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Old 07-19-2013, 09:16 PM   #1
'lizbeth
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Her2 Dimerization, a refresher of oncogenic signaling

http://www.biooncology.com/research-...-dimerization/

HER2 dimerization: a key component of oncogenic signaling in HER2+ breast cancer

The HER family

The HER family is composed of 4 receptor tyrosine kinases that must pair, or dimerize, to activate downstream signaling1:
  • EGFR (HER1)
  • HER2
  • HER3
  • HER4
The role of dimerization in HER2+ disease

Preclinical studies indicate that HER dimerization, or receptor pairing, is a critical step in HER activation.1 While the receptors of the HER family are important mediators of normal cell growth and development, HER activation has also been implicated in cancer development and progression.10
In normal cell growth, dimerization is an essential requirement of HER functionality and signaling, and it occurs between 2 of the same receptors (homodimerization) or 2 different receptors (heterodimerization).1
However, in HER2+ disease, HER2 overexpression is associated with excessive dimerization that contributes to cell survival, cell proliferation, and tumorigenesis.6
The HER family of receptors.
Ligand binding and HER activation

Each HER family receptor has 3 domains: the extracellular, transmembrane, and intracellular domains, all of which are necessary for receptor activation and intracellular signaling. In order to activate downstream signaling, receptors must dimerize utilizing the dimerization sub-domain (known as sub-domain II) located on the extracellular domain of the receptor.10
EGFR (HER1), HER3, and HER4 naturally exist in a “closed” conformation. In the closed position, the dimerization sub-domain (sub-domain II) is hidden or inaccessible, and as a result, the receptor is unable to form dimers. Ligand binding to these receptors leads to a conformational change, exposing sub-domain II and enabling the receptor to dimerize and initiate downstream signaling. HER2 is the only receptor in the HER family that exists in a continuously open conformation ready to dimerize without the need for ligand binding.3,11
HER2 dimerization: critical for tumor growth

When HER family members dimerize, the intracellular domains of the paired receptors are phosphorylated, resulting in the activation of cell proliferation and cell survival pathways.12
In HER2+ disease, the overexpression of HER2 is associated with overactive HER2 dimerization, abnormal signaling, and ultimately tumor growth.6
Dimerization: an important driver of oncogenic signaling

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Diagnosed 2007
Stage IIb Invasive Ductal Carcinoma, Pagets, 3 of 15 positive nodes

Traditional Treatment: Mastectomy and Axillary Node Dissection followed by Taxotere, 6 treatments and 1 year of Herceptin, no radiation
Former Chemo Ninja "Takizi Zukuchiri"

Additional treatments:
GP2 vaccine, San Antonio Med Ctr
Prescriptive Exercise for Cancer Patients
ENERGY Study, UCSD La Jolla

Reconstruction: TRAM flap, partial loss, Revision

The content of my posts are meant for informational purposes only. The medical information is intended for general information only and should not be used in any way to diagnose, treat, cure, or prevent disease
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