Progress of non-small-cell lung cancer with ROS1 rearrangement

Xin Yang1, Zhe Tang2, Jing Li1

  • 1Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

PubMed

Insights

ROS1 rearrangements occur in non-small-cell lung cancer (NSCLC) and can be targeted by tyrosine kinase inhibitors (TKIs). This review covers ROS1 oncogenicity, detection, and resistance mechanisms in NSCLC patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • ROS1 rearrangements are identified in 0.9%-2.6% of non-small-cell lung cancer (NSCLC) cases.
  • Tyrosine kinase inhibitors (TKIs) targeting ROS1 show efficacy in blocking tumor growth and improving patient outcomes.

Purpose of the Study:

  • To provide a comprehensive review of current knowledge regarding ROS1 rearrangements in NSCLC.
  • To elucidate the oncogenic mechanisms, epidemiology, detection, molecular features, therapies, and resistance patterns associated with ROS1-positive NSCLC.

Main Methods:

  • Literature review of studies on ROS1 rearrangements in NSCLC.
  • Synthesis of information on oncogenic pathways, diagnostic methods, and clinical data.

Main Results:

  • ROS1 rearrangements drive oncogenesis through various mechanisms.
  • Diverse methods exist for detecting ROS1 rearrangements, impacting treatment selection.
  • Understanding molecular characteristics and resistance mechanisms is crucial for effective TKI therapy.

Conclusions:

  • ROS1 rearrangements represent a significant actionable target in NSCLC.
  • Targeted therapies like TKIs offer clinical benefits for patients with ROS1-positive NSCLC.
  • Continued research into resistance mechanisms will refine future treatment strategies.

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