Target intelligence / Profile preview

HER2, EGFR, HER4

Molecular classification
Receptor tyrosine kinase, Cell surface receptor, Receptor
01

Overview

HER2, EGFR, and HER4 are members of the human epidermal growth factor receptor family, which are cell surface receptor tyrosine kinases that regulate signaling pathways involved in cell proliferation, differentiation, and survival. These receptors can form homo- or heterodimers, activating phosphorylation cascades that mediate various biological functions. Dysregulation of these receptors—by overexpression, amplification, or mutation—is associated with multiple tumor types, most notably breast and lung cancers. They are high-priority therapeutic targets, with several clinically approved drugs designed to inhibit their signaling, but therapeutic challenges remain, including the development of resistance and on-target toxicities, especially cardiac side effects due to interference with physiological signaling in heart tissue[1][2][3][4][5].

Other names
ErbB2receptor tyrosine-protein kinase erbB-2NEUHER1ErbB1epidermal growth factor receptorERBBErbB4receptor tyrosine-protein kinase erbB-4
02

Mechanism of action

Monoclonal antibodies (block ligand binding, promote receptor internalization, induce ADCC) Tyrosine kinase inhibitors (block intracellular kinase activity, prevent downstream signaling) Antibody–drug conjugates (target and deliver cytotoxic molecules) Dimerization inhibitors (blocking receptor–receptor interactions, especially HER2/HER3, HER2/HER4)

03

Biological functions

Signal transductionCell proliferationCell differentiationApoptosisCell survivalCell migration
04

Disease associations

Cancer (breast, lung, gastric, ovarian, gliomas, NSCLC, etc.)Cardiovascular disease (HER2/HER4 in cardiac development and function)Neurological disease (mainly HER4: schizophrenia, ALS, other psychological/neural disorders)
05

Safety considerations

Cardiotoxicity (notably with HER2 inhibitors, due to HER2/HER4 signaling in heart)Skin toxicities (EGFR inhibitors)Diarrhea (EGFR/HER2 inhibitors)Resistance mechanisms (secondary mutations, alternative pathway activation)
06

Interacting drugs

Erlotinib

8 more in the full profile.

07

Biomarkers

HER2 gene amplification/overexpression (IHC, FISH)EGFR mutations (lung cancer)HER2 protein overexpressionHER4 expression levels (less commonly used clinically)

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