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Human Epidermal Growth Factor Receptors EGFR, HER2, and HER3 (EGFR, HER2, HER3)

Target
EGFR, HER2, HER3
Molecular classification
Receptor, Receptor tyrosine kinase, Member of the ErbB family
01

Overview

The **human epidermal growth factor receptor family (ErbB)** consists of four structurally related receptor tyrosine kinases: EGFR (also known as HER1), HER2, HER3, and HER4[1][2][6]. They share a general architecture of an extracellular ligand binding domain, a single transmembrane helix, and an intracellular tyrosine kinase domain. Ligand binding (except for HER2, which is ligand-independent) induces homo- or hetero-dimerization, activating their kinase domain and initiating a phosphorylation cascade that drives cell proliferation, differentiation, and survival[1][2][6]. EGFR and HER2 are the most potent oncoproteins in the family, commonly overexpressed or mutated in numerous human cancers, and thus are major targets of antibody and small-molecule inhibitor therapies[1][2][7]. HER3, though catalytically impaired, functions as a crucial allosteric activator through heterodimerization with EGFR or HER2, amplifying oncogenic signaling[3][5]. Targeting these receptors has transformed cancer therapy, making them prototypes of "druggable" cell-surface oncogenic molecules.

Other names
HER1ErbB1c-erbB1ErbB2c-erbB2neu (in rodents)ErbB3c-erbB3
02

Mechanism of action

Inhibition of receptor dimerization and signaling (monoclonal antibodies block ligand binding or dimer formation) Inhibition of intracellular kinase activity (tyrosine kinase inhibitors block ATP binding or kinase activity of the cytoplasmic domain) Downregulation or degradation (some agents promote receptor internalization or degradation)

03

Biological functions

Signal transductionCell proliferationCell differentiationCell survivalApoptosisRegulation of cell cycle
04

Disease associations

Cancer (especially breast, lung, gastric, colorectal, head and neck, and others)EGFR and HER2 also play roles in inflammation and other proliferative diseases, but most clinical emphasis is on cancer
05

Safety considerations

Skin toxicity/rash (especially with EGFR inhibitors)Cardiotoxicity (especially with HER2-targeting agents like trastuzumab/pertuzumab)Diarrhea, interstitial lung disease (EGFR and pan-ErbB kinase inhibitors)Resistance through compensatory signaling or receptor redundancy (HER3 and HER2 can drive resistance to EGFR-inhibitors, vice versa)
06

Interacting drugs

Cetuximab

12 more in the full profile.

07

Biomarkers

EGFR mutation status (e.g., exon 19 deletion, L858R substitution for lung cancer)HER2 gene amplification (by FISH/ISH) or protein overexpression (by immunohistochemistry in breast and gastric cancers)HER3 amplification may correlate with prognosis in certain cancers

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