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Updated: Jul 4, 2025

Establishing Dual Resistance to EGFR-TKI and MET-TKI in Lung Adenocarcinoma Cells In Vitro with a 2-step Dose-escalation Procedure
Published on: August 11, 2017
Metal complexes bearing EGFR-inhibiting ligands as promising anticancer agents
Xiaoyan Ma1, Zhaoran Wang1, Yifei Li1
1Jiangsu Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, School of Medicine, Nanjing University of Chinese Medicine, Nanjing, People's Republic of China.
Abstract:
Overexpression of the epidermal growth factor receptor (EGFR, erbB1) has been observed in a wide range of solid tumors and has frequently been associated with poor prognosis. As a result, EGFR inhibition has become an attractive anticancer drug design strategy, and a large number of small molecular inhibitors have been developed. Despite the widespread clinical use of EGFR tyrosine kinase inhibitors (TKIs), their drug resistance, inadequate accumulation in tumors, and severe side effects have spurred the search for better antitumor drugs. Metal complexes have attracted much attention because of their different mechanisms compared with EGFR-TKIs. Therefore, the combination of metals and inhibitors is a promising anticancer strategy. For example, Ru and Pt centers are introduced to design complexes with double or multiple targets, while Au complexes are combined with inhibitors to overcome drug resistance. Co complexes are designed as prodrugs with weak side effects and enhanced targeting by the hypoxia activation strategy, and other metals such as Rh and Fe enhance the anticancer effect of the complexes. In addition, the introduction of Ga center is beneficial to the development of nuclear imaging tracers. In this paper, metal EGFR-TKI complexes in the last 15 years are reviewed, their mechanisms are briefly introduced, and their advantages are summarized.
Insights
Metal complexes offer a promising strategy to overcome limitations of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) in cancer therapy. These novel metal-based drugs show potential for improved efficacy and reduced side effects.
Area of Science:
- Medicinal Chemistry
- Oncology
- Materials Science
Background:
- Epidermal growth factor receptor (EGFR) overexpression is common in solid tumors, correlating with poor prognosis.
- EGFR tyrosine kinase inhibitors (TKIs) are widely used but face challenges including drug resistance, poor tumor accumulation, and side effects.
- Metal complexes present alternative anticancer mechanisms distinct from traditional TKIs.
Purpose of the Study:
- To review metal-EGFR-TKI complexes developed over the last 15 years.
- To summarize the mechanisms of action for these metal complexes.
- To highlight the advantages of metal-based EGFR-TKI strategies in cancer treatment.
Main Methods:
- Literature review of metal complexes targeting EGFR-TKIs.
- Analysis of reported mechanisms of action for various metal centers (Ru, Pt, Au, Co, Rh, Fe, Ga).
- Summary of advantages including multi-targeting, overcoming resistance, prodrug strategies, enhanced efficacy, and imaging applications.
Main Results:
- Metal complexes offer diverse strategies to enhance EGFR-targeted cancer therapy.
- Ruthenium (Ru) and Platinum (Pt) complexes are designed for dual or multiple targeting.
- Gold (Au) complexes aim to overcome drug resistance, Cobalt (Co) complexes act as hypoxia-activated prodrugs, and Rhodium (Rh) and Iron (Fe) enhance anticancer effects.
- Gallium (Ga) complexes show potential for nuclear imaging tracer development.
Conclusions:
- Combining metals with EGFR inhibitors is a promising strategy to develop novel anticancer drugs.
- Metal complexes can address limitations of current EGFR-TKIs, offering improved efficacy, targeting, and reduced toxicity.
- This review highlights the significant progress and potential of metal-based EGFR-TKI complexes in oncology.
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