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癌症中 MET 受体成瘾的多种途径。

The multiple paths towards MET receptor addiction in cancer.

机构信息

Univ. Lille, CNRS, Institut Pasteur de Lille, UMR 8161 - M3T - Mechanisms of Tumorigenesis and Targeted Therapies, F-59000, Lille, France.

Thoracic Oncology Department, Univ. Lille, CHU Lille, F-59000, Lille, France.

出版信息

Oncogene. 2018 Jun;37(24):3200-3215. doi: 10.1038/s41388-018-0185-4. Epub 2018 Mar 19.

Abstract

Targeted therapies against receptor tyrosine kinases (RTKs) are currently used with success on a small proportion of patients displaying clear oncogene activation. Lung cancers with a mutated EGFR provide a good illustration. The efficacy of targeted treatments relies on oncogene addiction, a situation in which the growth or survival of the cancer cells depends on a single deregulated oncogene. MET, a member of the RTK family, is a promising target because it displays many deregulations in a broad panel of cancers. Although clinical trials having evaluated MET inhibitors in large populations have yielded disappointing results, many recent case reports suggest that MET inhibition may be effective in a subset of patients with unambiguous MET activation and thus, most probably, oncogene addiction. Interestingly, preclinical studies have revealed a particularity of MET addiction: it can arise through several mechanisms, and the mechanism involved can differ according to the cancer type. The present review describes the different mechanisms of MET addiction and their consequences for diagnosis and therapeutic strategies. Although in each cancer type MET addiction affects a restricted number of patients, pooling of these patients across all cancer types yields a targetable population liable to benefit from addiction-targeting therapies.

摘要

针对受体酪氨酸激酶 (RTKs) 的靶向治疗目前在一小部分显示明确致癌基因激活的患者中成功应用。具有突变 EGFR 的肺癌就是一个很好的例子。靶向治疗的疗效依赖于致癌基因成瘾,即癌细胞的生长或存活依赖于单个失调的致癌基因。MET,RTK 家族的一员,是一个很有前途的靶点,因为它在广泛的癌症中显示出许多失调。尽管评估 MET 抑制剂在大人群中的临床试验结果令人失望,但许多最近的病例报告表明,MET 抑制可能对明确的 MET 激活的亚组患者有效,因此,很可能是致癌基因成瘾。有趣的是,临床前研究揭示了 MET 成瘾的一个特殊性:它可以通过几种机制产生,并且所涉及的机制可能因癌症类型而异。本综述描述了 MET 成瘾的不同机制及其对诊断和治疗策略的影响。尽管在每种癌症类型中,MET 成瘾仅影响少数患者,但将这些患者汇总到所有癌症类型中,可以得到一个可靶向的人群,他们可能受益于成瘾靶向治疗。

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