic level can enable doctors to pick and choose which drug should be used to combat which cancer causing mutation a future patient has. What this means is that the information contained in this study can be used to enable personalized therapies for each cancer sufferer possessing a HER mutation. It also illustrates the growing importance of geno-typing each patients cancer, and the power of modern DNA sequencing technologies. The authors were able to extract information on 31 unique HER2 mutations and 11 unique HER3 mutations. These enzyme alterations were found in 21 different varieties of cancer including breast, lung and colon. Through their studies their observation of activity of the HER inhibitor (neratinib) down to the genomic level in a variety of the cancer types which was promising, though the authors reported that the response rates were still lower then currently approved therapies. Still, the information presented in this study is of high impact as it suggests that targeting these mutations specifically could be effective especially in combination with other chemotherapy techniques. It also opens the door to the study of combination therapies where neratinib is used at the same time as another HER kinase inhibiting compound to determine whether more potent anti-cancer effects are observed on the various mutations identified as positive hits here. Furthermore, the authors identified functional information on a variety of mutations to the HER kinases which were previously not understood. They found that many mutations which responded well to the treatment (they were using an inhibitor here, so mutants that were responders were those where the enzyme was sped up). This is important information as knowing what changes to enzyme activity result from which mutations will ALSO lead to much more effective treatments in the future as well. The biology of cancer is exceedingly complex, information like that contained in this study is extremely important to help in the process of assembling a clearer picture of how our cells go awry. There is no easy answer for how best to treat cancer, however through intensive study and genotyping we are beginning to see the puzzle pieces slowly come together. # Sources ## Text Sources https://www.nature.com/articles/nature25475 ## Image Sources [Thumbnail Image, The Extracellular Domain of HER2](https://en.wikipedia.org/wiki/HER2/neu#/media/File:Trastuzumab_Fab-HER2_complex_1N8Z.png) [neratinib structure](https://en.wikipedia.org/wiki/Neratinib#/media/File:Neratinib_skeletal.svg) # SteemSTEM https://steemitimages.com/0x0/https://steemitimages.com/DQmeqXkd5iiKxkeTXDhAX3MW7V8bL59TF28pTtf57toNvDz/gear.gif If you haven't heard about the SteemSTEM project yet and are reading this post then I highly recommend you take a look into it! The SteemSTEM team has been working for over one year now to promote promote well written/informative Science Technology Engineering and Mathematics postings on Steemit. The project (@steemstem) seeks to build a community of science and technology lovers on steemit and ade in nurturing the growth of blogs that will make steemit a go-to source for science/tech information, news, and just generally fascinating content. To learn more about the project please join us on [discord](https://discord.gg/mKSKQ7T), we are always looking for people who want to help in our quest to increase the quality of STEM (and health) posts on our rapidly growing platform!
post_id | 30,158,590 |
---|---|
author | justtryme90 |
permlink | research-news-potential-cancer-treatments-through-inhibiting-her-kinase |
category | steemstem |
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great post sir.
post_id | 30,159,101 |
---|---|
author | tonnykhan |
permlink | re-justtryme90-research-news-potential-cancer-treatments-through-inhibiting-her-kinase-20180203t161907270z |
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Thank you
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that's great to share ....Research News: Potential Cancer Treatments Through Inhibiting HER Kinase upvoted
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Thanks
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one of my friend is suffering from cancer first stage , she is really worried
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Sorry to hear, hopefully she responds well to treatment/surgery and makes a full recovery.
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she is taking heavy doses, she was very afraid , we all colleague comfort her
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Interesting post.
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Thank you
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nice post friends. carry on your activity.
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Thanks!
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owo, a very nice post friends i always visit your site and wait for your upcoming post. @Resteem and follow has been done.
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Very kind of you, thank you
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welcome my post
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Well written and informative article!
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Thank you
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We will take anything that helps target specific mutations in many types of cancer, particularly breast cancer. Trials at the molecular level that go beyond preclinical predictions are the holy grail. Gotta read the study in the night although is a shame the response of Neratinib is not superior to current therapies.
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They go into a lot of detail in the study about responses for specific cancer types and also relative to mutations. The age of big data has its draw backs... one of which is paring that information down into something digestible for a general audience!
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Yeah, scientific communication is tough, specially for recent breakthroughs. It will only get tougher as we get buried in data.
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Treatments may include surgery, chemo and radio therapy as well. Treatments depend on stages of cancer. Complete removal of the cancer without damage to the rest of the body (that is, achieving cure with near-zero adverse effects) is the ideal goal of treatment and is often the goal in practice. Sometimes this can be accomplished by surgery, but the propensity of cancers to invade adjacent tissue or to spread to distant sites by microscopic metastasis often limits its effectiveness; and chemotherapy and radiotherapy can have a negative effect on normal cells.[2] Therefore, cure with nonnegligible adverse effects may be accepted as a practical goal in some cases; and besides curative intent, practical goals of therapy can also include (1) suppressing the cancer to a subclinical state and maintaining that state for years of good quality of life (that is, treating the cancer as a chronic disease), and (2) palliative care without curative intent (for advanced-stage metastatic cancers).
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Enlightened information about this kinases as a cell in human body which it going haywire will cause cancer. And true the only way to eradicate cancer that affects some organs is cutting off but i suppose the type of cancer that may be damaging which i know is prostrate cancer and men face this at late age of their life even when they are still fertile and some doctors to asked for sperm preservation for those group of men because they wont be able to ejaculate. Thanks for this information about cells in human body that might spring up cancer. Good research digging out and am very sure much would be appreciative of this info...👌👌
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Well there are many cancers where surgery is not even an option! It is for these cases that research into ways to eradicate the issue from the molecular level are important. If we can eventually fix the reasons that the cancers arise, then we could really extend the life expectancy of those suffering with the diseases.
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Nice post man @justtryme90 Good luck for your steam 😉 I am waiting for your support. For me last post 😊 Thank you so much. Good evening 😊
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It's always pleasant to read about this type of researchers, because it speaks of a favorable future. We are still in "diapers" when it comes about genes, enzymes and other molecular structures, there are still so many of them to discover and some others that we need to actually understand what they do. But the possiblity of having medicaments personalized even for each genetic sequence will change the life of tons of patients. This could take years and years, maybe we won't be able to see the results of these discoveries by ourselves, but the generations to come will have unique opportunities to them. Especially with cancer, as you put it here, but also with a lot of incurable diseases nowdays. I'm glad to have found this article, it was nicely formated and very useful.
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> We are still in "diapers" when it comes about genes, enzymes and other molecular structures, there are still so many of them to discover and some others that we need to actually understand what they do. Well said
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It's really good information. If Neratinib effects HER2 and HER3, it means doctors can use it for breast cancer, right? So what are the advantages of Neratinib if we compare with other therapies such as Trastuzumab and what are the side effects of it? Doctors mostly scared of heart effects of this kind of therapies. I hope science world can find a solution for it.
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Trastuzumab, is a monoclonal antibody which targets HER2 specifically (its actually the blue portion of the structure in my thumbnail image). Neratinib is an active site binding small molecule, which inhibits the phosphorylation activity of the HER kinases, IE its a pan inhibitor, it can hit more than just HER2 while Trastuzumab is specific for just the one enzyme. I do not know about its side effects, this article was more focusing on the use of the inhibitor to generate information about the various mutant forms of the enzymes, and where the inhibitor was able to generate a positive effect. It wasn't a deep dive into the pharmacokinetics and off target activities of neratinib.
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Thank you for information.
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This is like a phiseotrapic mathod but the treatment of the cancer is successful through kemothrapi
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If only the cure could be found I'd still have my awesome uncle who didn't survive chronic myeloid leukemia. Always happy to hear a breakthrough in this fight against cancer as I'm sure many have been victims.
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There are many cures for Cancer but the cures are being SUPPRESSED! I recommend that you do a research on "The Truth About Cancer" by Ty Bollinger
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Ok.
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Research never end in combating cancer.Am glad that group of erudite scholars are not resting on their oas.Its the over expression of these kinase that are most time responsible for the development of cancers.They are primers for the starting up of DNA replication but things may turn really bad and so good cells turn to bad cells.Discovery of the inhibitor of these kinase should not stop.
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Targeting kinases is a big part of cancer research.
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The fight against cancer has been age-long, but I believe strongly that this battle is about to be won finally. As much as biology is trying; technology on the other other is complimenting the efforts. And among other things, I have my eyes on nanobots; and I believe that one day, it could provide a knockout blow to cancer. I have hope in the future. Nice piece sir
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Thanks @samminator
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You are very good leader continues. vote for me, I am new. follow me @saizor
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Excellent information, As a doctor The biology of cancer as you mentioned is a subject that is always in constant improvement, I had the joy of reading and about this progress. And I thank you as a reader for the way you write the topic and explain it. It is not easy to make this type of post and I think it is a good idea to do this series. You have my support
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Thank you Juan!
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Thanks for sharing this interesting research news..just read the full paper. I found that the efficacy of neratinib is not that great in comparison to other approved therapies (targeting oncogenic alterations in EGFR, ALK, ROS1 and BRAF ) and may not work as a good monotherapy to treat wide variety of HER2- and HER3-mutant cancers. The well-know problem with neratinib is it induces serious diarrhea in patients. Thats why they are required to give mandatory anti-diarrhoeal prophylaxis with neratinib. But hey every drugs have their good and bad sides in terms of side effects and efficacy. Neratinib was recently approved by FDA to prevent recurrence of early-stage HER2-positive breast cancer. Neratinib HER Mutation Basket Study (SUMMIT) looks like a very promising phase II clinical trial to watch closely for and its future strategy to go into Phase III trial. There is certainly a promise for this work to move forward if novel combination of neratinib with other less toxic anti-cancer drug is used. Using neratinib as a monotherapy would be a hard sell. Just my opinion after looking at the data and following the discussion of authors. Cheers to science!
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> I found that the efficacy of neratinib is not that great in comparison to other approved therapies (targeting oncogenic alterations in EGFR, ALK, ROS1 and BRAF ) and may not work as a good monotherapy to treat wide variety of HER2- and HER3-mutant cancers. Yep, I made a point to mention that they stated this, but they also mentioned its potential in use in combination therapy with other HER inhibitors. So it could still find a way to prove more useful then traditional therapies yet, onward for more research. For clarity I mentioned this in the following paragraph: >Still, the information presented in this study is of high impact as it suggests that targeting these mutations specifically could be effective especially in combination with other chemotherapy techniques. It also opens the door to the study of combination therapies where neratinib is used at the same time as another HER kinase inhibiting compound to determine whether more potent anti-cancer effects are observed on the various mutations identified as positive hits here. > Using neratinib as a monotherapy would be a hard sell Indeed, its just not efficacious enough. However, I think the more important information here came from the identification of a whole host of new information on which HER mutations are gain of function. This will allow for a better, more targeted application of inhibitors to those people with cancers having these gain of function mutations.
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Thanks for clarifying. I was skimming through. I forwarded this nature paper to my PhD friend who works on protein engineering to enhance the efficacy of HER-targeted therapeutics. I will point this post to him. Looking forward for your research news series.
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Great post. Perhaps derivatives of neratinib will end up being effective treatments for this specific type of cancer.
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They weren't screening specific types of cancers. HER mutations (there are a variety of different ones) are found in a wide swath of different cancers (breast, lung, colon were explicitly found and mentioned in this article, but there are also others). Alterations in phosphorylation pathways are one of the major drivers in development of cancer.
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I previously worked with erlotinib, a chemotherapeutic EGFR (HER1) inhibitor. Of course genetic variance in tumors is very important for the response to a drug - that's why this work is exceptional. But from what I understood, a main problem of RTK inhibitors is the quite fast development of tumor resistance. Too-lazy-to-use-pubmed-question: Do you have any idea if the aquiration of resistance was yet connected to certain genes or mutations?
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justtryme90 | 0 | 28,351,463,423 | 1% |
The development of resistances is definitely due to mutations ( that's how the process works, as I'm sure you are aware). Unfortunately I am not knowledgeable on the specifics of mutational prevalence of the resistant variants.
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---|---|
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permlink | re-sco-re-justtryme90-research-news-potential-cancer-treatments-through-inhibiting-her-kinase-20180204t050758392z |
category | steemstem |
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I think DNA methylation (or loss of methylation), especially in promoter regions of ABC transporters, also plays a role. However, it would be nice to find genetic prevalence not only for response, but also for resistance! Ty for your answer.
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permlink | re-justtryme90-re-sco-re-justtryme90-research-news-potential-cancer-treatments-through-inhibiting-her-kinase-20180204t093908636z |
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I bet you're really good at writing full length reports.
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What's wrong with the length of this post?
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Nothing i say this as i try to finish a report for university wishing i was as good as you.
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Great to see here @justtryme90 Thanks for sharing this research news. This is my post about water https://steemit.com/water/@studentoftheyear/water-no-one-can-live-without-it
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excellente
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Thank you
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such a great work thats how we should do, im glad for you having thoese upvotes , my best one 0.4 maybe lol the begainnig on steemit is a bit hard , we need some encouragement from you mates I belive in relation with this beautiful commuity, waiting to see your next professional work
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Very kind of you to say :) The beginning is indeed hard!
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one of best feelings when u get the gift for ur hard work
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Exelente post, saludos.
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Thanks
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author | justtryme90 |
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Engaging post, am gonna learn from this.
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author | salihuhassan |
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category | steemstem |
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Thanks
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author | justtryme90 |
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Every so often someone knowledgeable comes along and says that a cancer cure is on the horizon, like within 10 years or whatever. And their reasonings seem plausible. Do you have any estimate/opinion for when we'll finally beat this thing, as opposed to treatment that doesn't always work?
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ludmila.kyriakou | 0 | 1,740,847,099 | 100% |
Never
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:P
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category | steemstem |
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I hope and pray that we will one day defeat this disease, as it has claimed the lives of people from all over the world
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justtryme90 | 0 | 28,370,647,202 | 1% |
Glad you went for **Research News**, since I am doing the **Scientific News** series. - LoL
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mountain.phil28 | 0 | 9,017,406,921 | 100% |
teach me how to play steemit is good and true so that many who upvote my post, I do not know should be the same who I am because there is no friend who can I share, your help is very help me. thank By @martunisteem
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author | martunisteem | ||||||
permlink | re-justtryme90-2018211t7135734z | ||||||
category | steemstem | ||||||
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Great boss
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author | steem.ali |
permlink | re-justtryme90-research-news-potential-cancer-treatments-through-inhibiting-her-kinase-20180211t072458789z |
category | steemstem |
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root_title | "Research News: Potential Cancer Treatments Through Inhibiting HER Kinase" |
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I hope this works out as planned. Cancer has taken too many lives already. With over 9 million deaths each year, meaning for every hour that passes by with no success at finding a cure more one thousand persons die. Making cancer the 2nd leading cause of death globally.
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permlink | re-justtryme90-research-news-potential-cancer-treatments-through-inhibiting-her-kinase-20180211t223356245z |
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root_title | "Research News: Potential Cancer Treatments Through Inhibiting HER Kinase" |
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Cancer is a very dangerous disease, Awearness should be spreaded about cancer to the people.
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great info u have here, you've heard about this news, it's probably the biggest breakthrough in cancer treatment http://med.stanford.edu/news/all-news/2018/01/cancer-vaccine-eliminates-tumors-in-mice.html
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justtryme90 | 0 | 28,437,409,993 | 1% |
We will see
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Thanks for your information. And thanks to for visit my account.
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