Epidermal growth factor receptor

Source: Wikipedia, the free encyclopedia.
EGFR
Gene ontology
Molecular function
Cellular component
Biological process
Sources:Amigo / QuickGO
Ensembl
UniProt
RefSeq (mRNA)

NM_007912
NM_207655

RefSeq (protein)

NP_031938
NP_997538

Location (UCSC)Chr 7: 55.02 – 55.21 MbChr 11: 16.7 – 16.87 Mb
PubMed search[3][4]
Wikidata
View/Edit HumanView/Edit Mouse

The epidermal growth factor receptor (EGFR; ErbB-1; HER1 in humans) is a

extracellular protein ligands.[5]

The epidermal growth factor receptor is a member of the

Her 4 (ErbB-4). In many cancer types, mutations affecting EGFR expression or activity could result in cancer.[6]

Epidermal growth factor and its receptor was discovered by

.

Deficient signaling of the EGFR and other receptor tyrosine kinases in humans is associated with diseases such as Alzheimer's, while over-expression is associated with the development of a wide variety of tumors. Interruption of EGFR signalling, either by blocking EGFR binding sites on the extracellular domain of the receptor or by inhibiting intracellular tyrosine kinase activity, can prevent the growth of EGFR-expressing tumours and improve the patient's condition[citation needed].

Function

EGFR signaling cascades
Diagram of the EGF receptor highlighting important domains

Epidermal growth factor receptor (EGFR) is a

heterodimerization
with other family members such as EGFR. Upon activation by its growth factor ligands, EGFR undergoes a transition from an inactive
heterodimer. There is also evidence to suggest that clusters of activated EGFRs form, although it remains unclear whether this clustering is important for activation itself or occurs subsequent to activation of individual dimers.[10]

EGFR dimerization stimulates its intrinsic intracellular protein-tyrosine kinase activity. As a result,

JNK pathways, leading to DNA synthesis and cell proliferation.[12] Such proteins modulate phenotypes such as cell migration, adhesion, and proliferation
. Activation of the receptor is important for the innate immune response in human skin. Additionally, the kinase domain of the EGFR can cross-phosphorylate the tyrosine residues of other receptors with which it is aggregated and thereby activate itself.

Biological roles

The EGFR is essential for

lobuloalveolar development even in the absence of estrogen and progesterone.[16][17]

Role in human disease

Cancer

Inflammatory disease

Aberrant EGFR signaling has been implicated in psoriasis, eczema and atherosclerosis.[23][24] However, its exact roles in these conditions are ill-defined.

Monogenic disease

A single child displaying multi-organ epithelial inflammation was found to have a homozygous loss of function mutation in the EGFR gene. The pathogenicity of the EGFR mutation was supported by in vitro experiments and functional analysis of a skin biopsy. His severe phenotype reflects many previous research findings into EGFR function. His clinical features included a papulopustular rash, dry skin, chronic diarrhoea, abnormalities of hair growth, breathing difficulties and electrolyte imbalances.[25]

Wound healing and fibrosis

EGFR has been shown to play a critical role in TGF-beta1 dependent fibroblast to myofibroblast differentiation.[26][27] Aberrant persistence of myofibroblasts within tissues can lead to progressive tissue fibrosis, impairing tissue or organ function (e.g. skin hypertrophic or keloid scars, liver cirrhosis, myocardial fibrosis, chronic kidney disease).

Medical applications

Drug target

The identification of EGFR as an

colon cancer. More recently AstraZeneca has developed Osimertinib, a third generation tyrosine kinase inhibitor.[32][31]

Many therapeutic approaches are aimed at the EGFR. Cetuximab and

IgG2 type; consequences on antibody-dependent cellular cytotoxicity can be quite different.[33] Other monoclonals in clinical development are zalutumumab, nimotuzumab, and matuzumab
. The monoclonal antibodies block the extracellular ligand binding domain. With the binding site blocked, signal molecules can no longer attach there and activate the tyrosine kinase.

Another method is using small molecules to inhibit the EGFR tyrosine kinase, which is on the cytoplasmic side of the receptor. Without kinase activity, EGFR is unable to activate itself, which is a prerequisite for binding of downstream adaptor proteins. Ostensibly by halting the signaling cascade in cells that rely on this pathway for growth, tumor proliferation and migration is diminished.

brigatinib and lapatinib (mixed EGFR and ERBB2 inhibitor) are examples of small molecule kinase
inhibitors.

non-small-cell lung carcinoma (the most common form of lung cancer) in Cuba, and is undergoing further trials for possible licensing in Japan, Europe, and the United States.[35]

There are several quantitative methods available that use protein phosphorylation detection to identify EGFR family inhibitors.[36]

New drugs such as

brigatinib directly target the EGFR. Patients have been divided into EGFR-positive and EGFR-negative, based upon whether a tissue test shows a mutation. EGFR-positive patients have shown a 60% response rate, which exceeds the response rate for conventional chemotherapy.[37]

However, many patients develop resistance. Two primary sources of resistance are the T790M mutation and

brigatinib
targeting the T790M mutation, and brigatinib received Breakthrough Therapy designation status by FDA in Feb. 2015.

The most common adverse effect of EGFR inhibitors, found in more than 90% of patients, is a papulopustular rash that spreads across the face and torso; the rash's presence is correlated with the drug's antitumor effect.[38] In 10% to 15% of patients the effects can be serious and require treatment.[39][40]

Some tests are aiming at predicting benefit from EGFR treatment, as Veristrat.[41]

Laboratory research using genetically engineered stem cells to target EGFR in mice was reported in 2014 to show promise.[42] EGFR is a well-established target for monoclonal antibodies and specific tyrosine kinase inhibitors.[43]

Target for imaging agents

Imaging agents have been developed which identify EGFR-dependent cancers using labeled EGF.[44] The feasibility of in vivo imaging of EGFR expression has been demonstrated in several studies.[45][46]

It has been proposed that certain computed tomography findings such as ground-glass opacities, air bronchogram, spiculated margins, vascular convergence, and pleural retraction can predict the presence of EGFR mutation in patients with non-small cell lung cancer.[47]

Interactions

Epidermal growth factor receptor has been shown to

interact
with:

In fruitflies, the epidermal growth factor receptor interacts with Spitz.[105]

References

  1. ^ a b c GRCh38: Ensembl release 89: ENSG00000146648Ensembl, May 2017
  2. ^ a b c GRCm38: Ensembl release 89: ENSMUSG00000020122Ensembl, May 2017
  3. ^ "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  4. ^ "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  5. PMID 15142631
    .
  6. .
  7. ^ note, a full list of the ligands able to activate EGFR and other members of the ErbB family is given in the ErbB article)
  8. PMID 3494473
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  35. ^ Patel N (11 May 2015). "Cuba Has a Lung Cancer Vaccine—And America Wants It". Wired. Retrieved 13 May 2015.
  36. S2CID 30003827
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  47. ^ Herrera Ortiz AF, Cadavid Camacho T, Vásquez Perdomo A, Castillo Herazo V, Arambula Neira J, Yepes Bustamante M, Cadavid Camacho E. Clinical and CT patterns to predict EGFR mutation in patients with non-small cell lung cancer: A systematic literature review and meta-analysis. European Journal of Radiology Open.2022;9:100400. https://doi.org/10.1016/j.ejro.2022.100400
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Further reading

External links