Improving outcomes for Trastuzumab-resistant HER2+ breast cancer using combination treatment with anti-CD47 mAb

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Abstract/Contents

Abstract
Trastuzumab is a targeted anti-cancer monoclonal antibody that binds the HER2 molecule on HER2-overexpressing breast cancers. Trastuzumab is effective in a neoadjuvant setting when combined with chemotherapy for HER2+ breast cancers that are caught and treated early. However, the majority of patients with advanced HER2+ disease display Trastuzumab resistance: nearly 70% do not respond to initial treatment, and the remaining 30% initially respond yet acquire resistance within one year of treatment. Can anything be done to help patients who develop Trastuzumab resistance? Our lab has previously shown that blockade of CD47, an innate immune checkpoint molecule that cancer cells use to evade programmed cell removal works well in combination with targeted anti-cancer monoclonal antibodies via an Fc-receptor-mediated phagocytosis mechanism. I hypothesize that Trastuzumab may still achieve clinical efficacy in Trastuzumab-resistant HER2+ cancers when used in combination with monoclonal antibodies against CD47.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2019; ©2019
Publication date 2019; 2019
Issuance monographic
Language English

Creators/Contributors

Author Upton, Rosalynd Denise
Degree supervisor Weissman, Irving L
Thesis advisor Weissman, Irving L
Thesis advisor Attardi, Laura
Thesis advisor Pegram, Mark
Thesis advisor Shizuru, Judith Anne
Degree committee member Attardi, Laura
Degree committee member Pegram, Mark
Degree committee member Shizuru, Judith Anne
Associated with Stanford University, Cancer Biology Program.

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Rosalynd D. Upton.
Note Submitted to the Cancer Biology Program.
Thesis Thesis Ph.D. Stanford University 2019.
Location electronic resource

Access conditions

Copyright
© 2019 by Rosalynd Denise Upton

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