2018
DOI: 10.1016/j.ccell.2018.06.006
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Epidermal Growth Factor Receptor Extracellular Domain Mutations in Glioblastoma Present Opportunities for Clinical Imaging and Therapeutic Development

Abstract: We explored the clinical and pathological impact of epidermal growth factor receptor (EGFR) extracellular domain missense mutations. Retrospective assessment of 260 de novo glioblastoma patients revealed a significant reduction in overall survival of patients having tumors with EGFR mutations at alanine 289 (EGFR). Quantitative multi-parametric magnetic resonance imaging analyses indicated increased tumor invasion for EGFR mutants, corroborated in mice bearing intracranial tumors expressing EGFR and dependent … Show more

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Cited by 144 publications
(123 citation statements)
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“…As a consequence, we show that heterogeneous ECD mutations, and not only EGFRvIII, are responsive to mAb806, which, importantly, has a synergistic tumor-inhibitory effect when combined with TKI-2s binding to the same conformational state. Our findings unexpectedly bring together two independent lines of research on GBM mutations (5) and mAb806 (10), hinting at a much broader spectrum for this antibody, far beyond our previous study (17) and, importantly, paving the way for the rational extraintracellular cotargeting of EGFR-mutated tumors.…”
supporting
confidence: 50%
See 1 more Smart Citation
“…As a consequence, we show that heterogeneous ECD mutations, and not only EGFRvIII, are responsive to mAb806, which, importantly, has a synergistic tumor-inhibitory effect when combined with TKI-2s binding to the same conformational state. Our findings unexpectedly bring together two independent lines of research on GBM mutations (5) and mAb806 (10), hinting at a much broader spectrum for this antibody, far beyond our previous study (17) and, importantly, paving the way for the rational extraintracellular cotargeting of EGFR-mutated tumors.…”
supporting
confidence: 50%
“…Growing evidences indicate that the sole presence of EGFR-KD mutations in a tumor predicts positive responses to anti-EGFR therapy (45). If the same holds true for ECD mutations, 806-convergence will open a wider application spectrum of mAb806 than ever suggested (17), and together with TKI-driven ECD conversion (Figs. 5C and 6F), will pave a rational basis for extraintracellular EGFR targeting.…”
Section: Discussionmentioning
confidence: 95%
“…Great advances have been made in molecular targeted therapies in multiple cancers, such as lung cancer and melanoma . Although sorafenib, lenvatinib and regorafenib have been approved by FDA for the therapy of HCC, the global survival benefits for these drugs are only about 3‐6 months .…”
Section: Discussionmentioning
confidence: 99%
“…For example, methylation status of the gene encoding O6‐methylguanine‐DNA methyltransferase (MGMT) predicts the response to TMZ (Nam & de Groot, ). Moreover, heritable genetic aberrations of the epidermal growth factor receptor (EGFR) have been implicated in GBM progression and survival (Binder et al, ). Overexpression of EGFR was identified in 50–60% of patients with GBM and its expression is strictly correlated to a poor prognosis of the disease (Xin et al, ).…”
Section: Introductionmentioning
confidence: 99%
“…For example, methylation status of the gene encoding O6-methylguanine-DNA methyltransferase (MGMT) predicts the response to TMZ (Nam & de Groot, 2017). Moreover, heritable genetic aberrations of the epidermal growth factor receptor (EGFR) have been implicated in GBM progression and survival (Binder et al, 2018).…”
Section: Introductionmentioning
confidence: 99%