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Epidermal growth factor receptor and Human epidermal growth factor receptor 2 tyrosine kinase domains (EGFR/HER2)

Target
EGFR/HER2
Molecular classification
Enzyme, Receptor tyrosine kinase, Protein kinase
01

Overview

The Epidermal growth factor receptor (EGFR) and Human epidermal growth factor receptor 2 (HER2) tyrosine kinase domains are the intracellular catalytic regions of these transmembrane receptors, belonging to the ErbB family of receptor tyrosine kinases [1, 2]. These domains are responsible for the phosphorylation of tyrosine residues, which triggers essential downstream signaling pathways such as MAPK/ERK and PI3K/Akt that regulate cell growth, survival, and metabolism [3, 4]. In many cancers, including breast, lung, and gastric malignancies, these domains are hyperactivated due to gene amplification or specific mutations, leading to uncontrolled cellular proliferation [5]. Small molecule tyrosine kinase inhibitors (TKIs) are designed to bind to the ATP-binding pocket within these domains, thereby blocking the catalytic activity and inhibiting oncogenic signaling [5, 6]. Dual inhibitors targeting both EGFR and HER2 are clinically significant as they can provide more comprehensive blockade of the ErbB signaling network and help overcome resistance mechanisms associated with single-receptor targeting [6]. However, therapeutic use is often limited by class-specific toxicities, such as severe diarrhea and skin rashes, resulting from the inhibition of these receptors in normal epithelial tissues [7]. Sources: [1] UniProt P00533; [2] UniProt P04626; [3] NIH NCI EGFR; [4] NIH NCI HER2; [5] StatPearls Tyrosine Kinase Inhibitors; [6] Nature Reviews Cancer (PMID: 16264488); [7] FDA Tykerb Label.

Other names
ErbB1/ErbB2 tyrosine kinase domainsHER1/HER2 tyrosine kinase domainsEGFR/ErbB2 tyrosine kinaseErbB family tyrosine kinase domains
02

Mechanism of action

ATP-competitive inhibition of the intracellular tyrosine kinase domains of EGFR and HER2, preventing receptor autophosphorylation and downstream signaling cascades.

03

Biological functions

Signal transductionCell proliferationCell survivalCell differentiationApoptosis regulation
04

Disease associations

CancerBreast cancerNon-small cell lung cancerGastric cancerColorectal cancer
05

Safety considerations

DiarrheaAcneiform skin rashDecreased left ventricular ejection fraction (LVEF)HepatotoxicityInterstitial lung disease (ILD)Paronychia
06

Interacting drugs

Lapatinib

6 more in the full profile.

07

Biomarkers

HER2 protein overexpression (IHC)HER2 gene amplification (FISH)EGFR activating mutations (e.g., L858R, Exon 19 deletion)EGFR T790M mutationERBB2 mutations

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