Almost two decades of research to determine how cancer cells differ from noncancerous
cells at the molecular level have been richly rewarding. Several molecular growth
factors and receptors have been discovered that play a role in tumor development and
are differentially expressed in tumor cells. In this regard, the structure and function
of the epidermal growth factor receptor (EGFR) have been characterized. Efforts to
develop effective anticancer therapy have targeted this receptor because it is critical
to tumor cell proliferation, survival, and invasiveness. Overexpression of EGFR occurs
in several epithelial cell tumors, including non-small cell lung cancer (NSCLC). Small-molecular-weight
EGFR tyrosine kinase inhibitors and EGFR monoclonal antibodies are among the agents
that have demonstrated activity against NSCLC. These compounds, which are designed
to selectively target tumor cells, represent a new and novel treatment approach that
is being evaluated in NSCLC clinical trials.
KEYWORDS
Epidermal growth factor receptor (EGFR) - tyrosine kinase - non-small cell lung cancer
(NSCLC) - ZD1839 - IMC-C225
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10a
Joan H SchillerM.D. F.A.C.P.
Comprehensive Cancer Center, University of Wisconsin Hospital and Clinics
600 Highland Ave., Room K4/548, Madison, WI 53792
Email: jhschill@facstaff.wisc.edu