Department of Oncology, Lausanne University Hospital, Lausanne, Switzerland.
Ann Oncol. 2012 Sep;23 Suppl 10:x197-203. doi: 10.1093/annonc/mds319.
a substantial proportion of non-small-cell lung cancer (NSCLC), and adenocarcinoma in particular, depends on a so-called 'driver mutation' for their malignant phenotype. This genetic alteration induces and sustains tumorigenesis, and targeting of its protein product can result in growth inhibition, tumor response and increased patient survival. NSCLC can thus be subdivided into clinically relevant molecular subsets. Mutations in EGFR best illustrate the therapeutic relevance of molecular classification. This article reviews the scope of presently known driving molecular alterations, including ROS1, BRAF, KRAS, HER2 and PIK3CA, with a special emphasis on aLK rearrangements, and outlines their potential therapeutic applications.
相当一部分非小细胞肺癌(NSCLC),尤其是腺癌,依赖于所谓的“驱动突变”来维持其恶性表型。这种基因突变诱导并维持肿瘤发生,靶向其蛋白产物可以导致生长抑制、肿瘤反应和患者生存时间延长。因此,NSCLC 可以进一步细分为具有临床意义的分子亚型。EGFR 突变就是分子分类具有治疗相关性的最好例证。本文综述了目前已知的驱动分子改变,包括 ROS1、BRAF、KRAS、HER2 和 PIK3CA,特别强调了 aLK 重排,并概述了它们潜在的治疗应用。