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Receptor tyrosine-protein kinase erbB-2 kinase domain (HER2 kinase domain)

Target
HER2 kinase domain
Molecular classification
Receptor tyrosine kinase, Enzyme (kinase), Cell surface receptor, Member of the epidermal growth factor receptor (EGFR/ErbB) family
01

Overview

The HER2 kinase domain is the intracellular catalytic domain of the receptor tyrosine-protein kinase erbB-2 (commonly known as HER2 or ERBB2), a member of the EGFR/ErbB family of receptor tyrosine kinases. This domain is responsible for ATP-dependent phosphorylation of tyrosine residues on substrate proteins, a critical step in activating downstream signal transduction pathways that regulate cell proliferation, growth, and survival[1][5][7]. HER2 does not bind ligand directly but functions as a coreceptor, forming heterodimers with other family members (especially EGFR/erbB-1 and HER3/erbB-3), resulting in activation and trans-autophosphorylation within the kinase domain[1][4][6]. Overexpression and hyperactivation of HER2—often due to gene amplification—is a major oncogenic driver in cancers, particularly breast and gastric cancers. The kinase domain is the target of several approved therapeutics, including small molecule inhibitors and monoclonal antibodies, which disrupt signaling by inhibiting kinase activity or receptor dimerization[2][3][5]. HER2 status is a key biomarker for patient selection in cancer therapy, but therapeutic targeting is challenged by issues such as resistance and cardiotoxicity[5].

Other names
HER2ERBB2NeuCD340HER-2/neuHER2/ERBB2 kinase domainerbB-2 kinase domain
02

Mechanism of action

Inhibition of kinase activity (small molecules such as lapatinib, neratinib); Antibody-mediated receptor blockade (trastuzumab, pertuzumab); Disruption of dimerization (pertuzumab); Antibody-dependent cellular cytotoxicity (trastuzumab)

03

Biological functions

Signal transductionCell proliferationCell growthCell differentiationInhibition of apoptosis
04

Disease associations

Cancer (notably breast cancer, gastric cancer, others)Oncogenesis
05

Safety considerations

Cardiotoxicity (notably with antibodies such as trastuzumab)Resistance development in tumorsOff-target effects with some small molecule inhibitors (e.g. diarrhea, rash, hepatotoxicity)
06

Interacting drugs

8 more in the full profile.

07

Biomarkers

Overexpression/amplification of HER2 protein or ERBB2 gene (by immunohistochemistry or FISH)HER2 positivity (guides patient selection for HER2-targeted therapies in cancer, especially breast cancer)

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