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Targeting the epidermal growth factor receptor in solid tumor malignancies
Mette K Nedergaard1, Chris J Hedegaard, Hans S Poulsen
1Department of Radiation Biology, Finsencenter, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Abstract:
The epidermal growth factor receptor (EGFR) is over-expressed, as well as mutated, in many types of cancers. In particular, the EGFR variant type III mutant (EGFRvIII) has attracted much attention as it is frequently and exclusively found on many tumor cells, and hence both EGFR and EGFRvIII have been proposed as valid targets in many cancer therapy settings. Different strategies have been developed in order to either inhibit EGFR/EGFRvIII activity or to ablate EGFR/EGFRvIII-positive tumor cells. Drugs that inhibit these receptors include monoclonal antibodies (mAbs) that bind to the extracellular part of EGFR, blocking the binding sites for the EGFR ligands, and intracellular tyrosine kinase inhibitors (TKIs) that block the ATP binding site of the tyrosine kinase domain. Besides an EGFRvIII-targeted vaccine, conjugated anti-EGFR mAbs have been used in different settings to deliver lethal agents to the EGFR/EGFRvIII-positive cells; among these are radio-labelled mAbs and immunotoxins. This article reviews the current status and efficacy of EGFR/EGFRvIII-targeted therapies.
Insights
Epidermal growth factor receptor (EGFR) and its variant EGFRvIII are key cancer targets. Therapies reviewed include antibodies and tyrosine kinase inhibitors to block receptor activity or eliminate tumor cells.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) is over-expressed and mutated in various cancers.
- EGFR variant type III (EGFRvIII) is exclusively found on tumor cells, making it a promising therapeutic target.
Purpose of the Study:
- To review the current status and efficacy of targeted therapies against EGFR and EGFRvIII.
- To discuss strategies for inhibiting EGFR/EGFRvIII activity and ablating EGFR/EGFRvIII-positive tumor cells.
Main Methods:
- Review of therapeutic strategies including monoclonal antibodies (mAbs) and tyrosine kinase inhibitors (TKIs).
- Discussion of targeted vaccines, radio-labelled mAbs, and immunotoxins for delivering lethal agents.
Main Results:
- EGFR-targeted therapies include mAbs that block ligand binding and TKIs that inhibit intracellular kinase activity.
- Conjugated anti-EGFR mAbs are utilized to deliver cytotoxic agents, such as radio-labeled mAbs and immunotoxins, to tumor cells.
Conclusions:
- EGFR and EGFRvIII are validated targets in cancer therapy.
- Various therapeutic approaches show promise in inhibiting receptor activity and eradicating tumors.
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