Department of Medical Oncology, Dana-Farber Cancer Institute, and Brigham and Women's Hospital, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215, USA.
Ther Adv Med Oncol. 2011 Jul;3(4):171-84. doi: 10.1177/1758834011408636.
Hepatocyte growth factor receptor (HGFR), the product of the MET gene, plays an important role in normal cellular function and oncogenesis. In cancer, HGFR has been implicated in cellular proliferation, cell survival, invasion, cell motility, metastasis and angiogenesis. Activation of HGFR can occur through binding to its ligand, hepatocyte growth factor (HGF), overexpression/amplification, mutation, and/or decreased degradation. Amplification of HGFR can occur de novo or in resistance to therapy. Mutations of HGFR have been described in the tyrosine kinase domain, juxtamembrane domain, or semaphorin domain in a number of tumors. These mutations appear to have gain of function, and also reflect differential sensitivity to therapeutic inhibition. There have been various drugs developed to target HGFR, including antibodies to HGFR/HGF, small-molecule inhibitors against the tyrosine kinase domain of HGFR and downstream targets. Different HGFR inhibitors are currently in clinical trials in lung cancer and a number of solid tumors. Several phase I trials have already been completed, and two specific trials have been reported combining HGFR with epidermal growth factor receptor (EGFR) inhibition in non-small cell lung cancer. In particular, trials involving MetMAb and ARQ197 (tivantinib) have gained interest. Ultimately, as individualized therapies become a reality for cancers, HGFR will be an important molecular target.
肝细胞生长因子受体 (HGFR),MET 基因的产物,在正常细胞功能和肿瘤发生中起着重要作用。在癌症中,HGFR 被认为与细胞增殖、细胞存活、侵袭、细胞迁移、转移和血管生成有关。HGFR 的激活可以通过与配体肝细胞生长因子 (HGF) 结合、过表达/扩增、突变和/或降解减少来发生。HGFR 的扩增可以从头发生或对治疗产生耐药性。在许多肿瘤中,已经在酪氨酸激酶结构域、跨膜结构域或 semaphorin 结构域描述了 HGFR 的突变。这些突变似乎具有获得性功能,并且还反映了对治疗抑制的不同敏感性。已经开发了各种针对 HGFR 的药物,包括针对 HGFR/HGF 的抗体、针对 HGFR 酪氨酸激酶结构域和下游靶点的小分子抑制剂。不同的 HGFR 抑制剂目前正在肺癌和多种实体瘤的临床试验中。已经完成了几项 I 期临床试验,并且已经报告了两项针对非小细胞肺癌中 HGFR 与表皮生长因子受体 (EGFR) 抑制联合的具体试验。特别是,涉及 MetMAb 和 ARQ197(tivantinib)的试验引起了关注。最终,随着个体化治疗成为癌症的现实,HGFR 将成为一个重要的分子靶点。
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