Target intelligence / Profile preview

Epidermal growth factor receptor, Human epidermal growth factor receptor 2, Human epidermal growth factor receptor 4 (EGFR, HER2, HER4)

Target
EGFR, HER2, HER4
Molecular classification
Receptor tyrosine kinase, Transmembrane receptor, ErbB family receptor
01

Overview

EGFR (ErbB1/HER1), HER2 (ErbB2), and HER4 (ErbB4) are members of the ErbB family of transmembrane receptor tyrosine kinases. They regulate cellular proliferation, survival, and differentiation following activation by growth factors. EGFR and HER4 are activated by direct ligand binding, while HER2 has no known ligand and serves as a preferred dimerization partner for other ErbB family members, notably EGFR and HER3. Ligand binding leads to receptor dimerization (homodimer or heterodimer), autophosphorylation of intracellular tyrosine residues, and downstream signaling via MAPK, PI3K/Akt, and other pathways. Aberrant activation by mutation, amplification, or overexpression drives oncogenesis in multiple human cancers. EGFR and HER2 are established therapeutic targets with approved small-molecule inhibitors and monoclonal antibodies; HER4's role is less well defined but of growing research interest.

Other names
ErbB1HER1Epidermal growth factor receptorErbB2c-erbB2NeuHuman epidermal growth factor receptor 2ErbB4c-erbB4Human epidermal growth factor receptor 4
02

Mechanism of action

Inhibition of tyrosine kinase activity (by small molecule inhibitors) Blocking ligand binding and dimerization (by monoclonal antibodies, e.g., trastuzumab, cetuximab) Antibody-drug conjugates deliver cytotoxic agents to HER2-expressing cells Pan-ErbB inhibition may block multiple ErbB receptors

03

Biological functions

Signal transductionCell proliferationCell differentiationCell survivalApoptosis
04

Disease associations

Cancer (notably breast, lung, gastric, and others)Cardiovascular disease (HER4 signaling roles)Neurodegenerative disease (HER4 in neural development and function)Other (developmental processes, especially for HER4)
05

Safety considerations

On-target toxicities: Skin rash, diarrhea, cardiac dysfunction (notably with trastuzumab/HER2 inhibition)Resistance development (acquired mutations, bypass signaling)Cardiotoxicity (notably HER2 therapies)Interstitial lung disease (with EGFR inhibitors)Infusion reactions (with monoclonal antibodies)
06

Interacting drugs

Erlotinib

14 more in the full profile.

07

Biomarkers

EGFR mutation or amplification (for patient selection in lung cancer)HER2 gene amplification or protein overexpression (primary marker in breast and gastric cancer)HER4 is under investigation as a prognostic or predictive marker, but not widely used clinically

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