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. 2014 Oct;6(Suppl 5):S502–S525. doi: 10.3978/j.issn.2072-1439.2014.05.19

Table 1. Major causes of resistance to reversible oral EGFR-TKIs.

Primary resistance Secondary resistance
KRAS mutation T790 mutation
Mutations involving exon-20 MET amplication
PTEN downregulation HER3 activation
Other mutations mutually exclusive to EGFR HGF overexpression

KRAS, kirsten rat sarcoma oncogene; PTEN, phosphatase and tensin homolog; EGFR, epidermal growth factor receptor; MET, hepatocyte growth factor receptor; HER3, human epidermal receptor 3; HGF, hepatocyte growth factor.