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Updated: Feb 12, 2026

Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
Published on: November 22, 2021
Targeting EGFR-mediated autophagy as a potential strategy for cancer therapy
Mopa Alina Sooro1, Ni Zhang1, Pinghu Zhang2,3
1Jiangsu Key Laboratory of New Drug Screening, China Pharmaceutical University, Nanjing, 210009, China.
Abstract:
Autophagy is a naturally occurring programed cellular catabolic process stimulated by cellular stress for energy homeostasis maintenance and elimination of harmful substances. It mostly works as pro-survival mechanism but on the other hand deregulation of autophagy has been linked to non-apoptotic cell death known as "type II programed cell death." Emerging evidences indicate that EGFR (epidermal growth factor receptor)-mediated RAS/RAF/MEK/ERK signaling pathway plays a critical role in the induction of autophagy in various tumors. It has further been established that this signaling pathway is also involved in several other anti-proliferative events such as apoptosis and senescence. However, the signaling pathway activity and effects are highly dependent on the cell type and the stimulus. It is currently being evident that autophagy induction by RAS/RAF/MEK/ERK pathway through small molecules may be a potential therapeutic strategy for cancer. However, to our best knowledge, the role of EGFR-mediated RAS/RAF/MEK/ERK signaling pathway in autophagy-mediated cell death and survival have not previously been reviewed. In this review, we discuss the current state of knowledge on how RAS/RAF/MEK/ERK signaling pathway regulates autophagy and the role of this EGFR-mediated autophagy in diseases. We further examine the cross-talk between this EGFR-mediated autophagy and apoptosis as well as how this process is currently being utilized for cancer treatment and suggest promoting autophagy-related cell death by small molecules may be exploited to design better therapeutic strategies for early stage and locally advanced tumors.
Insights
Autophagy, a cellular process, is regulated by the epidermal growth factor receptor (EGFR) pathway. This review explores how EGFR-mediated autophagy impacts cancer cell death and survival, offering therapeutic potential.
Area of Science:
- Cellular Biology
- Molecular Oncology
Background:
- Autophagy is a cellular catabolic process crucial for homeostasis, but its deregulation can lead to non-apoptotic cell death.
- The epidermal growth factor receptor (EGFR) signaling pathway, including RAS/RAF/MEK/ERK, is implicated in tumor autophagy induction and other anti-proliferative events.
- The precise role of EGFR-mediated autophagy in cell death and survival, and its therapeutic implications, require further investigation.
Purpose of the Study:
- To review the current understanding of how the RAS/RAF/MEK/ERK signaling pathway regulates autophagy.
- To examine the role of EGFR-mediated autophagy in various diseases, particularly cancer.
- To explore the interplay between EGFR-mediated autophagy and apoptosis for potential cancer treatment strategies.
Main Methods:
- Literature review of studies on autophagy, EGFR signaling, and cancer.
- Analysis of the cross-talk between EGFR-mediated autophagy and apoptosis.
- Examination of current and potential therapeutic applications of modulating autophagy in cancer.
Main Results:
- The RAS/RAF/MEK/ERK pathway significantly influences autophagy induction, with effects varying by cell type and stimulus.
- EGFR-mediated autophagy plays a dual role in cell survival and death, influencing cancer progression.
- The cross-talk between autophagy and apoptosis presents complex mechanisms in cancer treatment.
Conclusions:
- Modulating autophagy via the EGFR pathway, particularly using small molecules, shows promise as a cancer therapeutic strategy.
- Targeting autophagy-related cell death could lead to improved treatments for early-stage and locally advanced tumors.
- Further research into EGFR-mediated autophagy is essential for developing effective cancer therapies.
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