The quest to overcome resistance to EGFR-targeted therapies in cancer

被引:957
作者
Chong, Curtis R. [1 ,2 ]
Jaenne, Pasi A. [1 ,2 ,3 ]
机构
[1] Dana Farber Canc Inst, Lowe Ctr Thorac Oncol, Boston, MA 02115 USA
[2] Brigham & Womens Hosp, Dept Med, Boston, MA 02115 USA
[3] Dana Farber Canc Inst, Belfer Inst Appl Canc Sci, Boston, MA 02115 USA
基金
美国国家卫生研究院;
关键词
EPIDERMAL-GROWTH-FACTOR; CELL LUNG-CANCER; TYROSINE KINASE INHIBITORS; PHASE-II TRIAL; FACTOR-RECEPTOR GENE; EPITHELIAL-MESENCHYMAL-TRANSITION; METASTATIC COLORECTAL-CANCER; CETUXIMAB PLUS IRINOTECAN; K-RAS MUTATIONS; ACQUIRED-RESISTANCE;
D O I
10.1038/nm.3388
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
070307 [化学生物学]; 071010 [生物化学与分子生物学];
摘要
All patients with metastatic lung, colorectal, pancreatic or head and neck cancers who initially benefit from epidermal growth factor receptor (EGFR)-targeted therapies eventually develop resistance. An increasing understanding of the number and complexity of resistance mechanisms highlights the Herculean challenge of killing tumors that are resistant to EGFR inhibitors. Our growing knowledge of resistance pathways provides an opportunity to develop new mechanism-based inhibitors and combination therapies to prevent or overcome therapeutic resistance in tumors. We present a comprehensive review of resistance pathways to EGFR-targeted therapies in lung, colorectal and head and neck cancers and discuss therapeutic strategies that are designed to circumvent resistance.
引用
收藏
页码:1389 / 1400
页数:12
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