2014
DOI: 10.1038/jid.2014.164
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Epithelial Inflammation Resulting from an Inherited Loss-of-Function Mutation in EGFR

Abstract: Epidermal growth factor receptor (EGFR) signaling is fundamentally important for tissue homeostasis through EGFR/ligand interactions that stimulate numerous signal transduction pathways. Aberrant EGFR signaling has been reported in inflammatory and malignant diseases but thus far no primary inherited defects in EGFR have been recorded. Using whole-exome sequencing, we identified a homozygous loss-of-function missense mutation in EGFR (c.1283G>A; p.Gly428Asp) in a male infant with life-long inflammation affecti… Show more

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Cited by 82 publications
(82 citation statements)
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“…Mice lacking ADAM17 resemble mice with defects in EGFR signaling in that they have open eyes at birth, enlarged semilunar heart valves, and enlarged hypertrophic zones in long bone growth plates, most likely caused by a lack of ADAM17-dependent release of the EGFR ligands transforming growth factor α (TGF-α) and heparin-binding epidermal growth factor (HB-EGF) (3,(6)(7)(8)(9)(10)(11)(12)(13)(14). In humans, defects in skin and intestinal barrier protection have been reported in a patient lacking ADAM17 (15) and in patients treated with EGFR inhibitors (16,17), and similar skin defects were recently identified in a patient with defective EGFR signaling (18). Mouse models of ADAM17/EGFR signaling appear to recapitulate these mechanisms, because defects in skin barrier protection can be observed by inactivating either ADAM17 or the EGFR in keratinocytes (19), as well as in mice expressing very low levels of ADAM17, which also have increased susceptibility to intestinal inflammation (20).…”
mentioning
confidence: 93%
“…Mice lacking ADAM17 resemble mice with defects in EGFR signaling in that they have open eyes at birth, enlarged semilunar heart valves, and enlarged hypertrophic zones in long bone growth plates, most likely caused by a lack of ADAM17-dependent release of the EGFR ligands transforming growth factor α (TGF-α) and heparin-binding epidermal growth factor (HB-EGF) (3,(6)(7)(8)(9)(10)(11)(12)(13)(14). In humans, defects in skin and intestinal barrier protection have been reported in a patient lacking ADAM17 (15) and in patients treated with EGFR inhibitors (16,17), and similar skin defects were recently identified in a patient with defective EGFR signaling (18). Mouse models of ADAM17/EGFR signaling appear to recapitulate these mechanisms, because defects in skin barrier protection can be observed by inactivating either ADAM17 or the EGFR in keratinocytes (19), as well as in mice expressing very low levels of ADAM17, which also have increased susceptibility to intestinal inflammation (20).…”
mentioning
confidence: 93%
“…Although fewer data are available, a similar scenario seems to apply also to HNC. Indeed, a strict cross-talk between inflammatory cytokines and EGFR signaling to foster tissue regeneration has been repeatedly reported for epithelial tissues in general (26), and for squamous epithelia in particular (27)(28)(29).…”
mentioning
confidence: 88%
“…EGFR can inhibit IRF1 activation, resulting in suppression of the IFN pathway and ISG synthesis, especially IFNκ 270,419421 . Therapeutic inhibition of EGFR in humans consequently results in widespread inflammatory side effects, especially in the skin 417,418,422 . IFN inhibition can abolish the therapeutic effect of anti-EGFR therapies 423 (reviewed in 424 ), suggesting some anti- growth factor therapies may depend on IFN responses.…”
Section: Immune Interactionsmentioning
confidence: 99%