Uribe Mary Luz, Marrocco Ilaria, Yarden Yosef
Department of Biological Regulation, Weizmann Institute of Science, Rehovot 7610001, Israel.
Cancers (Basel). 2021 Jun 1;13(11):2748. doi: 10.3390/cancers13112748.
The epidermal growth factor receptor (EGFR) has served as the founding member of the large family of growth factor receptors harboring intrinsic tyrosine kinase function. High abundance of EGFR and large internal deletions are frequently observed in brain tumors, whereas point mutations and small insertions within the kinase domain are common in lung cancer. For these reasons EGFR and its preferred heterodimer partner, HER2/ERBB2, became popular targets of anti-cancer therapies. Nevertheless, EGFR research keeps revealing unexpected observations, which are reviewed herein. Once activated by a ligand, EGFR initiates a time-dependent series of molecular switches comprising downregulation of a large cohort of microRNAs, up-regulation of newly synthesized mRNAs, and covalent protein modifications, collectively controlling phenotype-determining genes. In addition to microRNAs, long non-coding RNAs and circular RNAs play critical roles in EGFR signaling. Along with driver mutations, EGFR drives metastasis in many ways. Paracrine loops comprising tumor and stromal cells enable EGFR to fuel invasion across tissue barriers, survival of clusters of circulating tumor cells, as well as colonization of distant organs. We conclude by listing all clinically approved anti-cancer drugs targeting either EGFR or HER2. Because emergence of drug resistance is nearly inevitable, we discuss the major evasion mechanisms.
表皮生长因子受体(EGFR)是具有内在酪氨酸激酶功能的生长因子受体大家族的创始成员。在脑肿瘤中经常观察到高丰度的EGFR和大片段内部缺失,而激酶结构域内的点突变和小插入在肺癌中很常见。由于这些原因,EGFR及其首选的异二聚体伙伴HER2/ERBB2成为抗癌治疗的热门靶点。尽管如此,EGFR研究不断揭示出意想不到的发现,本文对此进行综述。一旦被配体激活,EGFR就会启动一系列时间依赖性的分子开关,包括大量微小RNA的下调、新合成mRNA的上调以及共价蛋白质修饰,共同控制决定表型的基因。除了微小RNA,长链非编码RNA和环状RNA在EGFR信号传导中也起着关键作用。除了驱动突变外,EGFR还通过多种方式促进转移。由肿瘤细胞和基质细胞组成的旁分泌环使EGFR能够促进跨组织屏障的侵袭、循环肿瘤细胞簇的存活以及远处器官的定植。我们通过列出所有临床上批准的靶向EGFR或HER2的抗癌药物来结束本文。由于耐药性的出现几乎不可避免,我们讨论了主要的逃避机制。