Epidermal Growth Factor Receptor Expression and Resistance Patterns to Targeted Therapy in Non-Small Cell Lung Cancer: A Review

Globally, lung cancer is the leading cause of cancer-related death. The majority of non-small cell lung cancer (NSCLC) tumours express epidermal growth factor receptor (EGFR), which allows for precise and targeted therapy in these patients. The dysregulation of EGFR in solid epithelial cancers has t...

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Main Authors: Emma-Anne Karlsen, Sam Kahler, Joan Tefay, Shannon R. Joseph, Fiona Simpson
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/5/1206
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author Emma-Anne Karlsen
Sam Kahler
Joan Tefay
Shannon R. Joseph
Fiona Simpson
author_facet Emma-Anne Karlsen
Sam Kahler
Joan Tefay
Shannon R. Joseph
Fiona Simpson
author_sort Emma-Anne Karlsen
collection DOAJ
description Globally, lung cancer is the leading cause of cancer-related death. The majority of non-small cell lung cancer (NSCLC) tumours express epidermal growth factor receptor (EGFR), which allows for precise and targeted therapy in these patients. The dysregulation of EGFR in solid epithelial cancers has two distinct mechanisms: either a kinase-activating mutation in EGFR (EGFR-mutant) and/or an overexpression of wild-type EGFR (wt-EGFR). The underlying mechanism of EGFR dysregulation influences the efficacy of anti-EGFR therapy as well as the nature of resistance patterns and secondary mutations. This review will critically analyse the mechanisms of EGFR expression in NSCLC, its relevance to currently approved targeted treatment options, and the complex nature of secondary mutations and intrinsic and acquired resistance patterns in NSCLC.
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spelling doaj.art-1db3a939e3434069846b4f010dceeaf62023-11-21T19:46:31ZengMDPI AGCells2073-44092021-05-01105120610.3390/cells10051206Epidermal Growth Factor Receptor Expression and Resistance Patterns to Targeted Therapy in Non-Small Cell Lung Cancer: A ReviewEmma-Anne Karlsen0Sam Kahler1Joan Tefay2Shannon R. Joseph3Fiona Simpson4Simpson Laboratory, The University of Queensland Diamantina Institute, Woolloongabba, Brisbane 4102, AustraliaFaculty of Medicine, The University of Queensland, St Lucia 4067, AustraliaFaculty of Medicine, The University of Queensland, St Lucia 4067, AustraliaSimpson Laboratory, The University of Queensland Diamantina Institute, Woolloongabba, Brisbane 4102, AustraliaSimpson Laboratory, The University of Queensland Diamantina Institute, Woolloongabba, Brisbane 4102, AustraliaGlobally, lung cancer is the leading cause of cancer-related death. The majority of non-small cell lung cancer (NSCLC) tumours express epidermal growth factor receptor (EGFR), which allows for precise and targeted therapy in these patients. The dysregulation of EGFR in solid epithelial cancers has two distinct mechanisms: either a kinase-activating mutation in EGFR (EGFR-mutant) and/or an overexpression of wild-type EGFR (wt-EGFR). The underlying mechanism of EGFR dysregulation influences the efficacy of anti-EGFR therapy as well as the nature of resistance patterns and secondary mutations. This review will critically analyse the mechanisms of EGFR expression in NSCLC, its relevance to currently approved targeted treatment options, and the complex nature of secondary mutations and intrinsic and acquired resistance patterns in NSCLC.https://www.mdpi.com/2073-4409/10/5/1206epidermal growth factor receptornon-small cell lung cancerdrug resistancetyrosine kinase inhibitormonoclonal antibody
spellingShingle Emma-Anne Karlsen
Sam Kahler
Joan Tefay
Shannon R. Joseph
Fiona Simpson
Epidermal Growth Factor Receptor Expression and Resistance Patterns to Targeted Therapy in Non-Small Cell Lung Cancer: A Review
Cells
epidermal growth factor receptor
non-small cell lung cancer
drug resistance
tyrosine kinase inhibitor
monoclonal antibody
title Epidermal Growth Factor Receptor Expression and Resistance Patterns to Targeted Therapy in Non-Small Cell Lung Cancer: A Review
title_full Epidermal Growth Factor Receptor Expression and Resistance Patterns to Targeted Therapy in Non-Small Cell Lung Cancer: A Review
title_fullStr Epidermal Growth Factor Receptor Expression and Resistance Patterns to Targeted Therapy in Non-Small Cell Lung Cancer: A Review
title_full_unstemmed Epidermal Growth Factor Receptor Expression and Resistance Patterns to Targeted Therapy in Non-Small Cell Lung Cancer: A Review
title_short Epidermal Growth Factor Receptor Expression and Resistance Patterns to Targeted Therapy in Non-Small Cell Lung Cancer: A Review
title_sort epidermal growth factor receptor expression and resistance patterns to targeted therapy in non small cell lung cancer a review
topic epidermal growth factor receptor
non-small cell lung cancer
drug resistance
tyrosine kinase inhibitor
monoclonal antibody
url https://www.mdpi.com/2073-4409/10/5/1206
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