Yin Limei, Lu You
Department of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhongguo Fei Ai Za Zhi. 2018 Jul 20;21(7):553-559. doi: 10.3779/j.issn.1009-3419.2018.07.09.
Recently, targeted therapy has achieved great success in the treatment of non-small cell lung cancer (NSCLC) patients. Mesenchymal to epithelial transition factor (MET) is considered to be another important molecular target for NSCLC since epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK). Accumulating clinical trials and case reports have confirmed that MET inhibitors exhibited a potential prospect in treating patients with MET 14 exon skipping alterations, suggesting that MET 14 exon skipping mutation might be an effective biomarker for MET inhibitors, which remains to be confirmed by more clinical data. This review summarizes current research about the molecular mechanism, clinicopathological characterization, treatment strategies and drug resistance mechanisms of MET 14 exon skipping alterations in NSCLC. .
最近,靶向治疗在非小细胞肺癌(NSCLC)患者的治疗中取得了巨大成功。间充质上皮转化因子(MET)被认为是继表皮生长因子受体(EGFR)和间变性淋巴瘤激酶(ALK)之后NSCLC的另一个重要分子靶点。越来越多的临床试验和病例报告证实,MET抑制剂在治疗具有MET第14外显子跳跃改变的患者方面展现出潜在前景,这表明MET第14外显子跳跃突变可能是MET抑制剂的有效生物标志物,不过这仍有待更多临床数据来证实。本综述总结了目前关于NSCLC中MET第14外显子跳跃改变的分子机制、临床病理特征、治疗策略及耐药机制的研究。