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Published on: March 30, 2019
MYC, MYCL, and MYCN as therapeutic targets in lung cancer
Daniel Massó-Vallés1, Marie-Eve Beaulieu1, Laura Soucek1,2,3,4
1Peptomyc S.L., Edifici Cellex, Hospital Vall d'Hebron, Barcelona, Spain.
Abstract:
Introduction: Lung cancer is the leading cause of cancer-related mortality globally. Despite recent advances with personalized therapies and immunotherapy, the prognosis remains dire and recurrence is frequent. Myc is an oncogene deregulated in human cancers, including lung cancer, where it supports tumorigenic processes and progression. Elevated Myc levels have also been associated with resistance to therapy.Areas covered: This article summarizes the genomic and transcriptomic studies that compile evidence for (i) MYC, MYCN, and MYCL amplification and overexpression in lung cancer patients, and (ii) their prognostic significance. We collected the most recent literature regarding the development of Myc inhibitors where the emphasis is on those inhibitors tested in lung cancer experimental models and their potential for future clinical application.Expert opinion: The targeting of Myc in lung cancer is potentially an unprecedented opportunity for inhibiting a key player in tumor progression and maintenance and therapeutic resistance. Myc inhibitory strategies are on the path to their clinical application but further work is necessary for the assessment of their use in combination with standard treatment approaches. Given the role of Myc in immune suppression, a significant opportunity may exist in the combination of Myc inhibitors with immunotherapies.
Insights
Targeting Myc, a key oncogene, offers a promising strategy for treating lung cancer, especially in cases of therapeutic resistance. Myc inhibitors show potential for clinical use, particularly when combined with immunotherapies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Lung cancer remains a leading cause of cancer mortality globally, with frequent recurrence despite advanced treatments.
- The oncogene Myc plays a critical role in tumor progression and is often deregulated in lung cancer, correlating with poor prognosis and therapeutic resistance.
Purpose of the Study:
- To review genomic and transcriptomic evidence of Myc family gene (MYC, MYCN, MYCL) amplification and overexpression in lung cancer.
- To summarize the prognostic significance of Myc deregulation in lung cancer patients.
- To explore the development and clinical potential of Myc inhibitors in lung cancer, including combination strategies.
Main Methods:
- Systematic review of genomic and transcriptomic studies on Myc family genes in lung cancer.
- Literature search for recent developments in Myc inhibitor research and preclinical/clinical testing.
- Analysis of Myc's role in therapeutic resistance and immune suppression.
Main Results:
- Evidence confirms MYC, MYCN, and MYCL amplification and overexpression in lung cancer patients.
- Myc deregulation is significantly associated with poorer prognosis and treatment resistance.
- Several Myc inhibitors have shown promise in experimental lung cancer models.
Conclusions:
- Targeting Myc presents a significant therapeutic opportunity for lung cancer, addressing tumor progression and resistance.
- Myc inhibitors are progressing towards clinical application, with potential for combination therapies.
- Combining Myc inhibitors with immunotherapy is a promising avenue due to Myc's role in immune suppression.
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