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E7820 is a small molecule, aromatic sulfonamide derivative developed as an oral angiogenesis inhibitor with potential antiangiogenic and antitumor activities. It acts primarily by inhibiting integrin alpha 2 (ITGA2), a cell adhesion molecule expressed on endothelial cells, thereby suppressing angiogenesis and tumor growth. Mechanistically, E7820 reduces integrin alpha 2 mRNA expression and has also been shown to act as a molecular glue that promotes the degradation of CAPERα via DCAF15-mediated ubiquitination, affecting RNA splicing and protein homeostasis in cancer cells. Cetuximab is a monoclonal antibody targeting the epidermal growth factor receptor (EGFR). The combination of E7820 with cetuximab has been investigated in clinical trials for advanced solid tumors, particularly colorectal cancer[1][4][5][6].
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