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Human epidermal growth factor receptor 2 dimerization interface (HER2 dimerization interface)

Target
HER2 dimerization interface
Molecular classification
Receptor, Tyrosine kinase receptor, Dimerization interface (protein-protein interaction site), Member of the HER/ErbB receptor family
01

Overview

The **HER2 dimerization interface** refers to specific structural regions on the extracellular domain of the human epidermal growth factor receptor 2 (HER2, also known as ERBB2) that mediate receptor dimerization, a prerequisite for activation of HER2 signaling. Unlike other HER family receptors, HER2 has no known ligand and is generally activated by forming heterodimers with other HER receptors such as HER3 or HER4. The dimerization interface, mainly involving domain II (the 'dimerization arm') of HER2, is crucial for transmitting growth and survival signals downstream. Structural studies show that in HER2/HER3 and HER2/HER4 heterodimers, the contribution and dynamics of each receptor's dimerization arm differ, influencing receptor activation and drug sensitivity[1][3][5]. Therapeutic antibodies such as pertuzumab specifically target the dimerization interface, blocking receptor-receptor contacts and thus inhibiting downstream oncogenic signaling, making this interface a key therapeutic target in HER2-positive cancers[1][2]. Overexpression or mutation at this interface can lead to aberrant activation and drive cancers such as breast and gastric carcinoma[1][2]. Safety considerations for drugs targeting this interface include cardiotoxicity and resistance due to mutations at the dimerization region or compensatory signaling in the HER network[2].

Other names
HER2 extracellular domain dimerization interfaceHER2/HER3 dimer interfaceHER2/HER4 dimer interfaceERBB2 dimerization interface
02

Mechanism of action

Monoclonal antibody inhibition of dimerization (e.g., pertuzumab sterically hinders the dimerization interface); Antibody-dependent cellular cytotoxicity (ADCC, e.g., trastuzumab); Inhibition of receptor activation and downstream signaling; Small molecule tyrosine kinase inhibition

03

Biological functions

Signal transductionCell proliferationRegulation of cell survivalOncogenic signaling
04

Disease associations

CancerBreast cancerGastric cancerOther HER2-driven cancers
05

Safety considerations

Cardiotoxicity (notably with trastuzumab and other HER2 inhibitors)Resistance mechanisms due to mutation of the dimerization interface or downstream pathway componentsPotential for off-target effects with pan-HER inhibitors
06

Interacting drugs

5 more in the full profile.

07

Biomarkers

HER2 protein overexpression by IHC (immunohistochemistry)ERBB2 gene amplification by FISH (fluorescence in situ hybridization)Presence of activating mutations in HER2 (e.g., extracellular domain mutations)

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