Target intelligence / Profile preview

Receptor tyrosine-protein kinase erbB-2 (extracellular domain IV) (HER2 (ERBB2))

Target
HER2 (ERBB2)
Molecular classification
Receptor, Tyrosine kinase, Single-pass transmembrane protein, Epidermal growth factor receptor family member (EGFR/ErbB family)
01

Overview

HER2/ERBB2 is a cell-surface receptor tyrosine kinase and a member of the epidermal growth factor receptor family. The extracellular region (ECD) comprises four domains (I-IV): domain IV lies nearest the surface of the cell membrane and is implicated in stabilizing the protein-protein interaction between HER2 and its dimerization partners, such as EGFR and HER3. HER2 lacks a direct ligand-binding pocket but serves as a preferred partner for dimerization, facilitating potent signal transduction pathways driving cell proliferation and survival. Overexpression or mutation of HER2 leads to uncontrolled dimerization and constitutive signaling, strongly associated with aggressive forms of breast and other cancers. Domain IV is a target for monoclonal antibody therapies (e.g., trastuzumab), which bind near this region to block dimerization and downstream signaling, making it a validated site for therapeutic intervention.

Other names
HER2ERBB2NeuHER2/neuReceptor tyrosine-protein kinase erbB-2extracellular domain IVdomain IVDIVC-terminal ECD of HER2
02

Mechanism of action

Monoclonal antibodies (e.g., trastuzumab, pertuzumab) bind to extracellular domains (including domain IV) to prevent receptor dimerization, disrupt signaling, and induce antibody-dependent cellular cytotoxicity (ADCC) Tyrosine kinase inhibitors (e.g., lapatinib) block kinase activity Antibody-drug conjugates (e.g., T-DM1) deliver cytotoxic agents to HER2-overexpressing cells

03

Biological functions

Signal transductionCell proliferationCell growthCell survivalDimerization with other ErbB receptors to initiate downstream signaling cascades
04

Disease associations

Cancer (notably breast cancer, gastric cancer, ovarian cancer)OncogenesisTumor progression
05

Safety considerations

Cardiotoxicity (notably with trastuzumab)Resistance to therapy (mutations or alternative signaling)Infusion reactions (monoclonal antibodies)Side effects from kinase inhibitors (diarrhea, rash, hepatotoxicity)
06

Interacting drugs

4 more in the full profile.

07

Biomarkers

HER2 protein overexpression (immunohistochemistry IHC)ERBB2 gene amplification (fluorescence in situ hybridization FISH, or in situ hybridization ISH)Serum HER2 extracellular domain levels (used experimentally)

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