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Epidermal growth factor receptor kinase domain and Human epidermal growth factor receptor 2 kinase domain (EGFR (also known as ERBB1) and HER2 (also known as ERBB2))

Target
EGFR (also known as ERBB1) and HER2 (also known as ERBB2)
Molecular classification
Receptor tyrosine kinase, Enzyme, Receptor, Protein kinase
01

Overview

EGFR (epidermal growth factor receptor, also known as ERBB1) and HER2 (human epidermal growth factor receptor 2, also known as ERBB2) are closely related members of the ErbB family of receptor tyrosine kinases. Their kinase domains drive cellular signaling upon dimerization, which can occur as either homodimers or heterodimers. EGFR is activated by specific ligands (such as EGF and TGF-α), while HER2 does not have a known ligand but serves as the preferred dimerization partner for other ErbB receptors, greatly amplifying downstream signaling. Upon activation, these receptors autophosphorylate tyrosine residues in their intracellular domains, triggering pathways that control cell proliferation, differentiation, and survival. Both EGFR and HER2 kinase domains are established therapeutic targets in cancer, with numerous drugs directly targeting their kinase regions or dimerization interfaces. Aberrations such as overexpression, amplification, and activating mutations are common in various cancers, making them critical biomarkers and drivers of disease[1][2][3][4][5][6].

Other names
EGFR (epidermal growth factor receptor)ERBB1HER2 (human epidermal growth factor receptor 2)ERBB2ErbB kinase domainsHER family kinase domainsHER2/neu (for ERBB2)EGFR tyrosine kinase
02

Mechanism of action

Tyrosine kinase inhibition (blocks ATP binding to prevent phosphorylation), Receptor dimerization inhibition (prevents activation), Receptor downregulation or degradation, Monoclonal antibody-mediated blockade of ligand binding

03

Biological functions

Signal transductionCell proliferationCell differentiationCell survivalCell developmentRegulation of apoptosis
04

Disease associations

CancerTumorigenesisDevelopmental disorders
05

Safety considerations

Skin toxicity/rash (EGFR inhibitors)Diarrhea (HER2 and EGFR inhibitors)Cardiotoxicity (notable with HER2 inhibitors like trastuzumab)Interstitial lung disease (rare but serious, with some EGFR inhibitors)Acquired drug resistance via kinase domain mutations
06

Interacting drugs

9 more in the full profile.

07

Biomarkers

EGFR mutation (e.g., T790M, L858R)HER2 overexpression or amplificationPhosphorylation status of EGFR or HER2Circulating levels of EGF or TGF-α

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