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Updated: Jul 17, 2026

Establishing Dual Resistance to EGFR-TKI and MET-TKI in Lung Adenocarcinoma Cells In Vitro with a 2-step Dose-escalation Procedure
Published on: August 11, 2017
Growth factor receptor interplay and resistance in cancer
Helen E Jones1, Julia M W Gee, Iain R Hutcheson
1Tenovus Centre for Cancer Research, Welsh School of Pharmacy, Redwood Building, Cardiff University, King Edward VII Avenue, Cardiff CF10 3XF, UK. joneshe1@cardiff.ac.uk
Abstract:
Aberrant signalling through the epidermal growth factor receptor (EGFR) plays a major role in the progression and maintenance of the malignant phenotype and the receptor is therefore a rational anti-cancer target. A variety of approaches have been developed to specifically target the EGFR which include monoclonal antibodies and small molecule tyrosine kinase inhibitors, such as gefitinib (Iressa). However, the recent clinical experience across a range of cancer types is revealing that despite the anti-EGFR agents demonstrating some anti-tumour activity, there is a high level of de novo and acquired resistance to such treatments and moreover, overexpression of the EGFR is clearly not the sole determinant of response to such therapies. Such adverse phenomena, which serve to limit the overall therapeutic impact of these new agents, implies the existence of a greater complexity involved in the regulation of EGFR signalling than was previously assumed. Indeed, evidence is accumulating which demonstrates that signalling interplay occurs between the EGFR, and the IGF-1 receptor (IGF-1R) and the review will focus on the emerging concept of growth factor pathway switching between these two receptors as a means of influencing the effectiveness of anti-EGFR agents such as gefitinib.
Insights
Aberrant epidermal growth factor receptor (EGFR) signaling drives cancer. Resistance to EGFR-targeted therapies like gefitinib suggests complex signaling interplay, particularly with the IGF-1 receptor (IGF-1R).
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Aberrant epidermal growth factor receptor (EGFR) signaling is crucial for cancer progression.
- Targeting EGFR with agents like gefitinib is a key anti-cancer strategy.
- Clinical resistance to EGFR inhibitors is a significant challenge, indicating complex regulatory mechanisms.
Purpose of the Study:
- To review the emerging concept of growth factor pathway switching.
- To explore the interplay between EGFR and IGF-1 receptor (IGF-1R) signaling.
- To understand how this interplay influences resistance to anti-EGFR therapies.
Main Methods:
- Literature review focusing on EGFR and IGF-1R signaling pathways.
- Analysis of clinical data regarding resistance to EGFR inhibitors.
- Examination of preclinical studies investigating pathway crosstalk.
Main Results:
- EGFR signaling is complex and not solely regulated by receptor overexpression.
- Signaling interplay between EGFR and IGF-1R contributes to therapeutic resistance.
- Pathway switching between EGFR and IGF-1R is an emerging mechanism influencing treatment efficacy.
Conclusions:
- Resistance to anti-EGFR therapies is multifactorial, involving complex signaling networks.
- Understanding the EGFR-IGF-1R axis is critical for overcoming treatment resistance.
- Targeting pathway switching may offer novel therapeutic strategies against cancer.
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