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The Human epidermal growth factor receptor (HER) family, also known as the ErbB family, consists of four structurally related transmembrane receptor tyrosine kinases: EGFR (HER1), HER2 (ErbB2), HER3 (ErbB3), and HER4 (ErbB4) (UniProt P00533, P04626; StatPearls). These receptors are critical regulators of cell growth, survival, and differentiation, functioning through the activation of intracellular signaling pathways such as MAPK/ERK and PI3K/Akt (NIH NCI; PubMed PMID: 20602996). While EGFR, HER3, and HER4 are activated by specific ligands, HER2 exists in a constitutively active conformation and acts as a preferred dimerization partner for other family members (PubMed PMID: 15229194). Aberrant signaling due to gene amplification or mutation is a hallmark of various cancers, including breast, lung, and colorectal malignancies (PubMed PMID: 16286015). Therapeutic intervention involves monoclonal antibodies that block the extracellular domain, small-molecule tyrosine kinase inhibitors (TKIs) that target the intracellular catalytic site, and antibody-drug conjugates (ADCs) for targeted cytotoxicity (FDA; PubMed PMID: 24211477). These treatments have significantly improved outcomes but are associated with specific toxicities like cardiotoxicity and skin rash (StatPearls).
Inhibition of extracellular ligand binding, prevention of receptor homo- and hetero-dimerization, and competitive inhibition of the intracellular ATP-binding site of the tyrosine kinase domain.
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