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A Combined 3D Tissue Engineered In Vitro/In Silico Lung Tumor Model for Predicting Drug Effectiveness in Specific Mutational Backgrounds
Published on: April 6, 2016
Epidermal growth factor receptor as a target to improve treatment of lung cancer
Nicolaus H Andratschke1, Klaus H Dittmann, Kathryn A Mason
1Department of Experimental Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston 77030, USA.
Abstract:
Despite considerable efforts to reduce tobacco use, lung cancer remains the most common cancer in both men and women. Recent advances in radiation therapy and chemotherapy for lung cancer have yielded encouraging results, but survival in patients with locally advanced non-small-cell lung cancer (NSCLC) remains poor. As more and more molecular changes and their importance in malignant tissues continue to be characterized, approaches to target those aberrant pathways are being actively explored. The epidermal growth factor receptor (EGFR) is commonly overexpressed in NSCLC, particularly squamous cell carcinoma, and has been implicated in the development and progression of this disease, although a clear correlation with prognosis has not been established. Several different strategies have been developed to target and block the EGFR and its downstream effects, and some of them have been intensively studied in preclinical and clinical studies as a single-agent approach or in combination with radiation therapy or chemotherapy. In this article, we review the role of EGFR in lung cancer, as well as preclinical and clinical data on strategies to interfere with EGFR signaling alone or in combination with chemotherapy, radiation, or both.
Insights
Targeting the epidermal growth factor receptor (EGFR) shows promise for improving outcomes in non-small-cell lung cancer (NSCLC). Research explores blocking EGFR signaling alone or with chemotherapy and radiation for better lung cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Lung cancer remains a leading cause of cancer death globally.
- Locally advanced non-small-cell lung cancer (NSCLC) still has poor patient survival rates despite treatment advances.
- Aberrant molecular pathways are increasingly targeted for cancer therapy.
Purpose of the Study:
- To review the role of epidermal growth factor receptor (EGFR) in lung cancer development and progression.
- To summarize preclinical and clinical data on strategies targeting EGFR signaling in NSCLC.
- To evaluate EGFR-targeted therapies as single agents or in combination with chemotherapy and/or radiation.
Main Methods:
- Review of existing literature on EGFR in lung cancer.
- Analysis of preclinical studies investigating EGFR inhibitors.
- Examination of clinical trial data for EGFR-targeted therapies in NSCLC.
Main Results:
- Epidermal growth factor receptor (EGFR) is frequently overexpressed in NSCLC, especially squamous cell carcinoma.
- Various strategies to block EGFR signaling have been developed and studied.
- Combinations of EGFR inhibitors with chemotherapy or radiation are under investigation.
Conclusions:
- Targeting EGFR signaling is a key area of research for NSCLC treatment.
- Further investigation into EGFR-targeted therapies, alone or in combination, is warranted.
- These approaches may offer improved survival for patients with locally advanced NSCLC.
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