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Published on: December 1, 2016
HER3 signaling and targeted therapy in cancer
Rosalin Mishra1, Hima Patel1, Samar Alanazi1
1James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, OH, USA.
Abstract:
ERBB family members including epidermal growth factor receptor (EGFR) also known as HER1, ERBB2/HER2/Neu, ERBB3/HER3 and ERBB4/HER4 are aberrantly activated in multiple cancers and hence serve as drug targets and biomarkers in modern precision therapy. The therapeutic potential of HER3 has long been underappreciated, due to impaired kinase activity and relatively low expression in tumors. However, HER3 has received attention in recent years as it is a crucial heterodimeric partner for other EGFR family members and has the potential to regulate EGFR/HER2-mediated resistance. Upregulation of HER3 is associated with several malignancies where it fosters tumor progression via interaction with different receptor tyrosine kinases (RTKs). Studies also implicate HER3 contributing significantly to treatment failure, mostly through the activation of PI3K/AKT, MAPK/ERK and JAK/STAT pathways. Moreover, activating mutations in HER3 have highlighted the role of HER3 as a direct therapeutic target. Therapeutic targeting of HER3 includes abrogating its dimerization partners' kinase activity using small molecule inhibitors (lapatinib, erlotinib, gefitinib, afatinib, neratinib) or direct targeting of its extracellular domain. In this review, we focus on HER3-mediated signaling, its role in drug resistance and discuss the latest advances to overcome resistance by targeting HER3 using mono- and bispecific antibodies and small molecule inhibitors.
Insights
HER3 (ErbB3) is crucial in cancer progression and drug resistance, often overlooked due to its low kinase activity. Targeting HER3 offers new therapeutic strategies against various malignancies.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- The ErbB receptor family, including EGFR (HER1), HER2, HER3, and HER4, are key targets in precision cancer therapy.
- HER3 (ErbB3) has gained attention for its role as a heterodimeric partner and in mediating resistance to EGFR/HER2 therapies, despite its impaired kinase activity.
Purpose of the Study:
- To review HER3-mediated signaling pathways in cancer.
- To elucidate the role of HER3 in treatment failure and drug resistance.
- To discuss novel therapeutic strategies targeting HER3.
Main Methods:
- Literature review of studies on HER3 signaling, resistance mechanisms, and therapeutic targeting.
- Analysis of HER3's role in activating PI3K/AKT, MAPK/ERK, and JAK/STAT pathways.
- Examination of therapeutic approaches including small molecule inhibitors and antibodies.
Main Results:
- HER3 upregulation drives tumor progression through interactions with various receptor tyrosine kinases (RTKs).
- HER3 activation is implicated in treatment failure, primarily via PI3K/AKT, MAPK/ERK, and JAK/STAT pathways.
- Activating mutations in HER3 identify it as a direct therapeutic target.
Conclusions:
- Targeting HER3, either directly or through its dimerization partners, presents a promising strategy to overcome treatment resistance.
- Novel therapeutic agents, including mono- and bispecific antibodies and small molecule inhibitors, are being developed to effectively target HER3.
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