中国非小细胞肺癌患者的EGFR和ERBB2外显子20插入突变:病理和分子特征,以及一线全身治疗评估
Ruiying Zhao1, Jiaqi Li2, Lianying Guo1
1Department of Pathology, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, No. 241, West Huai Hai Road, Xv Hui District, Shanghai, 200030, China.
Targeted oncology
|February 28, 2024
概括
皮表皮生长因子受体 (EGFR) 和人体皮表皮生长因子受体2 (ERBB2) 异构体20插入突变在早期肺腺癌中更为频繁. 第一线治疗对这些非小细胞肺癌患者的无进展生存率或反应率没有显著差异.
科学领域:
- 在瘤学瘤学.
- 遗传学 遗传学是一种遗传学.
- 分子生物学分子生物学
背景情况:
- 关于非小细胞肺癌 (NSCLC) 患者的EGFR和ERBB2外显子20插入突变 (EGFR/ERBB2-20ins) 的数据有限.
- 这些突变是肺癌治疗的关键目标.
研究的目的:
- 分析EGFR/ERBB2-20ins在所有阶段NSCLC中的组织学和分子特征.
- 评估现实世界第一线全身治疗先进阶段NSCLC与这些突变的有效性.
主要方法:
- 采集和分析了13920个NSCLC标本,使用基于DNA的下一代测序.
- 记录临床病理特征和审查一线全身治疗数据.
主要成果:
- 确定了2.97%的EGFR-20ins和4.78%的ERBB2-20ins病例,在女性,非吸烟者和腺癌患者中更为常见.
- 腺癌中EGFR/ERBB2-20ins的发病率与侵袭深度成反比例;发现了77个EGFR-20ins和26个ERBB2-20ins变体.
- TP53和RB1是最常见的共同突变基因. 在不同变异或共变的第一线治疗中,没有观察到无进展生存或治疗反应的显著差异.
结论:
- 在早期肺腺癌中,EGFR/ERBB2-20ins突变更为普遍.
- 与ERBB2-20ins相比,EGFR-20ins表现出更多的变异.
- 第一线全身治疗表明,EGFR/ERBB2-20ins突变患者的结局没有显著差异.
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