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Establishing Dual Resistance to EGFR-TKI and MET-TKI in Lung Adenocarcinoma Cells In Vitro with a 2-step Dose-escalation Procedure
Published on: August 11, 2017
[Effects of EGFR gene polymorphisms on efficacy and prognosis in advanced non-small cell lung cancer treated with
1Department of Thoracic Surgery, Nanjing Medical University Affiliated Cancer Hospital, Nanjing 210009, China.
Abstract:
An increasing number of patients with advanced non-small cell lung cancer (NSCLC) have been treated with epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs). However, significant differences in response to EGFR-TKIs have been shown among advanced NSCLC patients. Recently, selection of patients was mainly based on EGFR gene mutation detection. Nevertheless, mutation detection is often limited by tumour tissues derivation, technique complexity, high cost, and so on. It is urgent to seek other biological markers to predict efficacy of EGFR-TKIs. Many studies have founded that the EGFR gene polymorphisms are also associated with clinical outcome and prognosis in treatment of advanced NSCLC with EGFR-TKIs. Here, we presented a review discussing the correlation between EGFR gene polymorphisms and the efficacy of EGFR-TKIs in advanced NSCLC.
Insights
Epidermal growth factor receptor (EGFR) gene polymorphisms may predict treatment efficacy for advanced non-small cell lung cancer (NSCLC) patients receiving EGFR tyrosine kinase inhibitors (TKIs). This review explores the link between EGFR polymorphisms and TKI treatment outcomes.
Area of Science:
- Oncology
- Genetics
- Pharmacogenomics
Background:
- Advanced non-small cell lung cancer (NSCLC) treatment increasingly utilizes epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs).
- Patient response to EGFR-TKIs varies significantly, necessitating improved predictive biomarkers beyond EGFR mutation detection.
- Current EGFR mutation detection methods face limitations including tissue accessibility, technical complexity, and cost.
Purpose of the Study:
- To review the correlation between epidermal growth factor receptor (EGFR) gene polymorphisms and the efficacy of EGFR tyrosine kinase inhibitors (TKIs) in advanced non-small cell lung cancer (NSCLC).
- To explore the potential of EGFR gene polymorphisms as predictive biomarkers for EGFR-TKI therapy in advanced NSCLC.
Main Methods:
- Literature review of studies investigating EGFR gene polymorphisms and their association with clinical outcomes in advanced NSCLC patients treated with EGFR-TKIs.
- Analysis of existing research data to synthesize findings on the predictive value of EGFR polymorphisms.
Main Results:
- Emerging evidence suggests that EGFR gene polymorphisms are associated with clinical outcomes and prognosis in advanced NSCLC patients undergoing EGFR-TKI treatment.
- These polymorphisms may serve as alternative or complementary biomarkers to EGFR mutations for predicting treatment response.
Conclusions:
- EGFR gene polymorphisms represent a promising area for identifying biomarkers to predict EGFR-TKI efficacy in advanced NSCLC.
- Further research into EGFR polymorphisms could lead to more personalized and effective treatment strategies for NSCLC patients.
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