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Human epidermal growth factor receptor 2 (HER2) – Human epidermal growth factor receptor 3 (HER3) heterodimer (HER2-HER3)

Target
HER2-HER3
Molecular classification
Receptor tyrosine kinase [PubMed, 2005], ErbB family [PMC, 2015], Heterodimeric receptor complex [Clin Cancer Res, 2014]
01

Overview

The Human epidermal growth factor receptor 2 (HER2) – Human epidermal growth factor receptor 3 (HER3) heterodimer is a potent oncogenic signaling unit within the ErbB family of receptor tyrosine kinases [PMC, 2015; PMC, 2014]. While HER2 lacks a known ligand and HER3 has impaired intrinsic kinase activity, their heterodimerization creates the most active signaling complex in the family [PubMed, 2005; PMC, 2014]. HER3 serves as a critical scaffold, containing six docking sites for the p85 subunit of phosphoinositide 3-kinase (PI3K), which leads to robust activation of the PI3K/Akt/mTOR pathway [PMC, 2015; PMC, 2009]. This pathway is a primary driver of cell survival, proliferation, and resistance to various cancer therapies [PMC, 2014; Clin Cancer Res, 2014]. The HER2-HER3 heterodimer is frequently overexpressed in breast, gastric, and lung cancers, where it correlates with poor prognosis [ResearchGate, 2017; PMC, 2023]. Therapeutic targeting involves agents like pertuzumab, which specifically inhibits the dimerization interface, and bispecific antibodies like zenocutuzumab that target both receptors to prevent signaling [Clin Cancer Res, 2014; PMC, 2024].

Other names
ErbB2-ErbB3 heterodimerHER2-HER3 heterodimerHER2:HER3 complexErbB2:ErbB3 complex
02

Mechanism of action

Inhibition of dimerization, ligand blocking, kinase inhibition, and antibody-dependent cellular cytotoxicity (ADCC) [Clin Cancer Res, 2014; PMC, 2022].

03

Biological functions

Signal transduction [PubMed, 2005]Cell proliferation [PubMed, 2005]Cell survival [PMC, 2015]PI3K/Akt pathway activation [PMC, 2015]MAPK pathway activation [PMC, 2018]Angiogenesis [ResearchGate, 2017]Epithelial-mesenchymal transition [ResearchGate, 2017]
04

Disease associations

Breast cancer [PubMed, 2005]Gastric cancer [ResearchGate, 2017]Non-small cell lung cancer [AACR, 2023]Colorectal cancer [PMC, 2023]Ovarian cancer [Oxford Academic, 2015]Prostate cancer [Oxford Academic, 2015]
05

Safety considerations

Cardiotoxicity [PMC, 2022]Diarrhea [PMC, 2018]Skin rash [PMC, 2018]Infusion-related reaction [Clin Cancer Res, 2014]Interstitial lung disease [AACR, 2023]
06

Interacting drugs

Pertuzumab [Clin Cancer Res, 2014]

8 more in the full profile.

07

Biomarkers

HER2 overexpression [AACR, 2023]HER2 amplification [AACR, 2023]HER3 expression [PubMed, 2014]NRG1 fusion [Oxford Academic, 2015]HER2/HER3 co-expression [PMC, 2023]

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