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Updated: Jun 3, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Targeting oncogenic ALK: a promising strategy for cancer treatment
Enrique Grande1, María-Victoria Bolós, Edurne Arriola
1Gastrointestinal and Early Drug Development Unit, Servicio de Oncología Médica, Hospital Ramón y Cajal, Carretera de Colmenar Viejo Km. 9.100, 28034, Madrid, Spain. egrande@oncologiahrc.com
Abstract:
Recently, the anaplastic lymphoma kinase (ALK) has been found to be altered in several solid and hematologic tumors. Novel drugs targeting this tyrosine kinase receptor are under development, and early clinical trials are showing promising activity in non-small cell lung cancer patients with ALK+ tumors. Here, we review the structure and function of the ALK receptor, the mechanisms associated with its deregulation in cancer, methods for ALK detection in tumor samples, its potential as a new marker for candidate patient selection for tailored therapy, and novel drugs under development that target ALK.
Insights
Anaplastic Lymphoma Kinase (ALK) alterations are key in various cancers. Novel ALK-targeted drugs show promise, especially for non-small cell lung cancer patients with ALK-positive tumors.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Anaplastic Lymphoma Kinase (ALK) is increasingly recognized as a significant molecular target in oncology.
- Aberrant ALK signaling contributes to the development and progression of diverse solid and hematologic malignancies.
- The emergence of targeted therapies necessitates a comprehensive understanding of ALK's role in cancer.
Purpose of the Study:
- To review the structural and functional aspects of the ALK receptor.
- To elucidate the mechanisms driving ALK deregulation in neoplastic diseases.
- To discuss ALK detection methods, its utility as a predictive biomarker, and emerging targeted therapeutics.
Main Methods:
- Literature review of ALK's role in cancer.
- Analysis of ALK structure, function, and deregulation pathways.
- Evaluation of ALK detection techniques in clinical practice.
- Assessment of current and developing ALK-targeted therapies.
Main Results:
- ALK alterations are implicated in a spectrum of cancers, driving tumorigenesis.
- Various methods exist for detecting ALK alterations in tumor specimens.
- ALK status is a critical determinant for patient selection in targeted therapy, particularly in non-small cell lung cancer.
- Several novel drugs targeting ALK are in clinical development with encouraging efficacy.
Conclusions:
- ALK is a validated therapeutic target in specific cancers.
- Accurate ALK detection is crucial for personalized treatment strategies.
- Targeted inhibition of ALK represents a significant advancement in precision oncology, offering new hope for patients with ALK-driven tumors.
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