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Colorectal adenocarcinoma-derived EGFR mutants are oncogenic and sensitive to EGFR-targeted monoclonal antibodies,cetuximab and panitumumab
Authors:Nayoung Kim  Daseul Cho  Hyunjin Kim  Sujin Kim  Young-je Cha  Heidi Greulich  Adam Bass  Hyun-Soo Cho  Jeonghee Cho
Affiliation:1. Department of Nanobiomedical Science, Dankook University, Cheonan, Republic of Korea

Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea;2. Department of Nanobiomedical Science, Dankook University, Cheonan, Republic of Korea;3. Department of Systems Biology, College of Life Science and Biotechnology, Yonsei University, Seoul, Republic of Korea;4. Broad Institute of Harvard and MIT, Cambridge, MA

Division of Molecular and Cellular Oncology, Dana-Farber Cancer Institute, Boston, MA;5. Division of Molecular and Cellular Oncology, Dana-Farber Cancer Institute, Boston, MA

Abstract:Somatic mutations of epidermal growth factor receptor (EGFR) occur in ~3% of colorectal cancer (CRC) patients. Here, through systematic functional screening of 21 recurrent EGFR mutations selected from public data sets, we show that 11 colon cancer-derived EGFR mutants (G63R, E114K, R165Q, R222C, S492R, P596L, K708R, E709K, G719S, G724S and L858R) are oncogenic and able to transform cells in a ligand-independent manner. We demonstrate that cellular transformation by these mutants requires receptor dimerization. Importantly, the EGF-induced and constitutive oncogenic potential of these EGFR mutants are inhibited by cetuximab or panitumumab in vivo and in vitro. Taken together, we propose that a subset of EGFR mutations can serve as genomic predictors for response to anti-EGFR antibodies and that metastatic CRC patients with such mutations may benefit from these drugs as part of the first-line therapy.
Keywords:epidermal growth factor receptor (EGFR)  cetuximab (Erbitux)  panitumumab  colon cancer  EGFR mutation  receptor dimerization  targeted therapy
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