Weeden C E, Solomon B, Asselin-Labat M-L
ACRF Stem Cells and Cancer Division, The Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, Australia; Department of Medical Biology, The University of Melbourne, Parkville, VIC, Australia.
Department of Medical Oncology, Peter MacCallum Cancer Centre, East Melbourne, VIC, Australia; Sir Peter MacCallum Department of Oncology, University of Melbourne, Parkville, VIC, Australia.
Cell Death Discov. 2015 Nov 23;1:15049. doi: 10.1038/cddiscovery.2015.49. eCollection 2015.
Although the incidence of lung cancer has decreased due to the reduction of tobacco use, lung cancer remains the leading cause of cancer-related death. Lung squamous cell carcinoma represents 30% of lung cancers and only recently have possible drug-targetable mutations been identified in this disease, including fibroblast growth factor receptor 1 (FGFR1) gene amplification and genetic alterations in the phosphoinositide-3 kinase pathway. These discoveries have generated a great interest in the clinic and the initiation of clinical trials using FGFR tyrosine kinase inhibitors to treat FGFR-altered lung cancers. However, preliminary results from these studies have shown that not all patients respond to therapy. Here we review current unresolved questions on the selection of patients for their recruitment in FGFR tyrosine kinase inhibitor trials, how FGFR inhibitors could be combined with other targeted therapies or immunotherapies to improve patient outcome, and how the current preclinical models can help address these questions.
尽管由于烟草使用的减少,肺癌的发病率有所下降,但肺癌仍然是癌症相关死亡的主要原因。肺鳞状细胞癌占肺癌的30%,直到最近才在这种疾病中发现了可能的可药物靶向突变,包括成纤维细胞生长因子受体1(FGFR1)基因扩增和磷酸肌醇-3激酶途径中的基因改变。这些发现引起了临床的极大兴趣,并启动了使用FGFR酪氨酸激酶抑制剂治疗FGFR改变的肺癌的临床试验。然而,这些研究的初步结果表明,并非所有患者都对治疗有反应。在这里,我们回顾了目前在FGFR酪氨酸激酶抑制剂试验中患者选择、FGFR抑制剂如何与其他靶向治疗或免疫治疗联合以改善患者预后以及当前临床前模型如何有助于解决这些问题等未解决的问题。