EGFR Inhibitor Resistance Markers |
Marker |
Name |
Biological Role |
Evidence |
References |
KRAS |
v-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog |
GTPase that relays signals from membrane receptors to downstream effectors (e.g., RAF kinase) to regulate cell proliferation and survival |
Activating mutations are correlated with resistance to cetuximab and erlotinib in colorectal and lung cancer |
EGFR inhibitor resistance: KRAS mutation references |
BRAF |
v-raf murine sarcoma viral oncogene homolog B1 |
Serine/threonine protein kinase that regulates MAPK-ERK signaling pathway |
Activating mutations are correlated with resistance to cetuximab in colorectal cancer |
EGFR inhibitor resistance: BRAF references |
PTEN |
Phosphatase and tensin homolog deleted on chromosome 10 |
PIP3 phosphatase that is a tumor suppressor that reverses the action of PI3 kinase, thereby reducing the activation of AKT and downstream signaling |
Loss of expression is correlated with resistance to cetuximab in colorectal cancers with WT KRAS |
EGFR inhibitor resistance: PTEN references |
PIK3CA |
Phosphatidyl-inositol triphosphate kinase catalytic domain, alpha subunit |
Phosphorylates the lipid PIP2 to form PIP3 which attracts signaling proteins to the membrane, where they activate downstream effectors, e.g., PDK and AKT |
Activating mutations are associated with resistance to cetuximab in colorectal cancers with WT KRAS |
EGFR inhibitor resistance: PIK3CA mutation references |