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ErbB/HER family in cancer immunology: therapeutic advances and mechanisms
Ling Yin1, Hongliang Zhang2, Yuhua Shang3
1Center of Disease Immunity and Intervention, College of Medicine, Lishui University, Lishui 323000, China; College of Medicine, University of Florida, Gainesville, FL 32608, USA; Division of Infectious Diseases and Geographic Medicine, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Laboratory of Structural Immunology, Key Laboratory of Immune Response and Immunotherapy, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230027 China; Institute of Health and Medicine, Hefei Comprehensive National Science Center, Hefei, Anhui, China.
Abstract:
The ErbB/HER family has a crucial role in tumor progression and immune responses, offering promising targets for cancer drug discovery. In particular, ErbB/HER-targeted therapeutic agents, in the forms of tyrosine kinase inhibitors (TKIs), monoclonal/bispecific antibodies (mAbs/BsAbs), and antibody-drug conjugates (ADCs), have emerged as effective therapeutic options to achieve excellent clinical outcomes by improving treatment efficacy, reducing drug resistance, and lowering systemic toxicity. Multiple ErbB/HER-targeted therapeutic agents have been used globally for numerous clinical trials, with US Food and Drug Administration (FDA) approval. Furthermore, combination therapy targeting ErbB/HER family members with immunotherapy and chemotherapy enhances therapeutic effects. In this review, we highlight recent advances in single and combined anti-cancer therapeutics targeting ErbB/HER family members, underscoring their potential as transformative treatment strategies. We also discuss recent advances in the structure, mechanism, selectivity, and efficacy of single and combined ErbB/HER-targeted drug design and development efforts, shedding light on their potential to improve cancer treatment.
Insights
Targeting the ErbB/HER family with novel drugs like TKIs, mAbs, and ADCs improves cancer treatment. Combination therapies enhance efficacy and reduce toxicity for better patient outcomes.
Area of Science:
- Oncology
- Pharmacology
- Immunology
Background:
- The ErbB/HER family plays a critical role in tumor progression and immune responses.
- Targeting the ErbB/HER family offers significant potential for cancer drug discovery.
- Existing ErbB/HER-targeted agents include tyrosine kinase inhibitors (TKIs), monoclonal antibodies (mAbs), and antibody-drug conjugates (ADCs).
Purpose of the Study:
- To review recent advances in single and combined anti-cancer therapeutics targeting the ErbB/HER family.
- To highlight the potential of these agents as transformative cancer treatment strategies.
- To discuss drug design and development efforts for improved selectivity and efficacy.
Main Methods:
- Review of current literature on ErbB/HER-targeted therapies.
- Analysis of clinical trial data and FDA-approved agents.
- Discussion of structural, mechanistic, and efficacy data for single and combination therapies.
Main Results:
- ErbB/HER-targeted agents have demonstrated effectiveness in improving treatment efficacy, reducing drug resistance, and lowering systemic toxicity.
- Multiple ErbB/HER-targeted agents have received FDA approval and are used in global clinical trials.
- Combination therapies, including immunotherapy and chemotherapy, enhance the therapeutic effects of ErbB/HER-targeted agents.
Conclusions:
- ErbB/HER-targeted therapeutics, both as single agents and in combination, represent promising strategies for improving cancer treatment.
- Continued research into drug design and development is crucial for optimizing selectivity and efficacy.
- These targeted approaches hold significant potential to transform cancer care and improve patient outcomes.
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