Review Article

EGFRvIII: An Oncogene with Ambiguous Role

Figure 3

Hypotheses concerning the presence and role of EGFRvIII-positive cells in tumors, on the example of glioblastoma. (a) One of the hypotheses states that EGFRvIII is expressed on the surface of cancer stem cells (CSCs). In such a case, EGFRvIII-positive CSCs should be also detected in recurrent GB tumors [164]. Nevertheless, failure to detect such cells may be due to the exposure of primary tumor to therapeutic compounds. (b) Another hypothesis states that EGFRvIII-positive cells are only crucial during the early stages of carcinogenesis. It is supported by reports demonstrating loss of expression of this mutated oncogene in approx. 30% of patients with EGFRvIII-positive primary tumors [119, 165]. (c) Cells expressing EGFRvIII are also reported in recurrent tumors when primary GB was EGFRvIII-negative [119, 165].
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