Epidermal growth factor receptor mutations in lung cancer
Abstract
The development and clinical application of inhibitors that target the epidermal growth factor receptor (EGFR) provide important insights for new lung cancer therapies, as well as for the broader field of targeted cancer therapies. We review the results of genetic, biochemical and clinical studies focused on somatic mutations of EGFR that are associated with the phenomenon of oncogene addiction, describing 'oncogenic shock' as a mechanistic explanation for the apoptosis that follows the acute treatment of susceptible cells with kinase inhibitors. Understanding the genetic heterogeneity of epithelial tumours and devising strategies to circumvent their rapid acquisition of resistance to targeted kinase inhibitors are essential to the successful use of targeted therapies in common epithelial cancers.
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Overexpression or increased activity of wild-type EGFR protein can lead to cell proliferation, migration, survival, and anti-apoptosis through signaling cascades, which are strongly associated with the occurrence and development of many cancers such as NSCLC, breast cancer, glioma, head and neck cancer, cervical cancer, and bladder cancer.
“Overexpression or increased activity of wild-type EGFR protein can lead to cell proliferation, migration, survival, and anti-apoptosis through signaling cascades, which are strongly associated with the occurrence and development of many cancers, such as NSCLC, breast cancer, glioma, head and neck cancer, cervical cancer, and bladder cancer.105–108”
From Recent advances in targeting the “undruggable” proteins: from drug discovery to clinical trials (2023) · cites this paper as [107]
Activated EGFR induces pro-survival and anti-apoptotic signals through ERK/MAPK and PI3K/AKT.
“Activated EGFR induces EGFR-mediated pro-survival and anti-apoptotic signals through downstream targets such as extracellular-signal-regulated kinase (ERK)/mitogen-activated protein kinase (MAPK) and phosphatidylinositol-3-kinases (PI3K)/protein kinase B (AKT) [10, 11].”
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- Authors
- Sharma, S. V., Bell, D. W., Settleman, J., & Haber, D. A.
- Affiliations
- Harvard University (US)
- National Institutes of Health (US)
- Corresponding author
- Haber, Daniel A.
- Venue
- Nature Reviews Cancer
- Published
- 2007-03
- Volume
- 7
- Issue
- 3
- Pages
- 169-181
- ISSN
- 1474-175X (ISSN-L)
- 1474-1768
- OpenAlex
- W1967394241
- Cited by
- 3,170
- References
- 182
- Citations by year
- 2026: 85 · 2025: 130 · 2024: 131 · 2023: 168 · 2022: 186 · 2021: 181 · 2020: 175 · 2019: 154 · 2018: 209 · 2017: 213 · 2016: 186 · 2015: 205 · 2014: 191 · 2013: 206 · 2012: 189
- FWCI
- 21.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature reviews. Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
- Keywords
- epidermal growth factor receptor, EGFR mutation, lung cancer, tyrosine kinase inhibitors, drug resistance, oncogene addiction, apoptosis, genetic heterogeneity, targeted cancer therapy, epithelial tumors
- MeSH terms
- Animals, Antineoplastic Agents, Carcinoma, Non-Small-Cell Lung, Humans, Lung Neoplasms, Mutation, Drug Resistance, Neoplasm, Protein Kinase Inhibitors, ErbB Receptors
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