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Published on: December 26, 2016
Growth factors and their receptors: new targets for prostate cancer therapy
J Barton1, G Blackledge, A Wakeling
1AstraZeneca Pharmaceuticals, Alderley Park, Macclesfield, Cheshire, United Kingdom.
Abstract:
Stimulation of the signal transduction pathway of the epidermal growth-factor receptor (EGFR) tyrosine kinase family of receptors in tumor cells enhances cellular proliferation, prevents apoptosis, and promotes tumor-cell mobility, adhesion, and invasion. Therapeutic approaches used to target the EGFR and its signal transduction cascade include (1) monoclonal antibodies (eg, cetuximab [IMC-C225]) directed against the extracellular binding domain of the receptor; and (2) trastuzumab, a monoclonal antibody binding to the HER2 receptor; immunotoxin conjugates use an antibody directed against EGFR joined to a cell toxin. All are in clinical trials for a number of cancers, including prostate cancer. Antisense strategies are in preclinical development. Low-molecular-weight inhibitors of the EGFR tyrosine kinase also in clinical development include OSI-774, PD182905, PKI-166, CI-1033, and ZD1839. ZD1839 has shown encouraging results in patients with prostate cancer in phase 1 trials. mn
Insights
Targeting the epidermal growth-factor receptor (EGFR) pathway shows promise for cancer treatment. Therapies like monoclonal antibodies and small-molecule inhibitors are advancing in clinical trials, with some showing encouraging results for prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The epidermal growth-factor receptor (EGFR) pathway is crucial for tumor cell proliferation, survival, and metastasis.
- Dysregulation of EGFR signaling is implicated in various cancers, including prostate cancer.
Purpose of the Study:
- To review current therapeutic strategies targeting the EGFR signaling pathway.
- To highlight the clinical development of agents aimed at inhibiting EGFR in cancer treatment.
Main Methods:
- Review of therapeutic approaches including monoclonal antibodies, immunotoxin conjugates, antisense strategies, and small-molecule tyrosine kinase inhibitors.
- Summary of agents in clinical and preclinical development, such as cetuximab, trastuzumab, and ZD1839.
Main Results:
- Monoclonal antibodies and immunotoxins targeting EGFR are in clinical trials for various cancers.
- Small-molecule EGFR tyrosine kinase inhibitors, including ZD1839, are in clinical development.
- ZD1839 has demonstrated encouraging results in early-phase trials for prostate cancer patients.
Conclusions:
- Targeting the EGFR pathway represents a significant therapeutic strategy in oncology.
- Multiple drug classes are being investigated, showing potential for treating EGFR-driven cancers.
- Further clinical evaluation is warranted for these novel therapeutic agents.
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