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Epidermal growth factor receptor dual-target inhibitors as a novel therapy for cancer: A review
Chao Wang1, Yujing Zhang2, Tingting Zhang1
1The Affiliated Hospital of Qingdao University, Cancer Institute, Qingdao University, Qingdao 266071, Shandong, China; Qingdao Cancer Institute, Qingdao University, Qingdao 266071, Shandong, China.
Abstract:
Overexpression of the epidermal growth factor receptor (EGFR) has been linked to several human cancers, including esophageal cancer, pancreatic cancer, anal cancer, breast cancer, and lung cancer, particularly non-small cell lung cancer (NSCLC). Therefore, EGFR has emerged as a critical target for treating solid tumors. Many 1st-, 2nd-, 3rd-, and 4th-generation EGFR single-target inhibitors with clinical efficacy have been designed and synthesized in recent years. Drug resistance caused by EGFR mutations has posed a significant challenge to the large-scale clinical application of EGFR single-target inhibitors and the discovery of novel EGFR inhibitors. Therapeutic methods for overcoming multipoint EGFR mutations are still needed in medicine. EGFR dual-target inhibitors are more promising than single-target inhibitors as they have a lower risk of drug resistance, higher efficacy, lower dosage, and fewer adverse events. EGFR dual-target inhibitors have been developed sequentially to date, providing new options for remission in patients with previously untreatable malignancies and laying the groundwork for a future generation of compounds. This paper introduces the EGFR family proteins and their synergistic effects with other anticancer targets, and provides a comprehensive review of the development of EGFR dual-target inhibitors in cancer, as well as the opportunities and challenges associated with those fields.
Insights
Dual-target inhibitors for the epidermal growth factor receptor (EGFR) show promise for overcoming drug resistance in cancers like NSCLC. These dual inhibitors offer improved efficacy and safety compared to single-target treatments.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Epidermal growth factor receptor (EGFR) overexpression is implicated in various cancers, including lung, breast, and esophageal cancers.
- EGFR single-target inhibitors have shown clinical efficacy but face challenges due to drug resistance from EGFR mutations.
- Developing novel therapeutic strategies is crucial to overcome resistance and improve cancer treatment outcomes.
Purpose of the Study:
- To review the development of dual-target inhibitors for EGFR in cancer therapy.
- To explore the synergistic effects of EGFR family proteins with other anticancer targets.
- To discuss the opportunities and challenges in the field of dual-target EGFR inhibitors.
Main Methods:
- Comprehensive literature review on EGFR family proteins and their interactions.
- Analysis of the development and clinical progression of EGFR single-target and dual-target inhibitors.
- Examination of resistance mechanisms and strategies to overcome them.
Main Results:
- EGFR dual-target inhibitors demonstrate potential for overcoming resistance associated with EGFR mutations.
- These inhibitors offer advantages such as reduced risk of resistance, enhanced efficacy, lower dosage, and fewer adverse events.
- Sequential development of dual-target inhibitors provides new therapeutic avenues for difficult-to-treat malignancies.
Conclusions:
- EGFR dual-target inhibitors represent a promising advancement in cancer therapy, particularly for overcoming resistance.
- Further research and development are needed to fully realize the potential of these compounds.
- Dual-target inhibitors lay the foundation for future generations of more effective cancer treatments.
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