 
          HER2 is activated in two different ways
        
        
          
        
        
          Overexpression:
        
        
          o
        
        
          Arising from gene amplification which results in
        
        
          constitutive activation of HER2 (ligand independent)
        
        
          o
        
        
          Antagonized by trastuzumab
        
        
          
        
        
          Co-receptor:
        
        
          o
        
        
          For other HER family members especially HER3
        
        
          (ligand dependent)
        
        
          o
        
        
          Antagonized by pertuzumab