HER2 exon 20 insertion
HER2 exon 20 insertion refers to an activating alteration in the Human epidermal growth factor receptor 2 (HER2) gene, which encodes human epidermal growth factor receptor 2 (HER2), a receptor tyrosine kinase involved in cell growth and signaling.
HER2 exon 20 insertion refers to an activating alteration in the Human epidermal growth factor receptor 2 (HER2) gene, which encodes human epidermal growth factor receptor 2 (HER2), a receptor tyrosine kinase involved in cell growth and signaling. Exon 20 insertions are a class of in-frame insertion mutations that can alter receptor conformation and promote oncogenic signaling. In clinical oncology, HER2 exon 20 insertion is most prominently discussed in non-small cell lung carcinoma (NSCLC), where it is recognized as a therapeutically relevant molecular subtype and a target for HER2-directed treatment strategies.
Biologically, HER2 is a major therapeutic target in cancer because it can drive downstream signaling pathways such as ERK-mediated proliferation and survival. Although HER2 exon 20 insertion is distinct from HER2 amplification or overexpression, it is still clinically important because it can confer sensitivity to selected HER2-targeted agents, including antibody-drug conjugates. At the same time, HER2-directed therapy can be associated with toxicity, and the mutation has been studied in the context of treatment response and adverse events.
Where the papers sit
11 papers from the last 6 months study HER2 exon 20 insertion directly · updated from PubMed 3 Oct 2026
Study type 1 clinical trial · 2 observational · 3 human data · 5 preclinical
Themes 3 themes
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Breast Cancer Monitoring
Circulating tumor cells and extracellular vesicles are being explored to track TROP2- and HER2-directed treatment in breast cancer. Fluorescence-guided delineation of minimal residual disease adds a route toward more precise detection after therapy. The recurring focus is translational measurement of tumor burden, treatment response, and residual disease rather than a single therapeutic mechanism. Evidence remains exploratory, with no clear consensus on the best monitoring platform.
4 papers · 36.4%
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Anti-HER2 Antibody Therapeutics
Trastuzumab-based therapy is being extended through pertuzumab pairing, immune checkpoint blockade, and enzymatic remodeling of tumor-cell surfaces. Engineered bispecific and single-domain binders point toward more adaptable antibody formats with improved target engagement. Evidence spans gastroesophageal adenocarcinoma treatment, pancreatic-cell activity, and protein-design studies, making efficacy context-dependent. The shared aim is to strengthen antibody binding or antitumor activity rather than define exon 20-specific biology.
3 papers · 27.3%
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Others — HER2 Translational Research
HER2-related work here has no single clinical trajectory. The topics range from zongertinib pharmacokinetics and resource use in HER2-negative gastroesophageal cancer to optogenetic antigen recognition and HER2-deficiency developmental phenotypes. These studies address drug exposure, treatment utilization, receptor control, and developmental biology rather than one shared question. No recurring therapeutic strategy or endpoint unifies the cluster.
4 papers · 36.4%
Papers
The 11 papers from the last 6 months that study HER2 exon 20 insertion directly, newest first, by theme and by study type. Study types come from PubMed publication types and MeSH headings.
By theme
Breast Cancer Monitoring (4)
- Dynamic monitoring of antibody drug conjugates targeting TROP2 or HER2 in breast cancer using circulating tumor cells. Proceedings of the National Academy of Sciences of the United States of America · 17 Jun 2026 PMID 42308036
- An Aptamer-Engineered Phenotyping System for Extracellular Vesicles Based on Honeycomb-like Melamine-Formaldehyde Microspheres and Carbon Dot Nanozymes. Analytical chemistry · 15 Jun 2026 PMID 42296185
- A novel algae oil-based emulsion enhances chemotherapy outcome in human cancer models. Prostaglandins, leukotrienes, and essential fatty acids · 3 Jun 2026 PMID 42235481
- Proximity-Catalyzed In Situ Anchoring Strategy for Fluorescence-Guided Precise Delineation of Minimal Residual Disease in Breast Cancer Surgery. Analytical chemistry · 1 Jun 2026 PMID 42224475
Anti-HER2 Antibody Therapeutics (3)
- Engineering a β-Sheet Enables Bispecific Binding in Single VHH Domains. ACS synthetic biology · 19 May 2026 PMID 42152502
- Trastuzumab in Addition to Chemotherapy in Patients With Metastatic Human Epidermal Growth Factor Receptor 2-Positive Gastroesophageal Cancer-A Real-World Experience. Clinical oncology (Royal College of Radiologists (Great Britain)) · 13 May 2026 PMID 42127826
- Chondroitinase ABC enhances trastuzumab activity via cell-surface chondroitin sulfate cleavage in pancreatic cancer cells. Biochemical and biophysical research communications · 19 Apr 2026 PMID 42001719
Others — HER2 Translational Research (4)
- Real-world treatment patterns, resource use, and costs in human epidermal growth factor receptor 2-negative advanced gastric/gastroesophageal junction cancer in the United States in the immune checkpoint inhibitor era. Journal of managed care & specialty pharmacy · 24 Jun 2026 PMID 42341069
- The Effect of Multiple Doses of Itraconazole on the Pharmacokinetics of a Single Oral Dose of Zongertinib in Healthy Male Volunteers. Pharmacotherapy · 21 Jun 2026 PMID 42324472
- An extracellular, optogenetic antibody platform for stimulus-gated antigen recognition and modulation of cell behavior. Cell chemical biology · 8 May 2026 PMID 42102802
- HER2 deficiency causes a developmental disorder with growth retardation and craniofacial malformations. The Journal of clinical investigation · 30 Apr 2026 PMID 42060361
By study type
Clinical trials (1)
- The Effect of Multiple Doses of Itraconazole on the Pharmacokinetics of a Single Oral Dose of Zongertinib in Healthy Male Volunteers. Pharmacotherapy · 21 Jun 2026 PMID 42324472
Observational studies and case reports (2)
- Real-world treatment patterns, resource use, and costs in human epidermal growth factor receptor 2-negative advanced gastric/gastroesophageal junction cancer in the United States in the immune checkpoint inhibitor era. Journal of managed care & specialty pharmacy · 24 Jun 2026 PMID 42341069
- Dynamic monitoring of antibody drug conjugates targeting TROP2 or HER2 in breast cancer using circulating tumor cells. Proceedings of the National Academy of Sciences of the United States of America · 17 Jun 2026 PMID 42308036
Human data, design not indexed (3)
- An Aptamer-Engineered Phenotyping System for Extracellular Vesicles Based on Honeycomb-like Melamine-Formaldehyde Microspheres and Carbon Dot Nanozymes. Analytical chemistry · 15 Jun 2026 PMID 42296185
- Engineering a β-Sheet Enables Bispecific Binding in Single VHH Domains. ACS synthetic biology · 19 May 2026 PMID 42152502
- Trastuzumab in Addition to Chemotherapy in Patients With Metastatic Human Epidermal Growth Factor Receptor 2-Positive Gastroesophageal Cancer-A Real-World Experience. Clinical oncology (Royal College of Radiologists (Great Britain)) · 13 May 2026 PMID 42127826
Preclinical: animal, cell and lab studies (5)
- A novel algae oil-based emulsion enhances chemotherapy outcome in human cancer models. Prostaglandins, leukotrienes, and essential fatty acids · 3 Jun 2026 PMID 42235481
- Proximity-Catalyzed In Situ Anchoring Strategy for Fluorescence-Guided Precise Delineation of Minimal Residual Disease in Breast Cancer Surgery. Analytical chemistry · 1 Jun 2026 PMID 42224475
- An extracellular, optogenetic antibody platform for stimulus-gated antigen recognition and modulation of cell behavior. Cell chemical biology · 8 May 2026 PMID 42102802
- HER2 deficiency causes a developmental disorder with growth retardation and craniofacial malformations. The Journal of clinical investigation · 30 Apr 2026 PMID 42060361
- Chondroitinase ABC enhances trastuzumab activity via cell-surface chondroitin sulfate cleavage in pancreatic cancer cells. Biochemical and biophysical research communications · 19 Apr 2026 PMID 42001719
Written from 11 PubMed abstracts, each one listed by PMID above. Published: 2026-06-19. Last written: 2026-08-26 by GPT. Drafted by language models from published abstracts; not medical advice.