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Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
Neurotrophic tropomyosin or tyrosine receptor kinase (NTRK) genes
1Department of Anatomical Pathology, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada runjan.chetty@gmail.com.
Abstract:
The neurotrophic tropomyosin or tyrosine receptor kinase (NTRK) genes (1-3) are proto-oncogenes that when activated are encountered in a wide array of tumours. The recent advent of very specific and selective inhibitors of their gene fusions makes the NRTK gene fusions actionable. NRTK gene fusions are very characteristic of specific tumours: salivary mammary analogue secretory carcinoma, breast secretory carcinoma, infantile fibrosarcoma and congenital mesoblastic nephroma. Over 90% of these tumours bear NTRK gene fusions. While next-generation sequencing is the current platform of choice for the detection of NTRK fusions, immunohistochemistry also shows great promise. Immunohistochemical localisation of the fusion protein to the nucleus, cytoplasm, nuclear membrane and cell membrane is indicative of specific gene fusions involving the NTRK genes.
Insights
Neurotrophic tropomyosin or tyrosine receptor kinase (NTRK) gene fusions are actionable targets in specific cancers. Detecting these fusions via next-generation sequencing or immunohistochemistry is crucial for targeted therapy.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Neurotrophic tropomyosin or tyrosine receptor kinase (NTRK) genes (1-3) are proto-oncogenes.
- Activated NTRK gene fusions are found in various tumors, making them potential therapeutic targets.
Purpose of the Study:
- To highlight the significance of NTRK gene fusions in specific tumor types.
- To discuss the diagnostic methods for NTRK gene fusions.
Main Methods:
- Review of current literature on NTRK gene fusions.
- Discussion of diagnostic platforms including next-generation sequencing (NGS) and immunohistochemistry (IHC).
Main Results:
- NTRK gene fusions are characteristic of specific tumors like secretory carcinomas and infantile fibrosarcoma, with over 90% prevalence.
- Next-generation sequencing is the primary method for NTRK fusion detection.
- Immunohistochemistry shows promise, with protein localization indicating specific NTRK gene fusions.
Conclusions:
- NTRK gene fusions represent actionable targets in oncology.
- Both NGS and IHC are valuable tools for identifying NTRK fusions, guiding targeted treatment strategies.
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