Rose-James Alphy, Tt Sreelekha
Laboratory of Biopharmaceuticals, Division of Cancer Research, Regional Cancer Centre, Kerala, Trivandrum 695011, India.
Lung Cancer Int. 2012;2012:729532. doi: 10.1155/2012/729532. Epub 2012 Sep 19.
Lung cancer accounts for the majority of cancer-related deaths worldwide of which non-small-cell lung carcinoma alone takes a toll of around 85%. Platinum-based therapy is the stronghold for lung cancer at present. The discovery of various molecular alterations that underlie lung cancer has contributed to the development of specifically targeted therapies employing specific mutation inhibitors. Targeted chemotherapy based on molecular profiling has shown great promise in lung cancer treatment. Various molecular markers with predictive and prognostic significance in lung cancer have evolved as a result of advanced research. Testing of EGFR and Kras mutations is now a common practice among community oncologists, and more recently, ALK rearrangements have been added to this group. This paper discusses various predictive and prognostic markers that are being investigated and have shown significant relevance which can be exploited for targeted treatment in lung cancer.
肺癌是全球癌症相关死亡的主要原因,其中仅非小细胞肺癌就造成了约85%的死亡。铂类疗法是目前肺癌治疗的主要手段。肺癌潜在的各种分子改变的发现推动了使用特定突变抑制剂的特异性靶向疗法的发展。基于分子谱分析的靶向化疗在肺癌治疗中显示出巨大潜力。由于深入研究,肺癌中具有预测和预后意义的各种分子标志物不断涌现。目前,检测表皮生长因子受体(EGFR)和Kras突变在社区肿瘤学家中已很常见,最近,间变性淋巴瘤激酶(ALK)重排也被纳入其中。本文讨论了正在研究且已显示出显著相关性的各种预测和预后标志物,这些标志物可用于肺癌的靶向治疗。