Abstract
Mutations in the epidermal growth factor receptor (EGFR) extracellular domain (ECD) are implicated in the development of glioblastoma multiforme (GBM), which is a highly aggressive form of brain cancer. Of particular interest to GBM is the EGFR variant known as EGFRvIII, which is distinguished by an in-frame deletion of exons 2–7, which encode ECD residues 6–273. Included within the deleted region is an autoinhibitory tether, whose absence, alongside unique disulfide interactions within the truncated ECD, supports assembly of a constitutively active asymmetric kinase dimer. Previous studies have shown that the binding of growth factors to the ECD of wild-type EGFR leads to the formation of two distinct coiled coil dimers in the cytoplasmic juxtamembrane (JM) segment, whose identities correlate with the downstream phenotype. One coiled coil contains leucine residues at the interhelix interface (EGF-type), whereas the other contains charged and polar side chains (TGF-α-type). It has been proposed that growth-factor-dependent structural changes in the ECD and adjacent transmembrane helix are transduced into distinct JM coiled coils. Here, we show that, in the absence of this growth-factor-induced signal, the JM of EGFRvIII adopts both EGF-type and TGF-α-type structures, providing direct evidence for this hypothesis. These studies confirm that the signals that define JM coiled coil identity begin within the ECD, and support a model in which growth-factor-induced conformational changes are transmitted from the ECD through the transmembrane helix to favor different coiled coil isomers within the JM.
Epidermal growth factor receptor (EGFR) vIII (EGFRvIII) is the most common EGFR mutation associated with glioblastoma multiforme (GBM),1–48 which is a high-grade brain tumor with exceptionally high fatality.9 Multiple studies associate the expression of EGFRvIII with poor survival.10,11 Unlike EGFR variants with mutations within the kinase domain12–16 that can be blocked selectively with tyrosine kinase inhibitors (TKIs),17–21 EGFRvIII contains a wild-type (WT) kinase domain, hindering the development of selective inhibitors.4,22–25
The mutations that distinguish EGFRvIII result from an in-frame deletion of 801 base pairs from exons 2–7 of the extracellular domain (ECD) (Figure 1A).4,26–28 As a result, the receptor lacks residues 6–273, which comprise most of ECD domains I and II. Included in this region is one of three residues (Y246) that interacts with D563 and K585 on domain IV to hold the WT receptor in an autoinhibited conformation (see Figures 1B and 1D).29–32 The absence of the Y246 autoinhibitory latch renders EGFRvIII constitutively active (Figure 1B).7,30,31,33 EGFRvIII also lacks the domain II dimerization arm that, in WT EGFR, is necessary for growth-factor-induced ECD dimerization (see Figures 1C and 1D).30,31 Despite the absence of ECD domains I and II, EGFRvIII forms dimers that are, instead, stabilized by disulfide bonds between cysteine residues exposed as a result of ECD truncation.34 This disulfide-induced extracellular dimerization event, like growth factor-induced dimerization, supports intracellular formation of an asymmetric kinase dimer35 that signals constitutively through the MAPK and AKT pathways (among others) to initiate oncogenic activity in the cell.2,5–7,36
Figure 1.

Comparison between wild-type (WT) epidermal growth-factor receptor (EGFR) and EGFRvIII. (A) Schematics illustrating the distinct regions and domains of WT EGFR and EGFRvIII. EGFRvIII lacks amino acid residues 6–273 of the extracellular domain (ECD) (dashed line). (B) Surface model of the autoinhibited conformation of the WT EGFR ECD (PDB ID: 1NQL). Subdomains are color-shaded for visualization (I, III: deep teal; II, IV: pale cyan). The ECD is held in an autoinhibited conformation by intramolecular interactions between residues in domains II and IV. (C) Surface model of the WT EGFR ECD dimer bound to EGF (PDB ID: 3NJP). Domains are color-shaded as previously indicated, to visualize subdomain movement upon EGF binding. One of the dimeric partners is shaded light for clearer visualization. (D) Surface model of the autoinhibited EGFR ECD with the portions missing in lightly shaded EGFRvIII. The ECD deletion prevents formation of autoinhibitory intramolecular interaction between domain II and IV. (E) Helical wheel diagrams showing axial views of interhelix juxtamembrane segment packing in EGF- and TGF-α-type coiled coils. (F) The fluorogenic dye ReAsH is quenched when bound to two ethanedithiol ligands, because of free rotation about the C–S bond. When bound to proteins containing four proximal Cys thiols, rotation is inhibited and the fluorescence is dequenched.
The EGFR extracellular domain does more than simply bind growth factors and promote dimerization: it is an essential component of an allosteric pathway that links growth factor binding to kinase activation.37,38 Previous studies have shown that the binding of growth factors by WT EGFR leads to the formation of two distinct coiled coil structures in the cytoplasmic juxtamembrane (JM) segment, a region of the intact receptor that is separated from the ECD by a transmembrane helix and a bilayer membrane.39–41 One coiled coil, favored when WT EGFR is activated by epidermal growth factor (EGF) and heparin-binding EGF-like growth factor (HB-EGF), is distinguished by a hydrophobic, leucine-rich coiled coil interface observed by NMR (EGF-type coiled coil).42 The other coiled coil, favored when WT EGFR is activated by transforming growth factor-α (TGF-α), epigen, epiregulin, and amphiregulin, is distinguished by electrostatic interactions at the helical interface with leucines decorating the outside surface40 (Figure 1E). Formation of EGF- and TGF-α-type coiled coils within EGFR correlate with distinct intracellular phenotypes, including the direction of endocytic trafficking, receptor lifetime, and the relative flux through alternative downstream signaling pathways.40 Given that EGFRvIII is constitutively activated in the absence of growth-factor-induced ECD rearrangements, it provides a unique opportunity to interrogate the relative stabilities of the EGFR juxtamembrane segment in the absence of signals emanating from a WT ECD. Here, we make use of bipartite tetracysteine display43,44 to demonstrate that, in the absence of this growth factor-induced signal, the JM of EGFRvIII adopts both EGF-type and TGF-α-type structures. Our studies provide further evidence for an allosteric pathway that links growth-factor-induced binding to the extracellular domain to JM coiled coil structure and kinase activation.
Our initial experiments sought to probe the existence and structure of the JM coiled coil formed by intact EGFRvIII dimers within living cells. To do so, we made use of the chemical biology tool bipartite tetracysteine display (Figure 1F).43,44 This tool exploits the bis-arsenical dye ReAsH45 as a fluorogenic sensor that lights up only when bound to four cysteine (Cys) side chains in a discrete molecular array.46 In previous work, we identified a set of CysCys-containing WT EGFR variants whose dimers bind ReAsH and fluoresce only when the JM is assembled into either an EGF-type coiled coil (CCH-1) or the isomeric TGF-α-type coiled coil (CCH-10) (Figure 2A).39–41 The resulting ReAsH fluorescence, detected using total internal reflectance fluorescence microscopy (TIRF-M), provides an in-cell readout of JM structure within intact EGF receptors.39–41 Visualizing ReAsH fluorescence using TIRF-M restricts fluorophore excitation and emission to a small (100–200 nm) cell surface plane and diminishes the signal from nonspecific cytosolic ReAsH staining.39
Figure 2.

Probing EGFRvIII JM structure using bipartite tetracysteine display. (A) Sequence of the juxtamembrane (JM) regions of vIII (WT EGFR numbering) alongside those of vIII CCH-1, CCH-10, and CCH-4. JM residues in the vIII sequence that are mutated to Cys in vIII-CCH-1, vIII-CCH-10, and vIII-CCH-4 are colored red. (B) Helical wheel diagrams illustrating axial views of idealized interhelix packing in EGF- and TGF-α-type coiled coils. The helical diagrams shaded with a red background indicate a conformation that is suitable for ReAsH binding with the individual vIII variants. (C) Two models to account for ReAsH binding by both vIII-CCH-1 and vIII-CCH-10.
To probe for formation of the EGF-type or the TGF-α-type coiled-coil within the JM of intact EGFRvIII receptors, we integrated the CCH-1 or CCH-10 CysCys mutations into the EGFRvIII sequence to generate vIII-CCH-1 and vIII-CCH-10, respectively (Figure 2B). Control experiments confirmed that vIII-CCH-1 and vIII-CCH-10 (each carrying an N-terminal FLAG-tag) were expressed in CHO-K1 cells, localized to the cell surface, and underwent the expected phosphorylation at C-terminal tail residues Y1068 and Y1086 in the absence and presence of saturating (16.7 nM) EGF or TGF-α (Figure S1 in the Supporting Information).
To perform bipartite tetracysteine display, CHO-K1 cells expressing vIII-CCH-1 or vIII-CCH-10 were stimulated with growth factor (or not), incubated with ReAsH, washed, and immuno-stained to detect and quantify EGFRvIII expression. Receptor expression was monitored using a fluorescently labeled antibody to an N-terminal FLAG epitope. Using TIRF-M, we quantified the level of both cell surface ReAsH fluorescence (red) and EGFR expression (green) across multiple cells (67–161) that expressed EGFR or EGFRvIII variants. The cell-surface ReAsH fluorescence detected (over background) was normalized to the surface EGFR-expression detected (over background) to calculate the fold-increase in ReAsH fluorescence (Figures 3A and 3B). Cells expressing WT-CCH-1 or WT-CCH-10 displayed levels of normalized ReAsH fluorescence relative to background that mirrored previous reports (Figures 3A and 3B).39–41 By contrast, cells expressing vIII-CCH-1 or vIII-CCH-10 showed an almost 2-fold increase in normalized ReAsH fluorescence, relative to background in the absence of any growth factor (1.86 ± 0.09 and 1.79 ± 0.09, respectively) as well as when treated with EGF (1.81 ± 0.10 and 1.70 ± 0.08) or TGF-α (1.80 ± 0.08 and 1.84 ± 0.10) (Figures 3A and 3B). The fold-increase in ReAsH fluorescence observed for cells expressing vIII-CCH-1 or vIII-CCH-10 was comparable to that observed when WT-CCH-1 or WT-CCH-10 are activated with EGF and TGF-α, respectively.39–41 Previous work that examined the JM coiled coil status of WT EGFR activated with different growth factors,39–41 or of constitutively active EGFR kinase domain mutants,47 has always revealed a preference for one coiled coil over the other. The absence of this preference in the case of EGFRvIII is consistent with two fundamentally different scenarios. One is that the structure of intact and constitutively active EGFRvIII is best-represented as a mixture of dimers containing the EGF-type and TGF-α-type JM coiled coils (if not others). The second possibility is that the JM of constitutively active EGFRvIII can easily assume multiple different conformations, including, but not limited to, the EGF-type and TGF-α-type JM coiled coils; the associated increased flexibility could also support ReAsH binding and induced fluorescence (Figure 2C).
Figure 3.

Juxtamembrane segment of EGFRvIII exists as a mixture of EGF- and TGF-α-type coiled coils. (A) Representative TIRF-M images of CHO-K1 cells illustrating ReAsH labeling (red fluorescence) and expression (green fluorescence) of FLAG-tagged CCH-1, CCH-10, and CCH-4 variants of WT EGFR and EGFRvIII in the absence and presence of EGF or TGF-α stimulation (16.7 nM). Scale bars = 10 μm. (B) Bar plots illustrating the quantification of TIRF-M results from n cells as a fold increase in expression-corrected ReAsH fluorescence over background. Error bars represent the standard error of measurement (sem); (****) p < 0.0001, (***) p < 0.0002, (**) p < 0.0021, (*) p < 0.0332 from one-way ANOVA with Dunnett’s post-analysis accounting comparison to the WT control for each case without growth-factor treatment (n.s. = not significant). See also Figure S1 in the Supporting Information.
To differentiate between these two possibilities, we designed a third CysCys-containing EGFRvIII variant, vIII-CCH-4 (see Figures 2A and 2B). In vIII-CCH-4, the four Cys residues within the JM are located too far apart to bind ReAsH in either the EGF-type or TGF-α-type conformation.39 In the EGF-type structure, the Cys residues are located at positions g and e (as well as g′ and e′); in the TGF-α-type structure, the Cys residues are located at positions g and b (as well as g′ and b′). If the EGFRvIII JM adopts either the EGF-type or the TGF-α-type antiparallel coiled coil, then cells expressing vIII-CCH-4 should show little or no ReAsH fluorescence. Conversely, if the EGFRvIII JM flexibly adopts multiple different conformations, then cells expressing vIII-CCH-4 should show high ReAsH fluorescence. Control experiments verified that vIII-CCH-4 could be expressed in CHO-K1 cells and was constitutively phosphorylated at C-terminal tail positions Y1068 and Y1086 (see Figure S1 in the Supporting Information).
Using bipartite tetracysteine display, we evaluated the fold increase of ReAsH fluorescence of CHO-K1 cells expressing variants WT-CCH-4 and vIII-CCH-4 in the absence and presence of EGF and TGF-α. As expected, with cells expressing WT-CCH-4, no significant fold increase in ReAsH fluorescence, is observed when the cells are activated with either EGF (1.09 ± 0.05) or TGF-α (1.06 ± 0.06) or not stimulated with any growth factor (1.01 ± 0.04) (Figures 3A and 3B).39 Interestingly, cells expressing vIII-CCH-4 also showed little or no ReAsH fluorescence both without growth-factor activation (1.19 ± 0.06) and when the cells were stimulated with either EGF (1.17 ± 0.06) or TGF-α (1.19 ± 0.09). These results favor a model in which the EGFRvIII JM assembles constitutively into a mixture of two different antiparallel coiled coils of roughly equal stability. The data are less consistent with a model in which the JM segment of EGFRvIII can easily assume multiple different conformations.
Wild-type EGFR interacts through its extracellular domain (ECD) with seven different growth factors.48 These factors induce different structures within the cytoplasmic juxtamembrane segment (JM) of the dimeric receptor and propagate different growth-factor-dependent signals to the cell interior.39–41 Previous work has defined a model to explain how EGFR supports growth-factor-dependent signaling. This model begins with small but significant growth-factor-dependent differences in the structure of the bound ECD, especially in domain IV as it tracks into the transmembrane helix.39,30,31 These differences lead to transmembrane helix dimers that differ in both cross location and cross angle.41 Transmembrane helix dimers characterized by smaller cross angles at multiple cross locations induce the EGF-type coiled coil in the adjacent JM, whereas helix dimers with larger cross angles at fewer cross locations induce the TGF-α-type coiled coil (Figure 4A).41 EGFRvIII provides a unique opportunity to test this model, as kinase activation occurs in the absence of either growth-factor binding or kinase domain mutations. Here, we make use of bipartite tetracysteine display to demonstrate that, in the absence of this growth-factor-induced signal, the JM of EGFRvIII adopts both EGF-type and TGF-α-type structures within the juxtamembrane segment. We show that, in the absence of growth-factor-induced ECD rearrangements, the JM adopts a well-ordered configuration that appears to be a mixture of EGF-type and TGF-α-type structures (Figure 4A). These results suggest that the EGF-type and TGF-α-type JM coiled coils possess roughly equal stability in the context of the intact full-length receptor (Figure 4B). Overall, our work provides further evidence for an allosteric pathway that links growth-factor-induced binding to the extracellular domain to JM coiled coil structure and kinase activation.
Figure 4.

(A) Cartoon illustrating the preferred conformation of the JM coiled-coil in WT EGFR and EGFRvIII. In WT EGFR, the JM conformation is influenced by the identity of the growth factor bound to the ECD. When bound to EGF, the JM adopts an antiparallel coiled coil characterized by a leucine-rich, hydrophobic interface; when bound to TGF-α, the antiparallel coiled coil is characterized by a polar interface. In the constitutively active EGFRvIII, in the absence of growth factor-induced ECD rearrangements, both EGF-type and TGF-α coiled coil conformations are adopted. (B) Hypothetical energy well diagrams illustrating the different energy landscapes of the JM region in WT EGFR and EGFRvIII.
Supplementary Material
ACKNOWLEDGMENTS
This work was supported by the NIH (Nos. RO1 GM83257 and R35 GM134963 to A.S.). D.M. acknowledges training support provided by NIH (5T32GM008283-30). A.D. acknowledges training support provided by NIH (5T32GM008283-28).
ABBREVIATIONS
- EGFR
epidermal growth factor receptor
- GBM
glioblastoma multiforme
- ECD
extracellular domain
- TM
transmembrane
- JM
juxtamembrane
Footnotes
Supporting Information
The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/acs.biochem.0c00641.
Supplemental information, methods, and figures (PDF)
The authors declare no competing financial interest.
Complete contact information is available at: https://pubs.acs.org/10.1021/acs.biochem.0c00641
Contributor Information
Deepto Mozumdar, Department of Chemistry, Yale University, New Haven, Connecticut 06520, United States; Department of Chemistry, University of California, Berkeley, California 94705, United States.
Alanna Schepartz, Department of Chemistry, University of California, Berkeley, California 94705, United States.
REFERENCES
- (1).Gan HK, Kaye AH, and Luwor RB (2009) The EGFRvIII Variant in Glioblastoma Multiforme. J. Clin. Neurosci 16 (6), 748–754. [DOI] [PubMed] [Google Scholar]
- (2).Gan HK, Cvrljevic AN, and Johns TG (2013) The Epidermal Growth Factor Receptor Variant III (EGFRvIII): Where Wild Things Are Altered. FEBS J. 280 (21), 5350–5370. [DOI] [PubMed] [Google Scholar]
- (3).Brennan CW, Verhaak RGW, McKenna A, Campos B, Noushmehr H, Salama SR, Zheng S, Chakravarty D, Sanborn JZ, Berman SH, Beroukhim R, Bernard B, Wu C-J, Genovese G, Shmulevich I, Barnholtz-Sloan J, Zou L, Vegesna R, Shukla SA, Ciriello G, Yung WK, Zhang W, Sougnez C, Mikkelsen T, Aldape K, Bigner DD, Van Meir EG, Prados M, Sloan A, Black KL, Eschbacher J, Finocchiaro G, Friedman W, Andrews DW, Guha A, Iacocca M, O’Neill BP, Foltz G, Myers J, Weisenberger DJ, Penny R, Kucherlapati R, Perou CM, Hayes DN, Gibbs R, Marra M, Mills GB, Lander E, Spellman P, Wilson R, Sander C, Weinstein J, Meyerson M, Gabriel S, Laird PW, Haussler D, Getz G, Chin L, Benz C, Barnholtz-Sloan J, Barrett W, Ostrom Q, Wolinsky Y, Black KL, Bose B, Boulos PT, Boulos M, Brown J, Czerinski C, Eppley M, Iacocca M, Kempista T, Kitko T, Koyfman Y, Rabeno B, Rastogi P, Sugarman M, Swanson P, Yalamanchii K, Otey IP, Liu YS, Xiao Y, Auman JT, Chen P-C, Hadjipanayis A, Lee E, Lee S, Park PJ, Seidman J, Yang L, Kucherlapati R, Kalkanis S, Mikkelsen T, Poisson LM, Raghunathan A, Scarpace L, Bernard B, Bressler R, Eakin A, Iype L, Kreisberg RB, Leinonen K, Reynolds S, Rovira H, Thorsson V, Shmulevich I, Annala MJ, Penny R, Paulauskis J, Curley E, Hatfield M, Mallery D, Morris S, Shelton T, Shelton C, Sherman M, Yena P, Cuppini L, DiMeco F, Eoli M, Finocchiaro G, Maderna E, Pollo B, Saini M, Balu S, Hoadley KA, Li L, Miller CR, Shi Y, Topal MD, Wu J, Dunn G, Giannini C, O’Neill BP, Aksoy BA, Antipin Y, Borsu L, Berman SH, Brennan CW, Cerami E, Chakravarty D, Ciriello G, Gao J, Gross B, Jacobsen A, Ladanyi M, Lash A, Liang Y, Reva B, Sander C, Schultz N, Shen R, Socci ND, Viale A, Ferguson ML, Chen Q-R, Demchok JA, Dillon LAL, Shaw KRM, Sheth M, Tarnuzzer R, Wang Z, Yang L, Davidsen T, Guyer MS, Ozenberger BA, Sofia HJ, Bergsten J, Eckman J, Harr J, Myers J, Smith C, Tucker K, Winemiller C, Zach LA, Ljubimova JY, Eley G, Ayala B, Jensen MA, Kahn A, Pihl TD, Pot DA, Wan Y, Eschbacher J, Foltz G, Hansen N, Hothi P, Lin B, Shah N, Yoon J, Lau C, Berens M, Ardlie K, Beroukhim R, Carter SL, Cherniack AD, Noble M, Cho J, Cibulskis K, DiCara D, Frazer S, Gabriel SB, Gehlenborg N, Gentry J, Heiman D, Kim J, Jing R, Lander ES, Lawrence M, Lin P, Mallard W, Meyerson M, Onofrio RC, Saksena G, Schumacher S, Sougnez C, Stojanov P, Tabak B, Voet D, Zhang H, Zou L, Getz G, Dees NN, Ding L, Fulton LL, Fulton RS, Kanchi K-L, Mardis ER, Wilson RK, Baylin SB, Andrews DW, Harshyne L, Cohen ML, Devine K, Sloan AE, VandenBerg SR, Berger MS, Prados M, Carlin D, Craft B, Ellrott K, Goldman M, Goldstein T, Grifford M, Haussler D, Ma S, Ng S, Salama SR, Sanborn JZ, Stuart J, Swatloski T, Waltman P, Zhu J, Foss R, Frentzen B, Friedman W, McTiernan R, Yachnis A, Hayes DN, Perou CM, Zheng S, Vegesna R, Mao Y, Akbani R, Aldape K, Bogler O, Fuller GN, Liu W, Liu Y, Lu Y, Mills G, Protopopov A, Ren X, Sun Y, Wu C-J, Yung WKA, Zhang W, Zhang J, Chen K, Weinstein JN, Chin L, Verhaak RGW, Noushmehr H, Weisenberger DJ, Bootwalla MS, Lai PH, Triche TJ, Van Den Berg DJ, Laird PW, Gutmann DH, Lehman NL, VanMeir EG, Brat D, Olson JJ, Mastrogianakis GM, Devi NS, Zhang Z, Bigner D, Lipp E, and McLendon R (2013) The Somatic Genomic Landscape of Glioblastoma. Cell 155 (2), 462–477. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (4).An Z, Aksoy O, Zheng T, Fan Q-W, and Weiss WA (2018) Epidermal Growth Factor Receptor and EGFRvIII in Glioblastoma: Signaling Pathways and Targeted Therapies. Oncogene 37 (12), 1561–1575. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (5).Nishikawa R, Ji XD, Harmon RC, Lazar CS, Gill GN, Cavenee WK, and Huang HJ (1994) A Mutant Epidermal Growth Factor Receptor Common in Human Glioma Confers Enhanced Tumorigenicity. Proc. Natl. Acad. Sci. U. S. A 91 (16), 7727–7731. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (6).Nagane M, Coufal F, Lin H, Bögler O, Cavenee WK, and Huang H-JS (1996) A Common Mutant Epidermal Growth Factor Receptor Confers Enhanced Tumorigenicity on Human Glioblastoma Cells by Increasing Proliferation and Reducing Apoptosis. Cancer Res. 56 (21), 5079–5086. [PubMed] [Google Scholar]
- (7).Huang H-JS, Nagane M, Klingbeil CK, Lin H, Nishikawa R, Ji X-D, Huang C-M, Gill GN, Wiley HS, and Cavenee WK (1997) The Enhanced Tumorigenic Activity of a Mutant Epidermal Growth Factor Receptor Common in Human Cancers Is Mediated by Threshold Levels of Constitutive Tyrosine Phosphorylation and Unattenuated Signaling. J. Biol. Chem 272 (5), 2927–2935. [DOI] [PubMed] [Google Scholar]
- (8).Frederick L, Wang X-Y, Eley G, and James CD (2000) Diversity and Frequency of Epidermal Growth Factor Receptor Mutations in Human Glioblastomas. Cancer Res. 60 (5), 1383–1387. [PubMed] [Google Scholar]
- (9).Hanif F, Muzaffar K, Perveen K, Malhi SM, and Simjee SU (2017) Glioblastoma Multiforme: A Review of Its Epidemiology and Pathogenesis through Clinical Presentation and Treatment. Asian Pac. J. Cancer Prev. (APJCP) 18 (1), 3–9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (10).Shinojima N, Tada K, Shiraishi S, Kamiryo T, Kochi M, Nakamura H, Makino K, Saya H, Hirano H, Kuratsu J, Oka K, Ishimaru Y, and Ushio Y (2003) Prognostic Value of Epidermal Growth Factor Receptor in Patients with Glioblastoma Multiforme. Cancer Res. 63 (20), 6962–6970. [PubMed] [Google Scholar]
- (11).Heimberger AB, Hlatky R, Suki D, Yang D, Weinberg J, Gilbert M, Sawaya R, and Aldape K (2005) Prognostic Effect of Epidermal Growth Factor Receptor and EGFRvIII in Glioblastoma Multiforme Patients. Clin. Cancer Res 11 (4), 1462–1466. [DOI] [PubMed] [Google Scholar]
- (12).Paez JG, Jänne PA, Lee JC, Tracy S, Greulich H, Gabriel S, Herman P, Kaye FJ, Lindeman N, Boggon TJ, Naoki K, Sasaki H, Fujii Y, Eck MJ, Sellers WR, Johnson BE, and Meyerson M (2004) EGFR Mutations in Lung Cancer: Correlation with Clinical Response to Gefitinib Therapy. Science 304 (5676), 1497–1500. [DOI] [PubMed] [Google Scholar]
- (13).Lynch TJ, Bell DW, Sordella R, Gurubhagavatula S, Okimoto RA, Brannigan BW, Harris PL, Haserlat SM, Supko JG, Haluska FG, et al. (2004) Activating Mutations in the Epidermal Growth Factor Receptor Underlying Responsiveness of Non–Small-Cell Lung Cancer to Gefitinib. N. Engl. J. Med 350 (21), 2129–2139. [DOI] [PubMed] [Google Scholar]
- (14).Kobayashi S, Boggon TJ, Dayaram T, Jänne PA, Kocher O, Meyerson M, Johnson BE, Eck MJ, Tenen DG, and Halmos B (2005) EGFR Mutation and Resistance of Non–Small-Cell Lung Cancer to Gefitinib. N. Engl. J. Med 352 (8), 786–792. [DOI] [PubMed] [Google Scholar]
- (15).Pao W, Miller V, Zakowski M, Doherty J, Politi K, Sarkaria I, Singh B, Heelan R, Rusch V, Fulton L, Mardis E, Kupfer D, Wilson R, Kris M, and Varmus H (2004) EGF Receptor Gene Mutations Are Common in Lung Cancers from “Never Smokers” and Are Associated with Sensitivity of Tumors to Gefitinib and Erlotinib. Proc. Natl. Acad. Sci. U. S. A 101 (36), 13306–13311. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (16).Pao W, Miller VA, Politi KA, Riely GJ, Somwar R, Zakowski MF, Kris MG, and Varmus H (2005) Acquired Resistance of Lung Adenocarcinomas to Gefitinib or Erlotinib Is Associated with a Second Mutation in the EGFR Kinase Domain. PLOS Med. 2 (3), No. e73. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (17).Li D, Ambrogio L, Shimamura T, Kubo S, Takahashi M, Chirieac LR, Padera RF, Shapiro GI, Baum A, Himmelsbach F, Rettig WJ, Meyerson M, Solca F, Greulich H, and Wong K-K (2008) BIBW2992, an Irreversible EGFR/HER2 Inhibitor Highly Effective in Preclinical Lung Cancer Models. Oncogene 27 (34), 4702–4711. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (18).Zhou W, Ercan D, Chen L, Yun C-H, Li D, Capelletti M, Cortot AB, Chirieac L, Iacob RE, Padera R, Engen JR, Wong K-K, Eck MJ, Gray NS, and Jänne PA (2009) Novel Mutant-Selective EGFR Kinase Inhibitors against EGFR T790M. Nature 462 (7276), 1070–1074. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (19).Walter AO, Sjin RTT, Haringsma HJ, Ohashi K, Sun J, Lee K, Dubrovskiy A, Labenski M, Zhu Z, Wang Z, et al. (2013) Discovery of a Mutant-Selective Covalent Inhibitor of EGFR That Overcomes T790M-Mediated Resistance in NSCLC. Cancer Discovery 3 (12), 1404–1415. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (20).Cross DAE, Ashton SE, Ghiorghiu S, Eberlein C, Nebhan CA, Spitzler PJ, Orme JP, Finlay MRV, Ward RA, Mellor MJ, Hughes G, Rahi A, Jacobs VN, Brewer MR, Ichihara E, Sun J, Jin H, Ballard P, Al-Kadhimi K, Rowlinson R, Klinowska T, Richmond GHP, Cantarini M, Kim D-W, Ranson MR, and Pao W (2014) AZD9291, an Irreversible EGFR TKI, Overcomes T790M-Mediated Resistance to EGFR Inhibitors in Lung Cancer. Cancer Discovery 4 (9), 1046–1061. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (21).Jia Y, Yun C-H, Park E, Ercan D, Manuia M, Juarez J, Xu C, Rhee K, Chen T, Zhang H, Palakurthi S, Jang J, Lelais G, DiDonato M, Bursulaya B, Michellys P-Y, Epple R, Marsilje TH, McNeill M, Lu W, Harris J, Bender S, Wong K-K, Jänne PA, and Eck MJ (2016) Overcoming EGFR(T790M) and EGFR(C797S) Resistance with Mutant-Selective Allosteric Inhibitors. Nature 534 (7605), 129–132. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (22).Brandes AA, Franceschi E, Tosoni A, Hegi ME, and Stupp R (2008) Epidermal Growth Factor Receptor Inhibitors in Neuro-Oncology: Hopes and Disappointments. Clin. Cancer Res 14 (4), 957–960. [DOI] [PubMed] [Google Scholar]
- (23).van den Bent MJ, Brandes AA, Rampling R, Kouwenhoven MCM, Kros JM, Carpentier AF, Clement PM, Frenay M, Campone M, Baurain J-F, Armand J-P, Taphoorn MJB, Tosoni A, Kletzl H, Klughammer B, Lacombe D, and Gorlia T (2009) Randomized Phase II Trial of Erlotinib Versus Temozolomide or Carmustine in Recurrent Glioblastoma: EORTC Brain Tumor Group Study 26034. J. Clin. Oncol 27 (8), 1268–1274. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (24).Peereboom DM, Shepard DR, Ahluwalia MS, Brewer CJ, Agarwal N, Stevens GHJ, Suh JH, Toms SA, Vogelbaum MA, Weil RJ, Elson P, and Barnett GH (2010) Phase II Trial of Erlotinib with Temozolomide and Radiation in Patients with Newly Diagnosed Glioblastoma Multiforme. J. Neuro-Oncol 98 (1), 93–99. [DOI] [PubMed] [Google Scholar]
- (25).Reardon DA, Nabors LB, Mason WP, Perry JR, Shapiro W, Kavan P, Mathieu D, Phuphanich S, Cseh A, Fu Y, Cong J, Wind S, and Eisenstat DD (2014) Phase I/Randomized Phase II Study of Afatinib, an Irreversible ErbB Family Blocker, with or without Protracted Temozolomide in Adults with Recurrent Glioblastoma. Neuro-Oncol. 17 (3), 430–439. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (26).Yamazaki H, Fukui Y, Ueyama Y, Tamaoki N, Kawamoto T, Taniguchi S, and Shibuya M (1988) Amplification of the Structurally and Functionally Altered Epidermal Growth Factor Receptor Gene (c-ErbB) in Human Brain Tumors. Mol. Cell. Biol 8 (4), 1816–1820. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (27).Sugawa N, Ekstrand AJ, James CD, and Collins VP (1990) Identical Splicing of Aberrant Epidermal Growth Factor Receptor Transcripts from Amplified Rearranged Genes in Human Glioblastomas. Proc. Natl. Acad. Sci. U. S. A 87 (21), 8602–8606. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (28).Ekstrand AJ, Sugawa N, James CD, and Collins VP (1992) Amplified and Rearranged Epidermal Growth Factor Receptor Genes in Human Glioblastomas Reveal Deletions of Sequences Encoding Portions of the N- and/or C-Terminal Tails. Proc. Natl. Acad. Sci. U. S. A 89 (10), 4309–4313. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (29).Ferguson KM, Berger MB, Mendrola JM, Cho H-S, Leahy DJ, and Lemmon MA (2003) EGF Activates Its Receptor by Removing Interactions That Autoinhibit Ectodomain Dimerization. Mol. Cell 11 (2), 507–517. [DOI] [PubMed] [Google Scholar]
- (30).Garrett TPJ, McKern NM, Lou M, Elleman TC, Adams TE, Lovrecz GO, Zhu H-J, Walker F, Frenkel MJ, Hoyne PA, Jorissen RN, Nice EC, Burgess AW, and Ward CW (2002) Crystal Structure of a Truncated Epidermal Growth Factor Receptor Extracellular Domain Bound to Transforming Growth Factor α. Cell 110 (6), 763–773. [DOI] [PubMed] [Google Scholar]
- (31).Ogiso H, Ishitani R, Nureki O, Fukai S, Yamanaka M, Kim J-H, Saito K, Sakamoto A, Inoue M, Shirouzu M, and Yokoyama S (2002) Crystal Structure of the Complex of Human Epidermal Growth Factor and Receptor Extracellular Domains. Cell 110 (6), 775–787. [DOI] [PubMed] [Google Scholar]
- (32).Dawson JP, Berger MB, Lin C-C, Schlessinger J, Lemmon MA, and Ferguson KM (2005) Epidermal Growth Factor Receptor Dimerization and Activation Require Ligand-Induced Conformational Changes in the Dimer Interface. Mol. Cell. Biol 25 (17), 7734–7742. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (33).Moscatello DK, Montgomery RB, Sundareshan P, McDanel H, Wong MY, and Wong AJ (1996) Transformational and Altered Signal Transduction by a Naturally Occurring Mutant EGF Receptor. Oncogene 13 (1), 85–96. [PubMed] [Google Scholar]
- (34).Ymer SI, Greenall SA, Cvrljevic A, Cao DX, Donoghue JF, Epa VC, Scott AM, Adams TE, and Johns TG (2011) Glioma Specific Extracellular Missense Mutations in the First Cysteine Rich Region of Epidermal Growth Factor Receptor (EGFR) Initiate Ligand Independent Activation. Cancers 3 (2), 2032–2049. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (35).Zhang X, Gureasko J, Shen K, Cole PA, and Kuriyan J (2006) An Allosteric Mechanism for Activation of the Kinase Domain of Epidermal Growth Factor Receptor. Cell 125 (6), 1137–1149. [DOI] [PubMed] [Google Scholar]
- (36).Okamoto I, Kenyon LC, Emlet DR, Mori T, Sasaki J, Hirosako S, Ichikawa Y, Kishi H, Godwin AK, Yoshioka M, Suga M, Matsumoto M, and Wong AJ (2003) Expression of Constitutively Activated EGFRvlll in Non-Small Cell Lung Cancer. Cancer Sci. 94 (1), 50–56. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (37).Ferguson KM (2008) Structure-Based View of Epidermal Growth Factor Receptor Regulation. Annu. Rev. Biophys 37 (1), 353–373. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (38).Kovacs E, Zorn JA, Huang Y, Barros T, and Kuriyan J (2015) A Structural Perspective on the Regulation of the Epidermal Growth Factor Receptor. Annu. Rev. Biochem 84, 739–764. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (39).Scheck RA, Lowder MA, Appelbaum JS, and Schepartz A (2012) Bipartite Tetracysteine Display Reveals Allosteric Control of Ligand-Specific EGFR Activation. ACS Chem. Biol 7 (8), 1367–1376. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (40).Doerner A, Scheck R, and Schepartz A (2015) Growth Factor Identity Is Encoded by Discrete Coiled-Coil Rotamers in the EGFR Juxtamembrane Region. Chem. Biol 22 (6), 776–784. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (41).Sinclair JKL, Walker AS, Doerner AE, and Schepartz A (2018) Mechanism of Allosteric Coupling into and through the Plasma Membrane by EGFR. Cell Chem. Biol 25 (7), 857–870. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (42).Jura N, Endres NF, Engel K, Deindl S, Das R, Lamers MH, Wemmer DE, Zhang X, and Kuriyan J (2009) Mechanism for Activation of the EGF Receptor Catalytic Domain by the Juxtamembrane Segment. Cell 137 (7), 1293–1307. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (43).Luedtke NW, Dexter RJ, Fried DB, and Schepartz A (2007) Surveying Polypeptide and Protein Domain Conformation and Association with FlAsH and ReAsH. Nat. Chem. Biol 3 (12), 779–784. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (44).Scheck RA, and Schepartz A (2011) Surveying Protein Structure and Function Using Bis-Arsenical Small Molecules. Acc. Chem. Res 44 (9), 654–665. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (45).Adams SR, Campbell RE, Gross LA, Martin BR, Walkup GK, Yao Y, Llopis J, and Tsien RY (2002) New Biarsenical Ligands and Tetracysteine Motifs for Protein Labeling in Vitro and in Vivo: Synthesis and Biological Applications. J. Am. Chem. Soc 124 (21), 6063–6076. [DOI] [PubMed] [Google Scholar]
- (46).Walker AS, Rablen PR, and Schepartz A (2016) Rotamer-Restricted Fluorogenicity of the Bis-Arsenical ReAsH. J. Am. Chem. Soc 138 (22), 7143–7150. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (47).Lowder MA, Doerner AE, and Schepartz A (2015) Structural Differences between Wild-Type and Double Mutant EGFR Modulated by Third-Generation Kinase Inhibitors. J. Am. Chem. Soc 137 (20), 6456–6459. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (48).Harris RC, Chung E, and Coffey RJ (2003) EGF Receptor Ligands. Exp. Cell Res 284 (1), 2–13. [DOI] [PubMed] [Google Scholar]
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