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The ERBB3 gene, part of the epidermal growth factor receptor family, is located on chromosome 12q13 and encodes the ERBB3 protein, also known as HER3. During embryonic development, ERBB3 is expressed extensively in tissues such as the skin, bone, muscles, nervous system, heart, lungs, and intestinal epithelium. As individuals mature, this expression continues to be important in the gastrointestinal tract, reproductive system, urinary tract, and skin, underscoring its role in both development and physiological maintenance.
ERBB3 is constructed with an extracellular ligand-binding domain, a transmembrane segment, and an intracellular domain. The extracellular domain is crucial for ligand interaction, while the intracellular domain contains regions necessary for protein-protein interaction and signal transduction, though it is unique in the ErbB family for lacking intrinsic tyrosine kinase activity. Instead, ERBB3 relies on heterodimerizing with ERBB2, allowing the complex to activate multiple downstream signaling pathways that influence cell survival and proliferation.
Figure 1. Schematic diagram of HER3 structural changes and activation. (Gandullo-Sánchez L, et al., 2022)
Like with heregulin and neuregulins, ligand binding predominantly turns on ERBB3. This alters the structure to facilitate two ERBBs joining together. This dimerization is a major activator of the PI3K/Akt pathway—important for cell growth and survival—when ERBB3 or ERBB2 levels are too high. It also contributes to cancer signaling.
ERBB3 helps the brain grow and develop through neural crest derivatives such as Schwann cells differentiating when the body's regular processes occur. It also enables the heart to develop and mature, particularly concerning producing the atrioventricular valves. By altering pathways like MAPK and PI3K, ERBB3 helps regulate cell growth, motility, and death. This indicates that it participates in significant biological activities outside of cancer.
Common in many cancers, including lung, breast, ovarian, and colon cancer, ERBB3 rise is Strong signaling complexes produced by ERBB2 interaction that enable cells to proliferate and survive, hence promoting cancer spread and growth. Curiously, ERBB3 lacks self-phosphorylation capacity but operates via contacts enabling transphosphorylation. These provide powerful signals encouraging cancer development.
ERBB3 has been connected to cancer cells failing to react to several kinds of therapy. Specifically, in breast tumors that are positive for HER2, ERBB3 activates alternative survival pathways, primarily PI3K/Akt, allowing the malignancy to evade therapies aimed at HER2. Similar mechanisms are seen in lung cancer, where ERBB3 involvement reduces the efficacy of EGFR medications. This emphasizes how crucial the protein is in the capacity of cancer to alter.
Different techniques are used to alter how ERBB3 functions as it is significant in cancer biology; mostly monoclonal antibodies and bispecific antibodies. Monoclonal antibodies aimed at ERBB3 may prevent dimerization, hence preventing cancer signaling by preventing ligand binding. Most of them, meanwhile, have not performed very well on their own, which is why scientists are investigating combination therapies or novel forms including bispecific antibodies, which simultaneously target ERBB3 and other EGFR family members.
A novel approach to target ERBB3 is via ADCs, which are mixes of antibodies and medications. These conjugates deliver the medications straight to cancer cells by linking pharmaceuticals that kill cells to antibodies that target ERBB3, hence minimizing adverse effects and circumventing the issues resulting from ERBB3 being kinase-dead. Currently undergoing clinical trials, these therapies show early promise in reducing tumors and improving patient outcomes.
Continuing to develop ERBB3-targeting strategies could provide very beneficial drugs for cancer treatment. New therapies may be developed to make them more focused and combat cancer resistance to them as more is known about how ERBB3 interacts with other molecules and how it delivers signals. Combining ERBB3-targeted medications, tailored medicine, and immunotherapy could provide improved approaches to managing resistant cancer types, which would finally improve patient outcomes.
All things considered, ERBB3 is a complicated and significant protein that enables cell communication and supports cancer development. Learning more about how it interacts with other receptors might help researchers create novel therapies that could alter the treatment of cancer and enable more people to live. ERBB3 will remain a subject of research aimed at addressing some of the most challenging current cancer issues as we know more.
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