Department of Applied Biology, Council of Scientific & Industrial Research-Indian Institute of Chemical Technology (CSIR-IICT), Uppal Road, Tarnaka, Hyderabad - 500 007 TS, India.
Anticancer Agents Med Chem. 2021;21(14):1783-1792. doi: 10.2174/1871520621666201222143213.
Epidermal Growth Factor Receptor (EGFR), a type-I transmembrane protein with intrinsic tyrosine kinase activity, is activated by peptide growth factors such as EGF, epigen, amphiregulin, etc. EGFR plays a vital role in regulating cell growth, migration, and differentiation in various tissue-specific cancers. It has been reported to be overexpressed in lung, head, and neck, colon, brain, pancreatic, and breast cancer that triggers tumor progression and drug resistance. EGFR overexpression alters the signaling pathway and induces cell division, invasion, and cell survival. Our prior studies demonstrated that EGFR inhibition modulates chemosensitivity in breast cancer stem cells, thereby serving as a potential drug target for breast cancer mitigation. Tyrosine kinase inhibitors (Lapatinib, Neratinib) and monoclonal antibodies (Trastuzumab) targeting EGFR have been developed and approved by the US FDA for clinical use against breast cancer. This review highlights the critical role of EGFR in breast cancer progression and enumerates the various approaches being undertaken to inhibit aggressive breast cancers by suppressing the downstream pathways. Furthermore, the mechanisms of action of potential molecules at various stages of drug development, as well as clinically approved drugs for breast cancer treatment, are illustrated.
表皮生长因子受体(EGFR)是一种具有内在酪氨酸激酶活性的 I 型跨膜蛋白,可被 EGF、epigen、amphiregulin 等肽类生长因子激活。EGFR 在各种组织特异性癌症中对调节细胞生长、迁移和分化起着至关重要的作用。据报道,它在肺癌、头颈部癌、结肠癌、脑癌、胰腺癌和乳腺癌中过度表达,从而引发肿瘤进展和耐药性。EGFR 过表达改变信号通路并诱导细胞分裂、侵袭和细胞存活。我们之前的研究表明,EGFR 抑制可调节乳腺癌干细胞的化疗敏感性,因此成为减轻乳腺癌的潜在药物靶点。针对 EGFR 的酪氨酸激酶抑制剂(拉帕替尼、奈拉替尼)和单克隆抗体(曲妥珠单抗)已被美国 FDA 开发和批准用于临床治疗乳腺癌。本综述强调了 EGFR 在乳腺癌进展中的关键作用,并列举了各种抑制下游通路以抑制侵袭性乳腺癌的方法。此外,还说明了处于不同药物开发阶段的潜在分子以及用于乳腺癌治疗的临床批准药物的作用机制。