Mutations of the epidermal growth factor receptor gene and related genes as determinants of epidermal growth factor receptor tyrosine kinase inhibitors sensitivity in lung cancer
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Recent discovery of mutations in the tyrosine kinase domain of the epidermal growth factor receptor (EGFR) gene in lung adenocarcinoma greatly stimulated biomarker research on predictive factors for EGFR tyrosine kinase inhibitors (TKI), such as gefitinib and erlotinib. Although patients with activating mutations of the EGFR generally respond to EGFR TKIs very well, it is natural to assume that there is no sole determinant, considering great complexity and redundancy of the EGFR pathway. Subsequently, roles of different types of EGFR mutations or mutations of genes that are members of the EGFR pathway such as KRAS and HER2 have been evaluated. In this review, we summarize the recent findings about how mutations of the EGFR and related genes affect sensitivity to EFGR-TKIs. We also discuss molecular mechanisms of acquired resistance to EGFR-TKIs that is almost inevitable in EGFR-TKI therapy. The door for genotype-based treatment of lung cancer is beginning to open, and through these efforts, it will be possible to slow the progression of lung cancer and eventually, to decrease mortality from lung cancer.
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Exon 19 deletions, L858R, G719X, and L861Q are 1st generation EGFR-TKI sensitizing mutations.
“The exon 19 deletions, L858R, G719X, and L861Q mutations are 1st generation EGFR-TKIs, gefitinib and erlotinib, sensitizing mutations.”
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- Authors
- Mitsudomi, T., & Yatabe, Y.
- Affiliations
- Aichi Cancer Center Hospital (JP)
- Venue
- Cancer Science
- Publisher
- Wiley
- Published
- 2007-09-20
- Volume
- 98
- Issue
- 12
- Pages
- 1817-1824
- ISSN
- 1347-9032 (ISSN-L)
- 1349-7006
- PMC
- PMC11159145
- OpenAlex
- W1987709860
- Cited by
- 606
- References
- 73
- Citations by year
- 2026: 5 · 2025: 14 · 2024: 18 · 2023: 20 · 2022: 19 · 2021: 14 · 2020: 33 · 2019: 25 · 2018: 35 · 2017: 30 · 2016: 32 · 2015: 45 · 2014: 49 · 2013: 62 · 2012: 57
- FWCI
- 4.91
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cancer Science (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
- Health Sciences › Medicine › Oncology › Lung Cancer Research Studies
- Keywords
- epidermal growth factor receptor, EGFR tyrosine kinase inhibitors, lung adenocarcinoma, lung cancer, gefitinib, erlotinib, KRAS mutation, HER2 mutation, predictive biomarkers, acquired drug resistance, tyrosine kinase domain mutations
- MeSH terms
- Antineoplastic Agents, Enzyme Inhibitors, Humans, Lung Neoplasms, Mutation, Protein-Tyrosine Kinases, ErbB Receptors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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