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Updated: Jun 25, 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
Targeting the EGFR and the PKB pathway in cancer
Shoshana Klein1, Alexander Levitzki
1Unit of Cellular Signaling, Department of Biological Chemistry, The Hebrew University of Jerusalem, Givat Ram, Jerusalem, Israel. Kleins@cc.huji.ac.il
Abstract:
The EGFR and PKB pathways are frequently activated in cancer, so are prime targets for cancer therapy. To this end, new inhibitors are being tested. EGFR inhibitors as single therapy have little benefit, although therapies that evoke an antitumor immune response are more effective. Resistance mutations within the EGFR are common, as is activation of the antiapoptotic PKB pathway via alternative tyrosine kinase receptors, especially other EGFR family members or IGF1R. To combat resistance, multitargeted EGFR inhibitors and combined inhibition of the EGFR and PKB are being investigated. Inhibition of the EGFR and PKB pathways also sensitizes cancer cells to chemotherapy. Thus, EGFR and PI3K/PKB inhibitors will be most effective when used in rational combinations of targeted inhibitors and traditional chemotherapy.
Insights
Targeting the Epidermal Growth Factor Receptor (EGFR) and Protein Kinase B (PKB) pathways is crucial for cancer therapy. Combining inhibitors with chemotherapy offers a promising strategy to overcome resistance and enhance treatment efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Epidermal Growth Factor Receptor (EGFR) and Protein Kinase B (PKB) pathways are frequently hyperactivated in various cancers.
- These pathways are critical targets for developing novel cancer therapeutics.
- Single-agent EGFR inhibitors show limited efficacy, whereas therapies inducing antitumor immune responses are more effective.
Purpose of the Study:
- To investigate the efficacy of combined EGFR and PKB pathway inhibition in cancer treatment.
- To explore strategies for overcoming resistance mechanisms associated with EGFR inhibitors.
- To evaluate the potential of combined targeted therapy and chemotherapy.
Main Methods:
- Testing novel EGFR inhibitors as single agents and in combination therapies.
- Investigating multitargeted EGFR inhibitors.
- Examining the combined inhibition of EGFR and PKB pathways.
- Assessing the sensitization of cancer cells to chemotherapy through EGFR and PKB inhibition.
Main Results:
- EGFR inhibitors alone provide minimal clinical benefit.
- Resistance mutations in EGFR and activation of the PKB pathway via alternative receptors (e.g., IGF1R) are common challenges.
- Combined inhibition of EGFR and PKB pathways, alongside multitargeted EGFR inhibitors, are under investigation to combat resistance.
- Inhibition of EGFR and PKB pathways sensitizes cancer cells to conventional chemotherapy.
Conclusions:
- Rational combinations of targeted inhibitors and traditional chemotherapy, particularly involving EGFR and PI3K/PKB inhibitors, are essential for effective cancer treatment.
- Combined targeted therapies hold promise for overcoming drug resistance and improving patient outcomes.
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