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Updated: May 30, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
Novel therapeutic targets in non-small cell lung cancer
Filip Janku1, Ignacio Garrido-Laguna, Lubos B Petruzelka
1Department of Investigational Cancer Therapeutics (Phase I Clinical Trials Program), The University of Texas MD Anderson Cancer Center, Houston, Texas 77030, USA. fjanku@mdanderson.org
Abstract:
The development of personalized medicine with a focus on novel targeted therapies has supplanted the one-size-fits-all approach to the treatment of many cancers, including non-small cell lung cancer. Targeted therapies, if given to a patient subpopulation enriched by the presence of relevant molecular targets, can often abrogate cell signaling that perpetuates cancer progression. Critical targets activating procancer pathways include, but are not limited to, epidermal growth factor receptor (EGFR), hepatocyte growth factor receptor (MET), vascular endothelial growth factor (VEGF), VEGF receptor, GTPase KRAS (KRAS), receptor tyrosine protein kinase erbB-2 (HER2), echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (EML4-ALK), phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha isoform (PIK3CA), serine/threonine-protein kinase B-raf (BRAF), and insulin-like growth factor 1 receptor (IGF-1R). Some target-directed therapies, such as epidermal growth factor receptor tyrosine kinase inhibitors and anti-VEGF monoclonal antibody, have already been approved for clinical use. Others, such as those targeted to MET, VEGFR, HER2, PIK3CA, and IGF-1R, are in clinical testing. This review describes molecular targets in non-small cell lung cancer that are in development or being clinically applied and their implications for developing novel anticancer therapies for this previously refractory malignancy.
Insights
Personalized medicine is revolutionizing non-small cell lung cancer treatment. Novel targeted therapies identify specific molecular targets, offering new hope for this difficult-to-treat malignancy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Traditional non-small cell lung cancer (NSCLC) treatments are being replaced by personalized medicine.
- Targeted therapies offer improved outcomes by focusing on specific molecular targets within patient subpopulations.
- Key molecular targets driving NSCLC progression include EGFR, MET, VEGF, KRAS, HER2, ALK, PIK3CA, BRAF, and IGF-1R.
Purpose of the Study:
- To review molecular targets in NSCLC currently in development or clinical application.
- To discuss the implications of these targets for novel anticancer therapy development.
- To highlight the shift from a one-size-fits-all approach to precision medicine in NSCLC.
Main Methods:
- Literature review of targeted therapies and molecular targets in NSCLC.
- Analysis of currently approved and investigational targeted treatments.
- Discussion of the role of specific molecular targets in cancer signaling pathways.
Main Results:
- Several targeted therapies, including EGFR inhibitors and anti-VEGF antibodies, are approved for NSCLC.
- Therapies targeting MET, VEGFR, HER2, PIK3CA, and IGF-1R are in clinical trials.
- Identification of numerous molecular targets crucial for NSCLC development and progression.
Conclusions:
- Personalized medicine and targeted therapies represent a significant advancement in NSCLC treatment.
- Understanding molecular targets is key to developing effective novel anticancer strategies.
- The review provides insights into the evolving landscape of NSCLC therapeutic development.
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