New Insights into HER2-Mutated Non-Small Cell Lung Cancer in Brazil
Oct 8, 2025
Lung cancer's genetic complexities take center stage, particularly with the HER2 mutation that presents unique treatment challenges. Researchers from Northeastern Brazil unveil crucial insights into this rare mutation in non-small cell lung cancer. They highlight significant diversity in mutation types and the frequent co-occurrence with aggressive mutations like TP53. The discussion emphasizes the gap in access to targeted therapies and the urgent need for genomic equity in underserved regions. Their findings advocate for comprehensive genomic testing to improve diagnostics and treatment outcomes.
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insights INSIGHT
HER2 Mutations Are A Distinct NSCLC Subgroup
HER2 mutations occur in about 2–4% of NSCLC and pose unique diagnostic and treatment challenges.
Research from high-income countries may not reflect genetic diversity in other regions, limiting care equity.
question_answer ANECDOTE
Brazilian Study Of 13 HER2 Cases
Researchers in northeastern Brazil analyzed 13 HER2-mutated NSCLC cases using clinical, pathological, and genomic data.
They found common exon 20 insertions and rarer mutations like V842I and Q709L, showing high genetic diversity.
insights INSIGHT
Co-Mutations And Low TMB Affect Treatment
More than half the patients had co-mutations, especially TP53, linked to aggressive behavior and resistance.
Most tumors showed low tumor mutation burden, indicating likely limited benefit from immunotherapy.
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Lung cancer remains one of the leading causes of cancer-related deaths worldwide. Although precision medicine has improved outcomes for many patients, certain rare genetic mutations are still poorly understood, particularly in regions with limited access to genomic testing. Such mutations involve the HER2 gene, better known for its role in breast cancer but also implicated in a small subset of lung cancers.
HER2 mutations are found in approximately 2–4% of non-small cell lung cancer (NSCLC) cases and create unique challenges. These tumors can vary significantly in how they appear under a microscope and in how they respond to treatment. Adding to the complexity, most diagnostic and treatment guidelines are based on research from high-income countries, which may not reflect the genetic diversity seen in other parts of the world.
To help close this knowledge gap, researchers in Northeastern Brazil conducted one of the first detailed investigations into HER2-mutated NSCLC in Latin America. Their study, recently published in Volume 16 of Oncotarget, reveals a complex and often overlooked form of the disease, highlighting the need for broader access to targeted therapies in underserved populations.
Full blog - https://www.oncotarget.org/2025/10/08/new-insights-into-her2-mutated-non-small-cell-lung-cancer-in-brazil/
Paper DOI - https://doi.org/10.18632/oncotarget.28737
Correspondence to - Fabio Tavora - stellacpak@outlook.com
Abstract video - https://www.youtube.com/watch?v=hr5R9iDBFFI
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Keywords - cancer, HER2 mutation, NSCLC, lung cancer, targeted therapy, genomic profiling
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