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Updated: May 1, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
Molecular pathways and therapeutic targets in lung cancer
Emma Shtivelman1, Thomas Hensing, George R Simon
1Cancer Commons, Palo Alto, CA, United States of America.
Abstract:
Lung cancer is still the leading cause of cancer death worldwide. Both histologically and molecularly lung cancer is heterogeneous. This review summarizes the current knowledge of the pathways involved in the various types of lung cancer with an emphasis on the clinical implications of the increasing number of actionable molecular targets. It describes the major pathways and molecular alterations implicated in the development and progression of non-small cell lung cancer (adenocarcinoma and squamous cancer), and of small cell carcinoma, emphasizing the molecular alterations comprising the specific blueprints in each group. The approved and investigational targeted therapies as well as the immune therapies, and clinical trials exploring the variety of targeted approaches to treatment of lung cancer are the main focus of this review.
Insights
Lung cancer remains a leading cause of cancer death. This review details molecular pathways and targets for non-small cell lung cancer and small cell carcinoma, focusing on clinical implications and novel therapies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Lung cancer is a leading global cause of cancer mortality.
- Significant histological and molecular heterogeneity exists within lung cancer subtypes.
- Understanding molecular alterations is crucial for effective treatment strategies.
Purpose of the Study:
- To review current knowledge on molecular pathways in lung cancer.
- To emphasize clinical implications of actionable molecular targets.
- To discuss targeted and immune therapies for lung cancer treatment.
Main Methods:
- Literature review of current research on lung cancer pathways.
- Analysis of molecular alterations in non-small cell lung cancer (adenocarcinoma, squamous cell carcinoma) and small cell carcinoma.
- Summary of approved and investigational targeted and immune therapies.
Main Results:
- Detailed description of major molecular pathways and alterations driving lung cancer.
- Identification of specific molecular blueprints for different lung cancer types.
- Overview of clinical trial landscape for targeted lung cancer therapies.
Conclusions:
- Molecularly targeted therapies and immunotherapies offer promising treatment avenues.
- Personalized treatment approaches based on specific molecular alterations are advancing lung cancer care.
- Continued research into molecular targets is essential for improving patient outcomes.
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