Signaling cross-talk in the resistance to HER family receptor targeted therapy
H Yamaguchi1, S-S Chang2, J L Hsu3
1Department of Molecular and Cellular Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Abstract:
Epidermal growth factor receptor (EGFR) and human EGFR 2 (HER2) have an important role in the initiation and progression of various types of cancer. Inhibitors targeting these receptor tyrosine kinases are some of the most successful targeted anticancer drugs widely used for cancer treatment; however, cancer cells have mechanisms of intrinsic and acquired drug resistance that pose as major obstacles in drug efficacy. Extensive studies from both clinical and laboratory research have identified several molecular mechanisms underlying resistance. Among them is the role of signaling cross-talk between the EGFR/HER2 and other signaling pathways. In this review, we focus particularly on this signaling cross-talk at the receptor, mediator and effector levels, and further discuss alternative approaches to overcome resistance. In addition to well-recognized signaling cross-talk involved in the resistance, we also introduce the cross-talk between EGFR/HER2-mediated pathways and pathways triggered by other types of receptors, including those of the Notch, Wnt and TNFR/IKK/NF-κB pathways, and discuss the potential role of targeting this cross-talk to sensitize cells to EGFR/HER2 inhibitors.
Insights
Targeting cancer growth pathways like epidermal growth factor receptor (EGFR) and human EGFR 2 (HER2) is effective, but drug resistance emerges. Understanding signaling cross-talk is key to overcoming this resistance and improving cancer treatments.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) and human EGFR 2 (HER2) are crucial in cancer initiation and progression.
- Targeted therapies inhibiting EGFR/HER2 are vital in cancer treatment but face significant drug resistance.
- Molecular mechanisms, particularly signaling cross-talk, underlie both intrinsic and acquired resistance to these therapies.
Purpose of the Study:
- To review signaling cross-talk mechanisms contributing to resistance against EGFR/HER2 inhibitors.
- To explore cross-talk at receptor, mediator, and effector levels.
- To discuss strategies for overcoming resistance by targeting these cross-talk pathways.
Main Methods:
- Literature review focusing on molecular mechanisms of resistance to EGFR/HER2 inhibitors.
- Analysis of signaling cross-talk at various molecular levels.
- Identification of potential therapeutic strategies targeting cross-talk pathways.
Main Results:
- Signaling cross-talk between EGFR/HER2 and other pathways is a major driver of drug resistance.
- Cross-talk occurs at receptor, mediator, and effector levels, involving pathways like Notch, Wnt, and TNFR/IKK/NF-κB.
- These cross-talk networks represent potential targets for resensitizing cancer cells to EGFR/HER2 inhibitors.
Conclusions:
- Understanding signaling cross-talk is essential for developing strategies to overcome resistance to EGFR/HER2 targeted therapies.
- Targeting cross-talk pathways, including those involving Notch, Wnt, and TNFR/IKK/NF-κB, offers a promising approach to enhance drug efficacy.
- Further research into these complex signaling networks can lead to improved cancer treatment outcomes.
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