National Cancer Institute, www.cancer.gov
The Nation's Progress in Cancer Research: An Annual Report for 2003
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HER2 RECEPTOR SHAPE ENCOURAGES TUMOR GROWTH

The family of proteins that serves as receptors for epidermal growth factor (EGF) is often involved with the aggressive growth and spread of a variety of cancers. The proteins sit in the cell membrane, with a portion jutting outside the cell to connect with growth factors or other chemicals, and a portion inside the cell to stimulate biochemical reactions caused by those external connections. They are named EGFR or HER1, and HER2, HER3, and HER4. Herceptin®, a drug that is effective against certain aggressive forms of breast cancer, targets the receptor called HER2.


 
Using a combination of techniques, including x-ray crystallography, Daniel Leahy, Ph.D., a Howard Hughes Medical Institute investigator at the Johns Hopkins University School of Medicine, and colleagues have determined the extracellular structure of several of these receptors, answering some fundamental questions about how the receptors operate. These structures suggest new approaches for interfering with their signals and may lead to the design of novel anticancer agents.

EGF receptors have a unique arm that remains folded when the receptor is inactive. The arm pivots open in a dramatic rearrangement when growth factors come to bind with it. The one receptor that stands out as different is HER2, which has its coupling arm always exposed, ready for action.

Over the past two years, groups in the United States, Japan, and Australia solved the crystal structures of different segments of these receptors. The groups came together to write a review article in September 2003, and "the picture that emerged was really very exciting," Leahy says. "The review was needed to fit all the puzzle pieces into the big picture."

Today, they have seven different crystal structures, with distinct arrangements of the receptor domains, representing snapshots of both inactive and activated configurations. This wealth of data has revolutionized the view of how HER receptors are regulated.

"This explains a lot about HER2's unique properties," says Leahy. "It explains how HER2 is so promiscuous - readily partnering with each of the other EGF receptors - because it's always in the open state." When HER2 acts as a coreceptor to the other activated EGF receptors, growth signals are invariably enhanced, which likely underlies its role in several human cancers, he added.

Using the new information about the receptors' structures, researchers have begun work on new drugs that they hope will be more widely effective than Herceptin because they directly block the signaling between HER2 and its sister receptors.


Burgess AW, Cho HS, Eigenbrot C, Ferguson KM, Garrett TP, Leahy DJ, Lemmon MA, Sliwkowski MX, Ward CW, Yokoyama S. An open-and-shut case? Recent insights into the activation of EGF/ErbB receptors. Molecular Cell, September 2003; 12(3):541-552.

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