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Epidermal growth factor receptor (HER1); Human epidermal growth factor receptor 2 (HER2); Human epidermal growth factor receptor 4 (HER4) (EGFR (HER1); HER2; HER4)

Target
EGFR (HER1); HER2; HER4
Molecular classification
Receptor, Tyrosine kinase, Receptor tyrosine kinase (RTK) family, Cell surface receptor
01

Overview

Epidermal growth factor receptor family members HER1 (EGFR), HER2, and HER4 are single-pass transmembrane receptor tyrosine kinases crucial for the regulation of cell proliferation, differentiation, and survival. Activation occurs via ligand-induced dimerization (except HER2, which has no direct ligand), leading to autophosphorylation and downstream signaling. Dysregulation, particularly overexpression or gene amplification, plays a pivotal role in several cancers, making these receptors important therapeutic targets. They share similar protein domains (extracellular ligand-binding, transmembrane, and cytoplasmic kinase domains), but differ in ligand specificity and downstream effects. HER2 is unique in always being poised for dimerization, often forming heterodimers with other HER family members.

Other names
EGFRErbB1ErbB2neu (in rodents)ErbB4
02

Mechanism of action

Antibody-based inhibition (e.g., trastuzumab blocks HER2 dimerization); Tyrosine kinase inhibition (e.g., lapatinib for HER2, gefitinib for EGFR/HER1); Downregulation of receptor expression; Prevention of ligand binding or dimerization; Antibody-dependent cellular cytotoxicity (ADCC, for some anti-HER2 mAbs)

03

Biological functions

Signal transductionCell proliferationCell survivalCell differentiationDevelopment (especially cardiac and nervous system)Oncogenesis / tumorigenesis (when dysregulated)
04

Disease associations

Cancer (breast, lung, gastric, many solid tumors)Cardiovascular disease (developmental defects in mouse models)Neurodegenerative disease (deficiency)Other developmental disorders
05

Safety considerations

Skin toxicitydiarrheainterstitial lung diseaseacquired resistanceCardiotoxicity (particularly with trastuzumab)infusion reactionsNo major direct toxicity described for drugs (no direct inhibitors in clinic as of now), but developmental deficits in gene knockout models
06

Interacting drugs

10 more in the full profile.

07

Biomarkers

HER1/EGFR protein expressionHER2 overexpression or gene amplification (IHC, FISH in tumor tissues)HER4 expression less commonly used clinically, but occasionally researched as a prognostic marker

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