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Epidermal growth factor receptor (EGFR), Human epidermal growth factor receptor 2 (HER2), Human epidermal growth factor receptor 4 (HER4) (EGFR (also known as HER1), HER2 (also known as ErbB2), HER4 (also known as ErbB4))

Target
EGFR (also known as HER1), HER2 (also known as ErbB2), HER4 (also known as ErbB4)
Molecular classification
Receptor tyrosine kinase, Receptor, Transmembrane protein
01

Overview

The Epidermal Growth Factor Receptor (EGFR/HER1), Human Epidermal Growth Factor Receptor 2 (HER2/ErbB2), and Human Epidermal Growth Factor Receptor 4 (HER4/ErbB4) are members of the ErbB/HER family of receptor tyrosine kinases, which also includes HER3/ErbB3. They share a common structure: an extracellular ligand-binding domain, a single-pass transmembrane region, and an intracellular tyrosine kinase domain. Upon ligand binding, EGFR and HER4 can homodimerize or heterodimerize with the other HER receptors (particularly HER2, which has no ligand but is always in a dimer-ready state). Dimerization leads to cross-phosphorylation of intracellular tyrosine residues, activating multiple downstream signaling pathways such as MAPK, PI3K-AKT, and JAK/STAT, which regulate cell proliferation, differentiation, survival, and other processes. Dysregulation of these receptors, especially via overexpression or mutation, drives many cancers, making them important therapeutic targets. Numerous small molecule inhibitors and monoclonal antibodies have been developed against EGFR and HER2, while HER4 plays more complex roles and is less commonly targeted, though structurally and functionally related.

Other names
ErbB1HER1Epidermal growth factor receptorErbB2neu (rodents)Human epidermal growth factor receptor 2ErbB4Human epidermal growth factor receptor 4
02

Mechanism of action

Tyrosine kinase inhibitors (block ATP binding at the kinase domain, preventing receptor autophosphorylation) Monoclonal antibodies (block ligand binding, induce receptor internalization/degradation, or prevent dimerization) Antibody–drug conjugates (targeted cytotoxic delivery to receptor-positive cells)

03

Biological functions

Signal transductionCell proliferationCell differentiationCell survivalCell growthApoptosis (especially via downstream pathways)
04

Disease associations

Cancer (especially breast, lung, gastric, colorectal, and other solid tumors)May play a role in cardiovascular and developmental disorders
05

Safety considerations

Rashdiarrheainterstitial lung diseasehepatotoxicityCardiotoxicityinfusion reactionsResistance due to secondary mutations, compensatory signaling through other HER family members
06

Interacting drugs

Erlotinib

11 more in the full profile.

07

Biomarkers

EGFR mutation or amplification (in lung, colorectal cancer)HER2 overexpression or amplification (in breast, gastric cancer)HER4 expression/amplification studied, but not used routinely in clinical biomarker panels

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