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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
Published on: August 11, 2017
Diverse perspectives on proteomic posttranslational modifications to address EGFR-TKI resistance in non-small cell
Yuhong Ma1, Feng Zhang1, Jin Li1
1Department of Radiotherapy Oncology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Abstract:
Non-small cell lung cancer (NSCLC) is the main histological subtype of lung cancer. For locally advanced and advanced NSCLC, epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI)-targeted therapy has been the first choice for NSCLC patients with EGFR mutations. TKIs, as targeted drugs, inhibit kinase activity and autophosphorylation by competitively binding to the ATP binding site of the EGFR tyrosine kinase domain, which blocks the signal transduction mediated by EGFR and thus inhibits the proliferation of tumor cells. However, drug resistance to TKIs is inevitable. EGFR is also a highly glycosylated receptor tyrosine kinase, and a wide range of crosstalk occurs between phosphorylation and glycosylation. Therefore, can the phosphorylation state be altered by glycosylation to improve drug resistance? In this review, we summarize phosphorylation, glycosylation and the crosstalk between these processes as well as the current research status and methods. We also summarize the autophosphorylation and glycosylation sites of the EGFR protein and their crosstalk. By exploring the relationship between EGFR glycosylation and autophosphorylation in targeted TKI therapy, we find that research on EGFR glycosylation is crucial for targeted NSCLC treatment and will become a research direction for identifying potential targets related to regulating TKI drug sensitivity.
Insights
Investigating the link between epidermal growth factor receptor (EGFR) glycosylation and phosphorylation could overcome drug resistance in non-small cell lung cancer (NSCLC) targeted therapies.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Non-small cell lung cancer (NSCLC) is a major cancer subtype, with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) as a primary treatment for EGFR-mutated patients.
- TKIs function by inhibiting EGFR kinase activity and autophosphorylation, crucial for tumor cell proliferation.
- Drug resistance to TKIs remains a significant clinical challenge in NSCLC treatment.
Purpose of the Study:
- To explore the potential of altering EGFR phosphorylation states through glycosylation to enhance TKI drug resistance.
- To review the current understanding of phosphorylation, glycosylation, and their crosstalk in EGFR signaling.
- To identify EGFR glycosylation as a potential therapeutic target for improving TKI sensitivity in NSCLC.
Main Methods:
- Literature review summarizing research on EGFR phosphorylation and glycosylation.
- Analysis of known autophosphorylation and glycosylation sites on the EGFR protein.
- Examination of the crosstalk mechanisms between EGFR glycosylation and phosphorylation.
Main Results:
- EGFR is a highly glycosylated protein, with significant crosstalk between its phosphorylation and glycosylation processes.
- Understanding the relationship between EGFR glycosylation and autophosphorylation is critical for targeted TKI therapy.
- Specific EGFR glycosylation sites and their impact on kinase activity and TKI response warrant further investigation.
Conclusions:
- EGFR glycosylation plays a crucial role in regulating EGFR signaling and TKI sensitivity in NSCLC.
- Targeting EGFR glycosylation represents a promising strategy to overcome TKI resistance.
- Further research into EGFR glycosylation is essential for developing novel therapeutic approaches for NSCLC.
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