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Updated: Jun 10, 2025

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Targeted therapy of non-small cell lung cancer: mechanisms and clinical trials
Le Yu1, Ruoyi Yang1, Zeng Long2
1Sichuan Cancer Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Abstract:
Lung cancer is a leading cause of cancer-related deaths globally, and traditional chemotherapy has limited efficacy in treating advanced non-small cell lung cancer (NSCLC). In recent years, the prognosis for patients with NSCLC has significantly improved due to the development of new treatment modalities, including targeted therapies. Targeted therapies utilize monoclonal antibodies (mAbs), antibody-drug conjugates (ADCs), or small molecule tyrosine kinase inhibitors (TKIs) directed against specific mutated genes such as EGFR and ALK. The development of these drugs has deepened our understanding of NSCLC and improved treatment outcomes for patients. This review aims to summarize the mechanisms and current status of targeted therapy for NSCLC, discuss strategies to overcome acquired resistance, and address current challenges in the field.
Insights
Targeted therapies, including monoclonal antibodies and tyrosine kinase inhibitors, have significantly improved non-small cell lung cancer (NSCLC) treatment. This review covers their mechanisms, current status, resistance, and future challenges.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Lung cancer remains a major global cause of cancer mortality.
- Traditional chemotherapy shows limited efficacy for advanced non-small cell lung cancer (NSCLC).
- Recent advancements in targeted therapies have improved NSCLC patient prognosis.
Purpose of the Study:
- To review the mechanisms and current status of targeted therapy for NSCLC.
- To discuss strategies for overcoming acquired resistance to targeted therapies.
- To address existing challenges in the field of NSCLC targeted therapy.
Main Methods:
- Review of existing literature on targeted therapies for NSCLC.
- Analysis of mechanisms of action for monoclonal antibodies (mAbs), antibody-drug conjugates (ADCs), and tyrosine kinase inhibitors (TKIs).
- Examination of genetic targets such as EGFR and ALK in NSCLC.
Main Results:
- Targeted therapies, including mAbs, ADCs, and TKIs, offer improved outcomes for NSCLC patients.
- Understanding specific mutations like EGFR and ALK is crucial for effective targeted treatment.
- Acquired resistance remains a significant challenge, necessitating further research into overcoming it.
Conclusions:
- Targeted therapy represents a paradigm shift in NSCLC treatment, enhancing patient survival and quality of life.
- Continued research into resistance mechanisms and novel therapeutic strategies is essential.
- Personalized medicine approaches based on molecular profiling are key to optimizing NSCLC management.
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