Effective targeting of the epidermal growth factor receptor (EGFR) for treating oral cancer: a promising approach
Flávia Andressa Pidone Ribeiro1, Juliana Noguti, Celina Tizuko Fujiyama Oshima
1DDS, Department of Biosciences, Federal University of São Paulo - UNIFESP, 11060-001, Santos - SP, Brazil. daribeiro@unifesp.br, daribeiro@pesquisador.cnpq.br.
Abstract:
Oral cancer is a serious problem growing in incidence in many parts of the world; it is considered the sixth most common cancer and despite sophisticated surgical and radiotherapeutic modalities, oral squamous cell carcinoma, which represents 90% of oral cancers, is characterized by poor prognosis and a low survival rate. The Epidermal growth factor receptor family of receptor tyrosine kinases (RTK) comprises of four distinct receptors: the EGFR (also known as ErbB-1/HER1), ErbB-2 (neu, HER2), ErbB-3 (HER3) and ErbB-4 (HER4). Several studies have been published on the role of EGFR in the pathogenesis of oral carcinoma. The aim of the present review is to describe the role of EGFR pathway in oral cancer with special focus on its role during the carcinogenesis process as a result of therapeutic approaches of EGFR in oral cancer. The EGFR is a 170-kDa cell-surface protein involved in many biological processes, such as proliferation, migration, DNA synthesis and adhesion. Overexpression of EGFR results in a poor prognosis in oral cancer and its activation is associated with the malignant phenotype, inhibition of apoptosis and increased metastatic potential. EGFR variations and mutations have been correlated with tumor formation, and possibly alter the therapeutic efficacy of EGFR inhibitors.
Insights
Oral cancer, a growing global health issue, has a poor prognosis. This review details the role of the Epidermal Growth Factor Receptor (EGFR) pathway in oral cancer development and potential therapeutic strategies targeting EGFR.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Oral cancer, particularly oral squamous cell carcinoma, presents a significant global health challenge with high incidence and poor survival rates.
- The Epidermal Growth Factor Receptor (EGFR) family, a group of receptor tyrosine kinases, plays a crucial role in cellular functions.
- EGFR (ErbB-1/HER1) is implicated in the pathogenesis of oral carcinoma, with its overexpression linked to adverse outcomes.
Purpose of the Study:
- To review the role of the EGFR pathway in oral cancer.
- To focus on EGFR's involvement in the carcinogenesis process.
- To discuss therapeutic approaches targeting EGFR in oral cancer.
Main Methods:
- Literature review of studies on EGFR in oral carcinoma.
- Analysis of EGFR's function in biological processes like proliferation and migration.
- Examination of the correlation between EGFR variations, mutations, and tumor formation.
Main Results:
- EGFR overexpression is associated with poor prognosis in oral cancer.
- EGFR activation contributes to the malignant phenotype, inhibits apoptosis, and increases metastatic potential.
- EGFR variations and mutations may influence the effectiveness of EGFR inhibitors.
Conclusions:
- The EGFR pathway is a critical factor in oral cancer development and progression.
- Understanding EGFR's role is essential for developing targeted therapies.
- EGFR inhibitors represent a potential therapeutic avenue for oral cancer treatment.
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