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EGFR, HER2, ErbB4

Target
EGFR, HER2, ErbB4
Molecular classification
Receptor tyrosine kinase (RTK), Cell surface receptor, Receptor
01

Overview

The ErbB family consists of four closely related cell-surface receptor tyrosine kinases: EGFR (also known as ErbB1 or HER1), HER2 (ErbB2), HER3 (ErbB3), and ErbB4 (HER4)[1][3][7]. These receptors are activated upon binding of specific ligands, subsequently dimerizing (either as homodimers or heterodimers), and triggering a cascade of intracellular signaling that regulates cell growth, survival, differentiation, and migration[1][5][6][7]. EGFR and ErbB4 are fully functional kinases that bind ligands and autophosphorylate; HER2 has no known ligand and functions predominantly as a preferred dimerization partner, potentiating signaling when overexpressed or heterodimerized with other ErbB receptors[3][6][7]. Dysregulation—through overexpression, gene amplification, mutations, or fusions—is a central driver in many solid tumors, making these proteins important targets for small molecule inhibitors and monoclonal antibodies[1][6][7]. They are also implicated in non-malignant diseases when signaling is either excessive or deficient[3][5][7]. Grouped as "EGFR, HER2, ErbB4," these are not a single molecular entity, but a set of key targets frequently co-targeted in cancer therapy due to their overlapping signaling functions and frequent co-aberrations in tumors[1][3][5].

Other names
ErbB1HER1ErbB2neuHER4
02

Mechanism of action

Inhibition of tyrosine kinase activity (small molecule TKIs) Blockade of ligand binding or receptor dimerization (monoclonal antibodies) Induction of receptor internalization and degradation

03

Biological functions

Signal transductionCell proliferationCell differentiationApoptosis (programmed cell death)Cell migrationCell motilityCell survival
04

Disease associations

Cancer (particularly solid tumors such as breast, lung, and gastric cancers)Neurodegenerative disease (insufficient signaling, e.g., Alzheimer's, multiple sclerosis)Other (psoriasis, cardiovascular abnormalities, depending on context)
05

Safety considerations

Off-target toxicities (e.g., rash, diarrhea, cardiotoxicity for HER2 agents, interstitial lung disease for EGFR TKIs)Resistance mutations (e.g., EGFR T790M)Cardiac dysfunction (especially for HER2 inhibitors)
06

Interacting drugs

erlotinib

9 more in the full profile.

07

Biomarkers

Receptor overexpression (e.g., HER2 positivity by IHC or FISH in breast cancer)EGFR mutations (e.g., L858R, exon 19 deletions in non-small cell lung cancer)ERBB gene fusions

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