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Human epidermal growth factor receptor dimerization (HER receptor dimerization)

Target
HER receptor dimerization
Molecular classification
Receptor tyrosine kinase (the actual receptors, e.g. HER2/ErbB2), Receptor, Enzyme (the kinase domain), Other (dimerization interface/process, not a discrete molecule)
01

Overview

Dimerization inhibition of HER family receptors refers to the pharmacological blockade of the physical association (homo- or hetero-dimerization) between members of the human epidermal growth factor receptor family—a group of four receptor tyrosine kinases: EGFR (HER1), HER2, HER3, and HER4. Ligand-induced or constitutive dimerization is necessary for activation of these receptors and resultant intracellular signaling that regulates cell proliferation, survival, and oncogenesis. Inhibiting the dimerization event (e.g., using the antibody pertuzumab at the HER2 dimerization interface) prevents transphosphorylation and downstream signaling, providing an effective therapeutic strategy in HER-driven cancers, most notably HER2-positive breast cancer[1][3]. While the modulation of dimerization is a mechanism rather than a specific protein or gene, drugs are developed to target this process by binding extracellular domains of HER receptors, thus blocking dimer formation and its pathological signaling consequences[1][2][3]. Caveat: The submitted "target" is a molecular process (dimerization inhibition) rather than a discrete gene/protein entity; for structured data, individual HER receptors (usually HER2, sometimes HER3 or HER1/EGTR) should be selected as canonical targets.

Other names
HER family dimerizationHER2 dimerizationHER2/HER3 dimerizationErbB family dimerizationEGFR family dimerization
02

Mechanism of action

Inhibition of receptor dimerization, thereby blocking downstream signaling; Blockade of ligand-induced dimerization; Disruption of potent HER2/HER3 heterodimer formation

03

Biological functions

Signal transductionCell growthCell proliferationCell survivalDownstream pathway activation (e.g., PI3K/AKT, MAPK)
04

Disease associations

Cancer(Especially) Breast cancerOther HER-driven cancers (e.g., gastric, lung cancer)
05

Safety considerations

Cardiac toxicity (noted with HER2-targeted therapies, including pertuzumab and trastuzumab)Potential for escape mechanisms via bypass signaling (e.g., HER3 upregulation)General antibody/cytotoxic-related adverse effects (e.g., infusion reactions)
06

Interacting drugs

Pertuzumab (prevents HER2 dimerization with other HER receptors)

2 more in the full profile.

07

Biomarkers

HER2 protein overexpression (IHC 3+)HER2 gene amplification (FISH+)HER3 expression (biomarker for escape/response)Dimerization pattern of HER proteins (by proximity ligation assay, PLA)

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