PMID- 19361406 OWN - NLM STAT- MEDLINE DCOM- 20090728 LR - 20181201 IS - 0767-0974 (Print) IS - 0767-0974 (Linking) VI - 25 Spec No 1 DP - 2009 Mar TI - [Biological criteria of eligibility for a treatment against EGFR]. PG - 21-4 LID - 10.1051/medsci/2009251s21 [doi] AB - The proteasome plays a pivotal role in the turnover of regulatory transduction proteins induced by activated cell membrane growth factor receptors. The epidermal growth factor receptor (EGFR) pathway is crucial in the development and progression of human epithelial cancers. The combined treatment with EGFR inhibitors has a synergistic growth inhibitory and pro-apoptotic activity in different human cancer cells which possess a functional EGFR-dependent autocrine growth pathway through to a more efficient and sustained inhibition of Akt. But resistance has been observed in case of KRAS mutation. Inhibition of a single transduction pathway is often inefficient due to activation of alternative signalling. The mammalian target of rapamycin (mTOR) is a key intracellular kinase integrating proliferation, survival and angiogenic pathways and has been implicated in the resistance to EGFR inhibitors. Thus, mTOR blockade is pursued to interfere at multiple levels with tumour growth. Targeting mTOR pathway overcomes resistance to EGFR inhibitors and produces a cooperative effect with EGFR inhibitors, providing a valid therapeutic strategy to be tested in a clinical setting. FAU - Laurent-Puig, Pierre AU - Laurent-Puig P AD - Inserm UMR-S775, Bases moleculaires de la reponse aux xenobiotiques, Laboratoire de Toxicologie Moleculaire, 45, rue des Saints- Peres, 75006 Paris, France. pierre.laurent-puig@univ-paris5.fr LA - fre PT - Journal Article TT - Criteres biologiques d'eligibilite pour un traitement anti-EGFR. PL - France TA - Med Sci (Paris) JT - Medecine sciences : M/S JID - 8710980 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antineoplastic Agents) RN - 0 (KRAS protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 6A901E312A (Panitumumab) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) RN - EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras)) RN - EC 3.6.5.2 (ras Proteins) SB - IM MH - Antibodies, Monoclonal/therapeutic use MH - Antineoplastic Agents/therapeutic use MH - ErbB Receptors/*antagonists & inhibitors MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Mutation MH - Neoplasms/*drug therapy/genetics MH - Panitumumab MH - Proto-Oncogene Proteins/genetics MH - Proto-Oncogene Proteins B-raf/genetics MH - Proto-Oncogene Proteins p21(ras) MH - ras Proteins/genetics EDAT- 2009/04/14 09:00 MHDA- 2009/07/29 09:00 CRDT- 2009/04/14 09:00 PHST- 2009/04/14 09:00 [entrez] PHST- 2009/04/14 09:00 [pubmed] PHST- 2009/07/29 09:00 [medline] AID - 00/00/0D/76/ [pii] AID - 10.1051/medsci/2009251s21 [doi] PST - ppublish SO - Med Sci (Paris). 2009 Mar;25 Spec No 1:21-4. doi: 10.1051/medsci/2009251s21.