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Epidermal growth factor receptor, Receptor tyrosine-protein kinase ErbB-2, Receptor tyrosine-protein kinase ErbB-4 (EGFR, HER2, HER4)

Target
EGFR, HER2, HER4
Molecular classification
Receptor tyrosine kinase, Cell surface receptor, Single-pass transmembrane protein, ErbB/epidermal growth factor receptor family
01

Overview

The ErbB family of receptor tyrosine kinases—including epidermal growth factor receptor (EGFR/HER1/ErbB-1), receptor tyrosine-protein kinase ErbB-2 (HER2/neu), and receptor tyrosine-protein kinase ErbB-4 (HER4)—are single-pass transmembrane proteins characterized by extracellular ligand-binding, a single transmembrane region, and an intracellular tyrosine kinase domain[1][5][7]. Activation by ligand binding (except for ERBB2, which lacks a known direct ligand) promotes dimerization, autophosphorylation, and activation of downstream signaling pathways including MAPK and PI3K, leading to effects on cell proliferation, survival, and differentiation[3][7][4]. These receptors are frequently dysregulated in cancer through mutations, amplifications, fusions, or overexpression, and are key therapeutic targets in several malignancies. Multiple targeted therapies—including kinase inhibitors and monoclonal antibodies—have been developed to inhibit their function in disease[2][3][7].

Other names
HER1ErbB-1HER2neuHER4
02

Mechanism of action

Competitive inhibition of ATP binding (small molecule tyrosine kinase inhibitors, e.g., gefitinib, lapatinib, afatinib); Ligand blocking/antibody-mediated inhibition of dimerization or signaling (e.g., trastuzumab for ERBB2/HER2, cetuximab for EGFR); Antibody-drug conjugate delivery (e.g., T-DM1)

03

Biological functions

Regulation of cell proliferationSignal transductionCell differentiationApoptosisCell migrationCell survival
04

Disease associations

Cancer (including breast, lung, ovarian, glioblastoma, and other carcinomas)OncogenesisDrug resistance in cancer therapy
05

Safety considerations

Off-target effects on healthy tissues (e.g., skin, GI tract, cardiac toxicity for HER2 agents)Development of resistance (secondary EGFR mutations, alternative pathway activation)Infusion/hypersensitivity reactions (antibody drugs)Diarrhea, rash, and interstitial lung disease for some small molecule inhibitors
06

Interacting drugs

10 more in the full profile.

07

Biomarkers

Gene amplification (e.g., HER2 overexpression in breast cancer)Activating or resistance mutations (e.g., EGFR mutations in lung cancer)Fusion genes (rare for ERBB4/ERBB2, more for EGFR in glioblastoma)Overexpression by immunohistochemistry or RNA profiling

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