When molecular biology transforms clinical oncology: the EGFR journey in colorectal cancer

The discovery of growth factors and their involvement in cancer represents the foundation of precision oncology. The preclinical and clinical development of agents targeting epidermal growth factor receptor (EGFR) in colorectal cancer (CRC) were accompanied by big hype and hopes, though the clinical...

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Main Authors: Pietro Paolo Vitiello, Nadia Saoudi González, Alberto Bardelli
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Molecular Oncology
Subjects:
Online Access:https://doi.org/10.1002/1878-0261.13754
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author Pietro Paolo Vitiello
Nadia Saoudi González
Alberto Bardelli
author_facet Pietro Paolo Vitiello
Nadia Saoudi González
Alberto Bardelli
author_sort Pietro Paolo Vitiello
collection DOAJ
description The discovery of growth factors and their involvement in cancer represents the foundation of precision oncology. The preclinical and clinical development of agents targeting epidermal growth factor receptor (EGFR) in colorectal cancer (CRC) were accompanied by big hype and hopes, though the clinical testing of such agents clashed with intrinsic and acquired resistance, greatly limiting their therapeutic value. However, a better understanding of the biology of the EGFR signaling pathway in CRC, coupled with the development of liquid biopsy methodologies to study cancer evolution in real time, fostered the clinical refinement of anti‐EGFR treatment in CRC. Such a workflow, based on the co‐evolution of biology knowledge and clinical development, allowed to couple the discovery of relevant therapy resistance mechanisms to the development of strategies to bypass this resistance. A broader application of this paradigm could prove successful and create an effective shortcut between the bench and the bedside for treatment strategies other than targeted therapy.
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issn 1574-7891
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publishDate 2025-02-01
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series Molecular Oncology
spelling doaj-art-fc99f7dc970b4d6e90ce7ccaa149e9352025-02-04T17:30:20ZengWileyMolecular Oncology1574-78911878-02612025-02-0119226727010.1002/1878-0261.13754When molecular biology transforms clinical oncology: the EGFR journey in colorectal cancerPietro Paolo Vitiello0Nadia Saoudi González1Alberto Bardelli2Department of Oncology University of Torino ItalyIFOM ETS – The AIRC Institute of Molecular Oncology Milan ItalyDepartment of Oncology University of Torino ItalyThe discovery of growth factors and their involvement in cancer represents the foundation of precision oncology. The preclinical and clinical development of agents targeting epidermal growth factor receptor (EGFR) in colorectal cancer (CRC) were accompanied by big hype and hopes, though the clinical testing of such agents clashed with intrinsic and acquired resistance, greatly limiting their therapeutic value. However, a better understanding of the biology of the EGFR signaling pathway in CRC, coupled with the development of liquid biopsy methodologies to study cancer evolution in real time, fostered the clinical refinement of anti‐EGFR treatment in CRC. Such a workflow, based on the co‐evolution of biology knowledge and clinical development, allowed to couple the discovery of relevant therapy resistance mechanisms to the development of strategies to bypass this resistance. A broader application of this paradigm could prove successful and create an effective shortcut between the bench and the bedside for treatment strategies other than targeted therapy.https://doi.org/10.1002/1878-0261.13754precision medicinecolorectal cancerEGFRdrug resistancetranslational research
spellingShingle Pietro Paolo Vitiello
Nadia Saoudi González
Alberto Bardelli
When molecular biology transforms clinical oncology: the EGFR journey in colorectal cancer
Molecular Oncology
precision medicine
colorectal cancer
EGFR
drug resistance
translational research
title When molecular biology transforms clinical oncology: the EGFR journey in colorectal cancer
title_full When molecular biology transforms clinical oncology: the EGFR journey in colorectal cancer
title_fullStr When molecular biology transforms clinical oncology: the EGFR journey in colorectal cancer
title_full_unstemmed When molecular biology transforms clinical oncology: the EGFR journey in colorectal cancer
title_short When molecular biology transforms clinical oncology: the EGFR journey in colorectal cancer
title_sort when molecular biology transforms clinical oncology the egfr journey in colorectal cancer
topic precision medicine
colorectal cancer
EGFR
drug resistance
translational research
url https://doi.org/10.1002/1878-0261.13754
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