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Published on: October 27, 2014
EGFRvIII as a promising target for antibody-based brain tumor therapy
C T Kuan1, C J Wikstrand, D D Bigner
1Department of Pathology, Duke University Medical Center, Durham, NC 27710, USA.
Abstract:
Cell surface receptors are attractive candidates for targeted therapy of cancer. Growth factors and their receptors play important roles in the regulation of cell division, development, and differentiation. Among those, the epidermal growth factor receptor (EGFR) was the first identified to be amplified and/or rearranged in malignant gliomas. The most common rearranged form, EGFR type III variant (EGFRvIII), has a deletion in its extracellular domain that results in the formation of a new, tumor-specific target found in glioblastoma multiforme, as well as in breast, ovarian, prostate, and lung carcinomas. Monoclonal antibodies have been developed with specific activity against this mutant receptor. These antibodies are internalized into the cell after receptor binding. Specific antibodies, either unarmed or armed with cytotoxic agents, including radioisotopes and toxins, have shown a promising role for EGFRvIII as a target for brain tumor therapy.
Insights
Targeting the epidermal growth factor receptor variant III (EGFRvIII) offers a promising strategy for brain tumor therapy. Monoclonal antibodies against this tumor-specific target show potential for treating glioblastoma and other cancers.
Area of Science:
- Oncology
- Molecular Biology
- Immunotherapy
Background:
- Cell surface receptors are crucial for cell signaling and are key targets in cancer therapy.
- Epidermal Growth Factor Receptor (EGFR) is implicated in various cancers, with specific variants driving tumor growth.
- EGFR variant III (EGFRvIII) is a tumor-specific mutation found in glioblastoma and other carcinomas.
Purpose of the Study:
- To explore the therapeutic potential of targeting the EGFRvIII mutation in cancer treatment.
- To evaluate monoclonal antibodies designed to specifically bind and internalize upon engaging EGFRvIII.
Main Methods:
- Development of monoclonal antibodies with high specificity for the EGFRvIII variant.
- Investigating antibody internalization post-receptor binding.
- Assessing the efficacy of armed (cytotoxic agents) and unarmed antibodies in preclinical models.
Main Results:
- EGFRvIII presents a unique target due to its presence in glioblastoma and other solid tumors.
- Monoclonal antibodies targeting EGFRvIII are effectively internalized into cancer cells.
- Both armed and unarmed antibodies demonstrate promising therapeutic potential against EGFRvIII-expressing tumors.
Conclusions:
- EGFRvIII is a viable and specific target for novel cancer therapies.
- Antibody-mediated targeting of EGFRvIII holds significant promise for glioblastoma treatment.
- Further development of EGFRvIII-targeted therapies, including antibody-drug conjugates, is warranted.
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