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Human epidermal growth factor receptor 2 and Epidermal growth factor receptor (HER2 (ERBB2), EGFR (ERBB1))

Target
HER2 (ERBB2), EGFR (ERBB1)
Molecular classification
Receptor tyrosine kinase, Transmembrane receptor, Member of the ERBB (EGFR) family
01

Overview

HER2 (Human epidermal growth factor receptor 2) and EGFR (Epidermal growth factor receptor) are members of the ERBB family of transmembrane receptor tyrosine kinases. HER2 cannot directly bind ligand, but serves as a preferred dimerization partner for other ERBB receptors, including EGFR, facilitating potent signal transduction for cell growth and survival. Both HER2 and EGFR play pivotal roles in normal epithelial cell biology and are frequently dysregulated in various cancers, driving oncogenic signaling and constituting critical targets for anticancer therapy. HER2 overexpression or gene amplification is especially prominent in breast cancer and is associated with aggressive disease, while EGFR is commonly altered by mutation in lung and other solid tumors. Therapeutics targeting these molecules have dramatically improved outcomes in selected populations, although resistance and toxicity remain important clinical challenges.

Other names
ERBB2neuCD340HER-2/neuERBB1HER1
02

Mechanism of action

HER2/EGFR blockade: monoclonal antibodies (e.g., trastuzumab, pertuzumab for HER2; cetuximab for EGFR) prevent ligand binding/dimerization. Tyrosine kinase inhibition: small molecule inhibitors (e.g., lapatinib, erlotinib) block ATP-binding site, suppressing kinase activity. Antibody-drug conjugate: targeted cytotoxic payload delivery (e.g., T-DM1 for HER2). Downregulation/externalization: some drugs accelerate receptor endocytosis and degradation.

03

Biological functions

Signal transductionCell proliferationCell differentiationCell survivalOncogenic transformation
04

Disease associations

CancerInflammationfibrosiscardiovascular diseases
05

Safety considerations

Cardiotoxicity (HER2-targeted therapies)Dermatologic toxicity (EGFR inhibitors: rash, dry skin)Diarrhea, hepatotoxicity, interstitial lung disease (EGFR and pan-ERBB inhibitors)Resistance mechanisms (mutations in kinase domain, downstream signaling activation, HER2/EGFR dimerization)
06

Interacting drugs

10 more in the full profile.

07

Biomarkers

HER2 protein overexpression or gene amplification (IHC/ISH) in tumor tissueEGFR mutations (e.g., Exon 19 deletion, L858R substitution) for patient selection in lung cancerPhosphorylation status (pHER2/pEGFR) sometimes used in research

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