单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Canc Biol Res Ctr,Wuhan 430074,Peoples R China肿瘤生物医学中心华中科技大学同济医学院附属同济医院妇产科学系妇科肿瘤[2]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Neurosurg,Wuhan 430074,Peoples R China外科学系神经内科神经外科华中科技大学同济医学院附属同济医院
Introduction: The highly divergent histological heterogeneities, aggressive invasion and extremely poor response to treatment make glioblastoma (GBM) one of the most lethal and difficult cancers in humans. Among key elements driving its behavior is epidermal growth factor receptor (EGFR), however, neither traditional therapy including neurosurgery, radiation, temozolomide, nor targeted EGFR therapeutics in clinic has generated promising results to date. Strategies are now focusing on blocking the downstream EGFR-activated metabolic pathways and the key phosphorylated kinases. Areas covered: Here, we review two major EGFR-activated downstream metabolic pathways including the PI3K/AKT/mTOR and RAS/RAF/MAPK pathways and their key phosphorylated kinase alterations in GBMs. This review also discusses potential pharmacological progress from bench work to clinical trials in order to evaluate specific inhibitors as well as therapeutics targeting PI3K and RAS signaling pathways. Expert opinion: Several factors impede clinical progress in targeting GBM, including the high rates of acquired resistance, heterogeneity within and across the tumors, complexity of signaling pathways and difficulty in traversing the blood-brain barrier (BBB). Substantial insight into genetic and molecular pathways and strategies to better tap the potential of these agents include rational combinatorial regimens and molecular phenotype-based patient enrichment, each of which will undoubtedly generate new therapeutic approaches to combat these devastating disabilities in the near future.
基金:
National Science Foundation of China [81072135, 30901749, 81272426]
第一作者单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Canc Biol Res Ctr,Wuhan 430074,Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Gao Qinglei,Lei Ting,Ye Fei.Therapeutic targeting of EGFR-activated metabolic pathways in glioblastoma[J].EXPERT OPINION ON INVESTIGATIONAL DRUGS.2013,22(8):1023-1040.doi:10.1517/13543784.2013.806484.
APA:
Gao, Qinglei,Lei, Ting&Ye, Fei.(2013).Therapeutic targeting of EGFR-activated metabolic pathways in glioblastoma.EXPERT OPINION ON INVESTIGATIONAL DRUGS,22,(8)
MLA:
Gao, Qinglei,et al."Therapeutic targeting of EGFR-activated metabolic pathways in glioblastoma".EXPERT OPINION ON INVESTIGATIONAL DRUGS 22..8(2013):1023-1040