The
ErbB receptor tyrosine kinase family members EGFR (epidermal
growth factor receptor) and Her2 are among the prominent mutated oncogenic
drivers of non-small cell lung cancer (NSCLC). Their importance in
proliferation, apoptosis, and cell death ultimately renders them hot
targets in cancer therapy. Small-molecule tyrosine kinase inhibitors
seem well suited to be tailor-made therapeutics for EGFR mutant NSCLC;
however, drug resistance mutations limit their success. Against this
background, the elucidation and visualization of the three-dimensional
structure of cancer-related kinases provide valuable insights into
their molecular functions. This field has undergone a revolution because
X-ray crystal structure determinations aided structure-based drug
design approaches and clarified the effect of activating and resistance-conferring
mutations. Here, we present an overview of important mutations affecting
EGFR and Her2 and highlight their influence on the kinase domain conformations
and active site accessibility.