Dear Chrisy,
I'm not a Duke University medical researcher or professor. Nor am I a Glasco-Smith-Kline researcher, who was the lead investigativor of Lapatinib research and her2 pathways. However, Dr. Neil Spector is/was both and I have spoken to him about the her2 pathways and dimerazation of the ECD. I contacted him in 2005 after I listened to him lecture on the SABC website about her2 pathways and I asked him about the efficacy of late Herceptin verses Laptinib and he kindly gave his opinion and rationale for late Herceptin. While we spoke,he said that I had a better knowledge base than most oncologists that he had spoken to concerning the her2 pathway. If that is true, maybe my opinion has value. Again, I tend think that the ECD would be decreased by olive oil and would compete with the toxic Herceptin agent(DM1), making the toxic Herceptin agent less effective if THERE ARE OPTIMAL QUANTITIES OF DMI AVAILABLE. IF THERE ARE OPTIMAL QUANTITIES OF THE TOXIC MONOCLONAL ANTIBODY, DMI, THEN THERE WOULD BE ENOUGH ANTIBODIES TO BIND AND HETERODIMERIZE WITH ALL OF THE AVAILABLE HER2 RECEPTORS, THEORECTICALLY MAKING DM1 TOTALLY EFFECTIVE IN OF AND OF ITSELF. IF YOU ARE NOT GETTING ENOUGH DMI,THEN IT APPEARS THAT OLIVE OIL CAN ASSIST WITH THE LACK OF DMI AND THUS BIND WITH THE REMAINING HER2 SITES, BUT IT WOULD NOT KILL OR BE CYTOXIC AT THESE SITES LIKE DMI, CYTOXIC HERCEPTIN. IN THE CASE WHERE THERE ARE SUBOPTIMAL QUANTITIES OF HERCEPTIN-DMI, OLIVE OIL WOULD ASSIST IN BINDING THE REMAINING HER2 RECEPTOR SITES AND THUS ACT IN SYNERGY WITH HERCEPTIN-DMI. ALL THIS IS THEORETICAL, AS TSUND SUGGESTS, AND IT IS TRUE THAT ONLY A CLINICAL TRAIL, EITHER IN VITRO AND VIVO WOULD GIVE US MORE ANSWERS.
PS Please see Neil Spector's webcast on the her2 pathways at the SABC website from 2005 to understand more on the her2 pathway. Also, see the CURE magazine past issues and look for articles on her2, which are descriptive on heterdimerzation and her2.
BEST OF LUCK AND HOPING THE BEST FOR YOU AND DON'T BE AFRAID TO WRITE OR CALL SOME OF THE RESEARCHERS ON YOUR TRAIL OR THOSE EXPERT HER2 PATHWAY RESEARCHERS WHO MAY BE ABLE TO HELP.
HOPEFULLY HELPFUL, ROBIN
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Robin
2002- dx her2 positive DCIS/bc TX Mast, herceptin chemo
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