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Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
Receptor tyrosine kinase inhibitors as potent weapons in war against cancers
P Sapra Sharma1, R Sharma, T Tyagi
1Department of Chemistry, C.S.S.S. (P. G.) College, Machhra, Meerut, Uttar Pradesh, India. poojasapra.sharma@gmail.com
Abstract:
Receptor Tyrosine Kinases class I (RTK class I, EGF receptor family) constitute a family of transmembrane proteins involved in various aspects of cell growth and survival and have been implicated in the initiation and progression of several types of human malignancies. Activation of EGFR may be because of overexpression, mutations resulting in constitutive activation, or autocrine expression of ligand. In contrast, activation of HER2 occurs mainly by overexpression, which leads to spontaneous homodimerization and activation of downstream signaling events in a ligand-independent manner. EGFR and HER2 have now been validated as a clinically relevant target, and several different types of agents inhibiting these receptors are currently in development. The EGFR inhibitors Erlotinib, Gefitinib, and Cetuximab have undergone extensive clinical testing and have established clinical activity in non small cell lung cancer (NSCLS) and other types of solid tumors. Several of the other erbB inhibitors are also undergoing advanced clinical testing, either alone or in combination with other agents. This review reports various inhibitors, natural, small molecules and monoclonal antibodies, along with their reported activities for various members of erbB family. It will highlight the potential for the development of novel anti-cancer molecules.
Insights
Receptor Tyrosine Kinases class I (RTK class I) are key in cancer. This review covers natural compounds, small molecules, and antibodies targeting RTK class I members like EGFR and HER2 for novel anti-cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Receptor Tyrosine Kinases class I (RTK class I), also known as the EGF receptor family, are crucial transmembrane proteins regulating cell growth and survival.
- Dysregulation of RTK class I, including EGFR and HER2, is implicated in the development and progression of various human cancers.
- EGFR activation can result from overexpression, activating mutations, or ligand autocrine expression, while HER2 activation primarily stems from overexpression, leading to ligand-independent signaling.
Purpose of the Study:
- To review various inhibitors targeting members of the ErbB family, including RTK class I.
- To highlight the therapeutic potential of natural compounds, small molecules, and monoclonal antibodies against these receptors.
- To explore the development of novel anti-cancer molecules targeting RTK class I.
Main Methods:
- Literature review of inhibitors targeting RTK class I members (EGFR, HER2).
- Analysis of reported activities of natural compounds, small molecules, and monoclonal antibodies.
- Examination of clinical data for established and investigational ErbB inhibitors.
Main Results:
- EGFR and HER2 are validated clinical targets in oncology.
- Several EGFR inhibitors (Erlotinib, Gefitinib, Cetuximab) demonstrate clinical activity in non-small cell lung cancer and other solid tumors.
- Numerous ErbB inhibitors are in advanced clinical trials, individually or in combination therapies.
Conclusions:
- Targeted inhibition of RTK class I, particularly EGFR and HER2, represents a promising strategy in cancer therapy.
- A diverse range of inhibitors, including natural products and synthetic agents, show potential against ErbB family members.
- Further development of novel anti-cancer molecules targeting RTK class I holds significant promise for improved cancer treatment outcomes.
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