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HER3 as a Therapeutic Target in Cancer
Niki Karachaliou1, Chiara Lazzari2, Alberto Verlicchi3
1Medical Oncology Department, Institute of Oncology Rosell (IOR), University Hospital Sagrat Cor, C/Viladomat 288, 08029, Barcelona, Spain. nkarachaliou@oncorosell.com.
Abstract:
Targeting members of the human epidermal growth factor receptor family, especially EGFR and HER2, has been an established strategy for the treatment of tumors with abnormally activated receptors due to overexpression, mutation, ligand-dependent receptor dimerization and ligand-independent activation. Less attention has been paid to the oncogenic activity of HER3, although there is growing evidence that it mediates resistance to EGFR and HER2 pathway directed therapies. The main caveat for the development of effective HER3 targeted therapies is the absence of a strong enzymatic activity to target, as well as the limited potential for single-agent activity. In this review, we highlight the role of HER3 in cancer and, more specifically, in lung cancer. The basis for HER3 involvement in HER2 resistance and EGFR inhibition is discussed, as well as current pharmacologic strategies to combat HER3 inhibition.
Insights
Human Epidermal Growth Factor Receptor 3 (HER3) drives resistance to targeted cancer therapies like EGFR and HER2 inhibitors. This review explores HER3
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Targeting human epidermal growth factor receptor family members, such as EGFR and HER2, is a standard cancer treatment approach.
- HER3, while less studied, plays a crucial role in mediating resistance to therapies targeting EGFR and HER2.
- Challenges in developing HER3-targeted therapies include its lack of enzymatic activity and limited single-agent efficacy.
Purpose of the Study:
- To review the oncogenic role of HER3 in cancer, with a specific focus on lung cancer.
- To elucidate the mechanisms by which HER3 contributes to resistance against EGFR and HER2-directed therapies.
- To discuss current and emerging pharmacologic strategies for targeting HER3.
Main Methods:
- Literature review and synthesis of existing research on HER3 function in cancer.
- Analysis of preclinical and clinical data related to HER3 signaling pathways.
- Examination of therapeutic strategies targeting HER3 and its resistance mechanisms.
Main Results:
- HER3 is implicated in resistance to EGFR and HER2 inhibitors across various tumor types, including lung cancer.
- HER3 signaling contributes to tumor progression and therapeutic failure.
- Development of HER3-targeted agents is complex due to its signaling properties.
Conclusions:
- HER3 is a critical mediator of resistance in EGFR- and HER2-targeted cancer therapies.
- Understanding HER3's role is essential for overcoming treatment resistance and improving patient outcomes.
- Novel therapeutic strategies targeting HER3 are needed to enhance the efficacy of existing cancer treatments.
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