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Updated: Jul 14, 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
EGFR-T790M is a rare lung cancer susceptibility allele with enhanced kinase activity
Haris Vikis1, Mitsuo Sato, Michael James
1Washington University, St. Louis, Missouri, USA.
Abstract:
The use of tyrosine kinase inhibitors (TKI) has yielded great success in treatment of lung adenocarcinomas. However, patients who develop resistance to TKI treatment often acquire a somatic resistance mutation (T790M) located in the catalytic cleft of the epidermal growth factor receptor (EGFR) enzyme. Recently, a report describing EGFR-T790M as a germ-line mutation suggested that this mutation may be associated with inherited susceptibility to lung cancer. Contrary to previous reports, our analysis indicates that the T790M mutation confers increased Y992 and Y1068 phosphorylation levels. In a human bronchial epithelial cell line, overexpression of EGFR-T790M displayed a growth advantage over wild-type (WT) EGFR. We also screened 237 lung cancer family probands, in addition to 45 bronchoalveolar tumors, and found that none of them contained the EGFR-T790M mutation. Our observations show that EGFR-T790M provides a proliferative advantage with respect to WT EGFR and suggest that the enhanced kinase activity of this mutant is the basis for rare cases of inherited susceptibility to lung cancer.
Insights
The T790M mutation in epidermal growth factor receptor (EGFR) enhances its kinase activity, promoting cell proliferation. This finding suggests EGFR-T790M may rarely contribute to inherited lung cancer susceptibility.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Tyrosine kinase inhibitors (TKIs) are effective for lung adenocarcinoma but resistance often develops.
- Acquired resistance is frequently linked to the T790M mutation in the epidermal growth factor receptor (EGFR).
- A prior report suggested EGFR-T790M as a germline mutation associated with inherited lung cancer risk.
Purpose of the Study:
- To investigate the functional impact of the EGFR-T790M mutation.
- To determine if EGFR-T790M is associated with inherited susceptibility to lung cancer.
Main Methods:
- Analysis of EGFR-T790M phosphorylation levels.
- Overexpression of EGFR-T790M in a human bronchial epithelial cell line.
- Screening of lung cancer family probands and bronchoalveolar tumors for the EGFR-T790M mutation.
Main Results:
- The T790M mutation increases EGFR phosphorylation at Y992 and Y1068.
- EGFR-T790M overexpression confers a growth advantage over wild-type EGFR.
- The EGFR-T790M mutation was not detected in screened lung cancer families or tumors.
Conclusions:
- EGFR-T790M exhibits enhanced kinase activity and promotes cell proliferation.
- The study contradicts previous findings regarding EGFR-T790M as a common germline mutation.
- EGFR-T790M's proliferative advantage suggests a potential role in rare instances of inherited lung cancer risk.
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