Tyrosine kinase gene rearrangements in epithelial malignancies

Alice T Shaw1, Peggy P Hsu, Mark M Awad

  • 1Massachusetts General Hospital Cancer Center, Boston, Massachusetts 02114, USA.

Nature Reviews. Cancer
|October 18, 2013
PubMed

Insights

Chromosomal rearrangements activate oncogenic kinases like ALK, ROS1, and RET in epithelial cancers. Targeted therapies show promise, validating these fusion kinases as key targets for cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Chromosomal rearrangements frequently activate oncogenic kinases in epithelial cancers.
  • Activated fusion kinases drive cancer initiation, progression, and are often druggable targets.

Purpose of the Study:

  • To review the etiology, pathogenesis, and clinical features of cancers with oncogenic fusion kinases.
  • To discuss clinical outcomes of targeted therapies for anaplastic lymphoma kinase (ALK), ROS1, and RET.
  • To explore strategies for identifying new fusion kinases in solid tumors.

Main Methods:

  • Literature review of existing studies on oncogenic fusion kinases.
  • Analysis of clinical data regarding targeted therapy responses.
  • Exploration of methods for novel kinase target discovery.

Main Results:

  • Fusion kinases such as ALK, ROS1, and RET are critical drivers in various epithelial cancers.
  • Small-molecule inhibitors targeting these kinases demonstrate significant clinical efficacy.
  • Targeted therapies offer a validated approach for treating cancers with specific kinase fusions.

Conclusions:

  • Oncogenic fusion kinases are important therapeutic targets in epithelial cancers.
  • Understanding the clinical features and outcomes associated with these kinases is crucial for treatment.
  • Continued research is needed to discover and target additional fusion kinases in solid tumors.

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