较少走过的道路:在非小细胞肺癌中准罕见驱动瘤基因
Sun Min Lim1, Jii Bum Lee1, Yuko Oya2
1Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea.
JCO oncology practice
|September 21, 2023
概括
向疗法正在对具有特定遗传突变的患者进行非小细胞肺癌 (NSCLC) 治疗. 本综述涵盖了罕见的瘤基因驱动NSCLC的诊断方法和里程碑试验.
科学领域:
- 在瘤学瘤学.
- 分子生物学分子生物学
- 遗传学 是一个遗传学.
背景情况:
- 在过去的十年中,非状组织的非小细胞肺癌 (NSCLC) 在向疗法开发方面取得了重大进展.
- 下一代测序 (NGS) 对于识别可接受向治疗的瘤驱动因素改变至关重要.
研究的目的:
- 为罕见的瘤基因驱动NSCLC提供诊断方法和治疗选择的全面概述.
- 审查针对针对NSCLC的特定遗传变化的向药物的里程碑式临床试验.
主要方法:
- 关键研究和临床试验的文献综述.
- 专注于分子测试策略,包括NGS.
- 针对特定突变和融合的向剂的分析.
主要成果:
- 确定NSCLC中关键的致癌驱动因子改变,包括ROS1,METex14,EGFR外因子20,KRAS G12C,HER2,RET,NTRK和BRAF.
- 对针对这些变化的向疗法的疗效和安全性的概述.
- 讨论罕见的瘤基因驱动性NSCLC的不断变化的治疗环境.
结论:
- 向疗法已经改变了使用特定驱动突变的NSCLC的治疗方法.
- 准确的分子分析对于选择适合向药物的患者至关重要.
- 持续的研究和临床试验对于进一步完善罕见的瘤基因驱动NSCLC的治疗策略至关重要.
相关概念视频
Targeted Cancer Therapies
7.7K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.7K
Cancer-Critical Genes I: Proto-oncogenes
9.0K
Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
9.0K
The Retinoblastoma Gene
4.1K
Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
4.1K
lncRNA - Long Non-coding RNAs
8.6K
In humans, more than 80% of the genome gets transcribed. However, only around 2% of the genome codes for proteins. The remaining part produces non-coding RNAs which includes ribosomal RNAs, transfer RNAs, telomerase RNAs, and regulatory RNAs, among other types. A large number of regulatory non-coding RNAs have been classified into two groups depending upon their length – small non-coding RNAs, such as microRNA, which are less than 200 nucleotides in length, and long non-coding RNA...
8.6K
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Abnormal Proliferation
4.6K
Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
4.6K


