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一项重大进展更新:表皮生长因子受体抑制剂作为抗癌的可行药物。

A momentous progress update: epidermal growth factor receptor inhibitors as viable agents for combating cancer.

作者信息

Jangra Neha, Sharma Bharti, Kumar Deepak, Kapoor Archana

机构信息

Department of Pharmaceutical Sciences, Guru Jambheshwar University of Science and Technology Hisar-125001 India

出版信息

RSC Med Chem. 2025 Jul 7. doi: 10.1039/d4md00799a.

DOI:10.1039/d4md00799a
PMID:40630673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12232775/
Abstract

The epidermal growth factor receptor (EGFR) family comprises four distinct members with similar framework characteristics: EGFR (HER1/ErbB1), ErbB2 (HER2/neu), ErbB3 (HER3), and ErbB4 (HER4). EGFR plays a pivotal role in cellular signaling pathways that regulate key pathological processes, including apoptosis, uncontrolled cell proliferation, metastasis, and angiogenesis. However, clinically used EGFRs such as apatinib, selumetinib, gefitinib, vandetanib, and erlotinib are not selective, thereby resulting in troublesome side effects. Drug obstruction, alteration, and specificity represent a few of the primary obstacles in the development of unique key compounds as EGFR inhibitors, stimulating medicinal chemists to discover innovative chemotypes. The development of drugs that block specific stages of cancerous cells, such as EGFR, is one of the main goals of many cancer treatments, including breast and lung tumors. Thus, the current study endeavored to summarize the numerous recent advancements (2016-2024) in the research and development of diverse epidermal growth factor receptor (EGFR) inhibitors, focusing on pyrrole, indole, pyrimidine, oxadiazole, isoxazole, and other structural classes. Preclinical, clinical, structure-activity relationships (SAR) with mechanism-based and research, and other relevant data are compiled to offer directions for the scientific discovery of novel EGFR inhibitors with conceivable uses in therapy. The research trajectory of this entire field will provide incessant opportunities for the discovery of novel drug molecules with improved efficacy and selectivity.

摘要

表皮生长因子受体(EGFR)家族由四个具有相似结构特征的不同成员组成:EGFR(HER1/ErbB1)、ErbB2(HER2/neu)、ErbB3(HER3)和ErbB4(HER4)。EGFR在调节关键病理过程的细胞信号通路中起关键作用,这些病理过程包括细胞凋亡、不受控制的细胞增殖、转移和血管生成。然而,临床使用的EGFR药物如阿帕替尼、司美替尼、吉非替尼、凡德他尼和厄洛替尼没有选择性,从而导致不良副作用。药物阻碍、改变和特异性是开发独特关键化合物作为EGFR抑制剂的一些主要障碍,这刺激药物化学家去发现创新的化学类型。开发阻断癌细胞特定阶段(如EGFR)的药物是许多癌症治疗(包括乳腺癌和肺癌)的主要目标之一。因此,本研究致力于总结各种表皮生长因子受体(EGFR)抑制剂研发方面的众多最新进展(2016 - 2024年),重点关注吡咯、吲哚、嘧啶、恶二唑、异恶唑和其他结构类别。收集临床前、临床、基于机制的构效关系(SAR)研究及其他相关数据,为科学发现可用于治疗的新型EGFR抑制剂提供指导。整个领域的研究轨迹将为发现具有更高疗效和选择性的新型药物分子提供持续的机会。

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本文引用的文献

1
Design, Synthesis, Docking Studies, and Investigation of Dual EGFR/VEGFR-2 Inhibitory Potentials of New Pyrazole and Pyrazolopyridine Derivatives.新型吡唑和吡唑并吡啶衍生物的设计、合成、对接研究及其对EGFR/VEGFR-2的双重抑制潜力研究
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Design, synthesis and antitumour activity of pyrimidine derivatives as novel selective EGFR kinase inhibitors.嘧啶衍生物作为新型选择性表皮生长因子受体激酶抑制剂的设计、合成及抗肿瘤活性
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Case report: Sustained remission after combined sintilimab, anti-VEGF therapy, and chemotherapy in a patient with non-small cell lung cancer harboring acquired 19Del/T790M/-C797S mutation resistance.病例报告:一名携带获得性19Del/T790M/-C797S突变耐药的非小细胞肺癌患者在接受信迪利单抗、抗血管内皮生长因子(VEGF)治疗和化疗联合治疗后实现持续缓解。
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Neoadjuvant EGFR-TKI therapy in Non-Small cell lung cancer.表皮生长因子受体酪氨酸激酶抑制剂新辅助治疗非小细胞肺癌。
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Furmonertinib for EGFR-mutant advanced non-small cell lung cancer: a glittering diamond in the rough of EGFR-TKI.伏美替尼用于表皮生长因子受体(EGFR)突变的晚期非小细胞肺癌:EGFR酪氨酸激酶抑制剂(EGFR-TKI)中的一颗璞玉。
Front Pharmacol. 2024 Feb 19;15:1357913. doi: 10.3389/fphar.2024.1357913. eCollection 2024.
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Cancer statistics, 2024.2024年癌症统计数据。
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Pyrrole: A Decisive Scaffold for the Development of Therapeutic Agents and Structure-Activity Relationship.吡咯:治疗药物研发和构效关系的关键骨架。
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