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| Gene | ERBB4 |
| Variant | M993I |
| Impact List | missense |
| Protein Effect | gain of function - predicted |
| Gene Variant Descriptions | ERBB4 M993I lies within the cytoplasmic domain of the Erbb4 protein (UniProt.org). M993I results in anchorage-independent growth in the presence of ligand but similar phosphorylation to wild-type Erbb4 in culture (PMID: 36860695), and therefore, is predicted to lead to a gain of Erbb4 protein function. |
| Associated Drug Resistance | |
| Category Variants Paths |
ERBB4 mutant ERBB4 act mut ERBB4 M993I |
| Transcript | NM_005235.3 |
| gDNA | chr2:g.211420597C>G |
| cDNA | c.2979G>C |
| Protein | p.M993I |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_001042599.1 | chr2:g.211420597C>G | c.2979G>C | p.M993I | RefSeq | GRCh38/hg38 |
| XM_017003580.2 | chr2:g.211422040C>G | c.2979G>C | p.M993I | RefSeq | GRCh38/hg38 |
| XM_017003580.3 | chr2:g.211422040C>G | c.2979G>C | p.M993I | RefSeq | GRCh38/hg38 |
| NM_005235.3 | chr2:g.211420597C>G | c.2979G>C | p.M993I | RefSeq | GRCh38/hg38 |
| NM_005235.2 | chr2:g.211420597C>G | c.2979G>C | p.M993I | RefSeq | GRCh38/hg38 |
| NM_001042599.1 | chr2:g.211420597C>G | c.2979G>C | p.M993I | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| ERBB4 act mut | Advanced Solid Tumor | no benefit | Neratinib + Trametinib | Phase I | Actionable | In a Phase I trial, treatment with the combination of Nerlynx (neratinib) and Mekinist (trametinib) demonstrated toxicity and limited efficacy in patients with advanced solid tumors harboring EGFR or ERBB2 (HER2) activating mutations or amplification, or activating mutations in ERBB3 (HER3), ERBB4, or KRAS, with a clinical benefit rate of 10% (2/20, 2 stable disease), and a median duration of treatment of 1.8 months (PMID: 37314501; NCT03065387). | 37314501 |
| ERBB4 mutant | lung squamous cell carcinoma | predicted - sensitive | Afatinib | Phase III | Actionable | In a Phase III trial (LUX-Lung 8), secondary analysis demonstrated favorable outcomes with Gilotrif (afatinib) treatment compared to Tarceva (erlotinib) in lung squamous cell carcinoma patients with ERBB (HER) family mutations, and ERBB4 (HER4) mutations predicted an OS (HR=0.22) and PFS (HR=0.21) benefit for Gilotrif (afatinib) over Tarceva (erlotinib) treatment (PMID: 29902295; NCT01523587). | 29902295 |