Gefitinib--a novel targeted approach to treating cancer

Roy S Herbst1, Masahiro Fukuoka, José Baselga

  • 1Roy S. Herbst is at the Department of Thoracic/Head and Neck Medical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 432, Houston, Texas 77030, USA. rherbst@mdanderson.org

Nature Reviews. Cancer
|December 2, 2004
PubMed

Insights

Gefitinib, an epidermal growth factor receptor (EGFR) inhibitor, is approved for advanced non-small-cell lung cancer. Research shows its potential for other solid tumors and deepens understanding of EGFR signaling in cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Epidermal growth factor receptor (EGFR) is a key target in cancer therapy.
  • Gefitinib (Iressa) is an approved EGFR inhibitor for non-small-cell lung cancer.
  • EGFR signaling plays a crucial role in various solid tumor types.

Purpose of the Study:

  • To review the role of gefitinib in cancer treatment.
  • To highlight advances in understanding EGFR biology and signaling pathways.
  • To explore the potential of gefitinib in treating EGFR-dependent tumors.

Main Methods:

  • Literature review of gefitinib's clinical applications and biological studies.
  • Analysis of EGFR signaling pathways in various cancer models.
  • Clinical data evaluation for gefitinib efficacy in non-small-cell lung cancer and other solid tumors.

Main Results:

  • Gefitinib is approved for advanced non-small-cell lung cancer globally.
  • Studies suggest gefitinib's efficacy in other solid tumors.
  • Research has expanded knowledge of EGFR biology and tumor dependency.

Conclusions:

  • Gefitinib represents a significant advancement in targeted cancer therapy.
  • Understanding EGFR signaling is critical for identifying responsive tumors.
  • Further investigation into gefitinib and EGFR-dependent cancers is warranted.

Related Concept Videos

Inhibition of Cdk Activity02:34

Inhibition of Cdk Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...