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Deciphering the Structural Effects of Activating EGFR Somatic Mutations with Molecular Dynamics Simulation
Published on: May 20, 2020
Rethink of EGFR in Cancer With Its Kinase Independent Function on Board
1Department of Biology and Biochemistry, College of Natural Science and Mathematics, University of Houston, Houston, TX, United States.
Abstract:
The epidermal growth factor receptor (EGFR) is one of most potent oncogenes that are commonly altered in cancers. As a receptor tyrosine kinase, EGFR's kinase activity has been serving as the primary target for developing cancer therapeutics, namely the EGFR inhibitors including small molecules targeting its ATP binding pocket and monoclonal antibodies targeting its ligand binding domains. EGFR inhibitors have produced impressive therapeutic benefits to responsive types of cancers. However, acquired and innate resistances have precluded current anti-EGFR agents from offering sustainable benefits to initially responsive cancers and benefits to EGFR-positive cancers that are innately resistant. Recent years have witnessed a realization that EGFR possesses kinase-independent (KID) pro-survival functions in cancer cells. This new knowledge has offered a different angle of understanding of EGFR in cancer and opened a new avenue of targeting EGFR for cancer therapy. There are already many excellent reviews on the role of EGFR with a focus on its kinase-dependent functions and mechanisms of resistance to EGFR targeted therapies. The present opinion aims to initiate a fresh discussion about the function of EGFR in cancer cells by laying out some unanswered questions pertaining to EGFR in cancer cells, by rethinking the unmet therapeutic challenges from a view of EGFR's KID function, and by proposing novel approaches to target the KID functions of EGFR for cancer treatment.
Insights
Epidermal growth factor receptor (EGFR) drives cancer, but resistance limits current therapies. New research explores EGFR's kinase-independent functions to overcome treatment resistance and improve cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Epidermal growth factor receptor (EGFR) is a key oncogene frequently altered in various cancers.
- Current cancer therapies primarily target EGFR's kinase activity, yielding significant benefits but facing acquired and innate resistance.
- EGFR also exhibits crucial kinase-independent (KID) pro-survival functions in cancer cells, representing a novel therapeutic target.
Purpose of the Study:
- To explore the underappreciated kinase-independent (KID) functions of EGFR in cancer cells.
- To re-evaluate unmet therapeutic challenges in EGFR-driven cancers from the perspective of KID functions.
- To propose novel strategies for targeting EGFR's KID functions for improved cancer treatment.
Main Methods:
- Review and synthesis of existing literature on EGFR functions in cancer.
- Analysis of resistance mechanisms to current EGFR-targeted therapies.
- Conceptual framework for targeting EGFR's KID functions.
Main Results:
- EGFR possesses significant pro-survival roles independent of its kinase activity.
- Resistance to kinase-targeted EGFR inhibitors may be linked to KID functions.
- Understanding KID functions opens new avenues for overcoming therapeutic resistance.
Conclusions:
- Targeting EGFR's kinase-independent functions represents a promising strategy to overcome resistance to current therapies.
- Novel therapeutic approaches focusing on KID functions are needed for more effective cancer treatment.
- Further research into EGFR's KID functions is crucial for advancing cancer therapy.
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