RT Journal Article T1 Deciphering HER2 Breast Cancer Disease: Biological and Clinical Implications. A1 Godoy-Ortiz, Ana A1 Sánchez-Muñoz, Alfonso A1 Chica Parrado, María del Rosario A1 Álvarez-Pérez, Martína A1 Ribelles, Nuria A1 Rueda-Domínguez, Antonio A1 Alba-Conejo, Emilio K1 Mamas - Cáncer K1 Cáncer - Aspectos genéticos AB The main obstacle for designing effective treatment approaches in breast cancer is the extensive and the characteristic heterogeneity of this tumor. The vast majority of critical genomic changes occurs during breast cancer progression, creating a significant variability within primary tumors as well as between the primary breast cancer and their metastases, a hypothesis have already demonstrated in retrospective studies (1). A clear example of this is the HER2-positive breast cancer. In these tumors, we can find all of the transcriptional subtypes of breast cancer, even the basal like or luminal A subtypes. Although the HER2-enriched is the most representative transcriptional subtype in the HER2-positive breast cancer, we can find it too in breast cancers with HER2-negative status. This intrinsic subtype shows a high expression of the HER2 and is associated with proliferation-related genes clusters, among other features. Therefore, two hypotheses can be suggested. First, the HER2 amplification can be a well-defined driver event present in all of the intrinsic subtypes, and not a subtype marker isolated. Secondly, HER2-enriched subtype can have a distinctive transcriptional landscape independent of HER2 amplification. In this review, we present an extensive revision about the last highlights and advances in clinical and genomic settings of the HER2-positive breast cancer and the HER2-enriched subtype, in an attempt to improving the knowledge of the underlying biology of both entities and to explaining the intrinsic heterogeneity of HER2-positive breast cancers. PB Frontiers Media YR 2019 FD 2019 LK https://hdl.handle.net/10630/31230 UL https://hdl.handle.net/10630/31230 LA eng NO Godoy-Ortiz A, Sanchez-Muñoz A, Chica Parrado MR, Álvarez M, Ribelles N, Rueda Dominguez A, Alba E. Deciphering HER2 Breast Cancer Disease: Biological and Clinical Implications. Front Oncol. 2019 Oct 29;9:1124. doi: 10.3389/fonc.2019.01124. PMID: 31737566; PMCID: PMC6828840. NO Este articulo ha sido publicado en la revista Frontiers in Oncology. Esta versión tiene Licencia Creative Commons CC-BY DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 3 mar 2026