Emerging Molecular Dependencies of Mutant EGFR-Driven Non-Small Cell Lung Cancer

被引:12
作者
Farnsworth, Dylan A. [1 ]
Chen, Yankuan T. [1 ]
de Rappard Yuswack, Georgia [1 ]
Lockwood, William W. [1 ,2 ]
机构
[1] BC Canc Res Inst, Dept Integrat Oncol, Vancouver, BC V5Z 1L3, Canada
[2] Univ British Columbia, Dept Pathol & Lab Med, Vancouver, BC V6T 1Z7, Canada
基金
加拿大健康研究院;
关键词
EGFR; TKI; lung cancer; functional genomics; CRISPR screens; EPIDERMAL-GROWTH-FACTOR; TYROSINE KINASE INHIBITORS; NF-KAPPA-B; FACTOR RECEPTOR; ACQUIRED-RESISTANCE; BETA-CATENIN; SIGNALING PATHWAYS; GENETIC MODIFIERS; TUMOR-CELLS; OPEN-LABEL;
D O I
10.3390/cells10123553
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Epidermal growth factor receptor (EGFR) mutations are the molecular driver of a subset of non-small cell lung cancers (NSCLC); tumors that harbor these mutations are often dependent on sustained oncogene signaling for survival, a concept known as "oncogene addiction". Inhibiting EGFR with tyrosine kinase inhibitors has improved clinical outcomes for patients; however, successive generations of inhibitors have failed to prevent the eventual emergence of resistance to targeted agents. Although these tumors have a well-established dependency on EGFR signaling, there remain questions about the underlying genetic mechanisms necessary for EGFR-driven oncogenesis and the factors that allow tumor cells to escape EGFR dependence. In this review, we highlight the latest findings on mutant EGFR dependencies, co-operative drivers, and molecular mechanisms that underlie sensitivity to EGFR inhibitors. Additionally, we offer perspective on how these discoveries may inform novel combination therapies tailored to EGFR mutant NSCLC.
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页数:25
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