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Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
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Targeted Cancer Therapies02:57

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Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

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Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
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Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase01:11

Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

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Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
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Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists01:18

Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists

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Endothelins (ETs) are potent vasoactive peptides critical in the human body's various physiological and pathological processes. One of the most promising therapeutic strategies for treating pulmonary arterial hypertension (PAH) involves counteracting the effects of these endothelins using a class of drugs known as endothelin receptor antagonists.
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
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Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers01:26

Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers

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Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
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Establishment and Characterization of Three Afatinib-resistant Lung Adenocarcinoma PC-9 Cell Lines Developed with Increasing Doses of Afatinib
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Recent progress on third generation covalent EGFR inhibitors.

Hengmiao Cheng1, Sajiv K Nair1, Brion W Murray2

  • 1Oncology Medicinal Chemistry, La Jolla Laboratories, Pfizer Worldwide Research and Development, 10770 Science Center Drive, San Diego, CA 92121, United States.

Bioorganic & Medicinal Chemistry Letters
|March 13, 2016
PubMed
Summary

First-generation EGFR inhibitors are effective for NSCLC with specific mutations but lead to resistance. Third-generation inhibitors target resistance mutations like T790M, offering new treatment options.

Keywords:
Covalent inhibitorDrug resistanceEGFRLung cancerNSCLCOncogenic mutationSBDDT790M

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Establishing Dual Resistance to EGFR-TKI and MET-TKI in Lung Adenocarcinoma Cells In Vitro with a 2-step Dose-escalation Procedure
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Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
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Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
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Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids

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Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • First-generation EGFR inhibitors (gefitinib, erlotinib) show efficacy in NSCLC with EGFR mutations (L858R, exon 19 deletions).
  • Drug resistance, often due to the EGFR-T790M mutation, limits long-term treatment success in approximately 60% of patients.

Purpose of the Study:

  • To review third-generation covalent EGFR inhibitors for NSCLC treatment.
  • To discuss novel drug discovery methodologies for these advanced inhibitors.

Main Methods:

  • Literature review of clinical trials involving third-generation EGFR inhibitors.
  • Analysis of drug discovery approaches for novel covalent EGFR inhibitors.

Main Results:

  • Third-generation covalent EGFR inhibitors exhibit high potency against T790M mutants.
  • These inhibitors demonstrate selectivity over wild-type (WT) EGFR, minimizing off-target effects.

Conclusions:

  • Third-generation EGFR inhibitors represent a promising therapeutic strategy for NSCLC patients with T790M-mediated resistance.
  • Ongoing research and novel discovery methods are crucial for developing next-generation EGFR-targeted therapies.