Pal Prodipto, Khan Zanobia
Department of Laboratory Medicine and Pathobiology, University Health Network - University of Toronto, Toronto, Canada.
Department of Laboratory Medicine and Pathobiology, University Health Network - Lakeridge Regional Health Center, Toronto, Canada.
J Clin Pathol. 2017 Dec;70(12):1001-1009. doi: 10.1136/jclinpath-2016-204244. Epub 2017 Sep 13.
ROS1 is a receptor tyrosine kinase that has recently been shown to undergo gene rearrangements in~1%-2% of non-small cell lung carcinoma (NSCLC) and in a variety of other tumours including cholangiocarcinoma, gastric carcinoma, colorectal carcinoma and in spitzoid neoplasms, glioblastoma and inflammatory myofibroblastic tumours. The ROS1 gene fusion undergoes constitutive activation, regulates cellular proliferation and is implicated in carcinogenesis. ROS1 fusions can be detected by fluorescence in situ hybridisation, real-time PCR, sequencing-based techniques and immunohistochemistry-based methods in clinical laboratories. The small molecule tyrosine kinase inhibitor, crizotinib has been shown to be an effective inhibitor of ROS1 and has received Food and Drug Administration approval for treatment of advanced NSCLC. The current review is an update on the clinical findings and detection methods of ROS1 in clinical laboratories in NSCLC and other tumours.
ROS1是一种受体酪氨酸激酶,最近研究表明,在约1%-2%的非小细胞肺癌(NSCLC)以及包括胆管癌、胃癌、结直肠癌、梭形细胞瘤、胶质母细胞瘤和炎性肌纤维母细胞瘤在内的多种其他肿瘤中,ROS1会发生基因重排。ROS1基因融合会发生组成性激活,调节细胞增殖并参与致癌过程。在临床实验室中,可通过荧光原位杂交、实时PCR、基于测序的技术和基于免疫组织化学的方法检测ROS1融合。小分子酪氨酸激酶抑制剂克唑替尼已被证明是ROS1的有效抑制剂,并已获得美国食品药品监督管理局批准用于治疗晚期NSCLC。本综述是关于NSCLC和其他肿瘤临床实验室中ROS1的临床研究结果及检测方法的最新进展。