Xie Jingwu, Zhang Xiaoli
Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN 46202, USA; Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN 46202, USA; Department of Pharmacology and Toxicology, Indiana University School of Medicine, Indianapolis, IN 46202, USA; The Simon Cancer Center and The Wells Center for Pediatrics Research, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN 46202, USA; Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN 46202, USA; Department of Pharmacology and Toxicology, Indiana University School of Medicine, Indianapolis, IN 46202, USA; The Simon Cancer Center and The Wells Center for Pediatrics Research, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
J Genet Genomics. 2016 Jan 20;43(1):3-10. doi: 10.1016/j.jgg.2015.09.003. Epub 2015 Sep 15.
There is high expectation for significant improvements in cancer patient care after completion of the human genome project in 2003. Through pains-taking analyses of genomic profiles in cancer patients, a number of targetable gene alterations have been discovered, with some leading to novel therapies, such as activating mutations of EGFR, BRAF and ALK gene fusions. As a result, clinical management of cancer through targeted therapy has finally become a reality for a subset of cancers, such as lung adenocarcinomas and melanomas. In this review, we summarize how gene mutation discovery leads to new treatment strategies using non-small cell lung cancer (NSCLC) as an example. We also discuss possible future implications of cancer genome analyses.
在2003年人类基因组计划完成后,人们对癌症患者护理的显著改善寄予厚望。通过对癌症患者基因组图谱的艰苦分析,已经发现了许多可靶向的基因改变,其中一些带来了新的疗法,例如表皮生长因子受体(EGFR)、BRAF的激活突变以及ALK基因融合。因此,通过靶向治疗对癌症进行临床管理最终已成为一部分癌症(如肺腺癌和黑色素瘤)的现实。在本综述中,我们以非小细胞肺癌(NSCLC)为例,总结基因突变的发现如何带来新的治疗策略。我们还讨论了癌症基因组分析可能的未来影响。