Target intelligence / Profile preview

Receptor tyrosine-protein kinase erbB family member (ErbB (or HER, depending on context and specific member))

Target
ErbB (or HER, depending on context and specific member)
Molecular classification
Receptor, Tyrosine kinase, Enzyme, Cell surface receptor
01

Overview

The receptor tyrosine-protein kinase erbB family comprises four closely related single-pass transmembrane proteins—epidermal growth factor receptor (EGFR, also known as ErbB1 or HER1), ErbB2 (HER2/neu), ErbB3 (HER3), and ErbB4 (HER4)—that function as cell surface receptors for various peptide growth factors. Each consists of an extracellular ligand-binding domain subdivided into four subdomains involved in ligand recognition and dimerization; a single transmembrane helix; and an intracellular region containing a protein tyrosine kinase domain responsible for signal propagation via phosphorylation events. Ligand binding induces homo-/heterodimerization among these receptors, activating downstream signaling cascades such as PI3K/Akt and Ras/MAPK pathways that regulate cell proliferation, survival, differentiation, motility, and apoptosis. Aberrant activation through overexpression or mutation is implicated in numerous human malignancies—including breast cancer (especially HER2-positive subtypes), non-small cell lung cancer (NSCLC) driven by EGFR mutations/amplification—and has made these receptors major therapeutic targets. Multiple small-molecule inhibitors target their intracellular kinases while monoclonal antibodies block extracellular domains to prevent activation. Resistance to therapy remains a significant clinical challenge.

Other names
Epidermal growth factor receptor familyEGFR familyHER familyErbB1 (EGFR)ErbB2 (HER2/neu)ErbB3 (HER3)ErbB4 (HER4)
02

Mechanism of action

– Inhibition of tyrosine kinase activity by small molecules targeting the ATP-binding site – Blockade of ligand binding or dimerization by monoclonal antibodies targeting the extracellular domain

03

Biological functions

Signal transductionCell proliferationCell differentiationCell survivalApoptosis regulation
04

Disease associations

Cancer (notably breast, lung, stomach, colorectal, head and neck cancers)Glioblastoma
05

Safety considerations

Development of drug resistance is common with targeted therapies against this familyCardiotoxicity is a notable risk with some anti-HER2 therapiesSkin toxicity and gastrointestinal side effects are frequent with EGFR inhibitors
06

Interacting drugs

8 more in the full profile.

07

Biomarkers

Overexpression or mutation status of EGFR/ErbB1 and HER2/ErbB2 are established biomarkers for patient selection in several cancers; used to guide therapy with targeted agents such as trastuzumab or gefitinib

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