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MET改变及其对非小细胞肺癌(NSCLC)靶向治疗未来的影响。

MET alterations and their impact on the future of non-small cell lung cancer (NSCLC) targeted therapies.

作者信息

Lee Matthew, Jain Prantesh, Wang Feng, Ma Patrick C, Borczuk Alain, Halmos Balazs

机构信息

Department of Oncology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA.

Division of Medical Oncology, Department of Medicine, University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center, Cleveland, OH, USA.

出版信息

Expert Opin Ther Targets. 2021 Apr;25(4):249-268. doi: 10.1080/14728222.2021.1925648. Epub 2021 Jun 13.

Abstract

: The gene and its pathway normally plays a crucial role in cell homeostasis, motility, and apoptosis. However, when the gene is altered, there is an imbalance toward cell proliferation and invasion commonly seen in numerous different types of cancers. The heterogeneous group of alterations that includes amplification, exon 14 skipping mutation, and fusions has been difficult to diagnose and treat. Currently, treatments are focused on tyrosine kinase inhibitors but now there is emerging data on novel MET-targeted therapies including monoclonal antibodies and antibody-drug conjugates that have emerged.: We introduce new emerging data on alterations in non-small cell lung cancer (NSCLC) that has contributed to advances in MET targeted therapeutics. We offer our perspective and examine new information on the mechanisms of the alterations in this review.: Given the trends currently involving the targeting of MET altered malignancies, there will most likely be a continued rapid expansion of testing, novel tyrosine kinase inhibitors and potent antibody approaches. Combination treatments will be necessary to optimize management of advanced and early disease.

摘要

该基因及其通路通常在细胞稳态、运动性和凋亡中发挥关键作用。然而,当该基因发生改变时,细胞增殖和侵袭会出现失衡,这在许多不同类型的癌症中很常见。包括扩增、外显子14跳跃突变和融合在内的异质性基因改变群体一直难以诊断和治疗。目前,治疗主要集中在酪氨酸激酶抑制剂上,但现在有关于新型MET靶向疗法的新数据出现,包括单克隆抗体和抗体药物偶联物。

我们介绍了非小细胞肺癌(NSCLC)中基因改变的新出现的数据,这些数据推动了MET靶向治疗学的进展。在本综述中,我们提供了我们的观点并研究了有关基因改变机制的新信息。

鉴于目前针对MET改变的恶性肿瘤的靶向治疗趋势,检测、新型酪氨酸激酶抑制剂和有效的抗体方法很可能会持续快速扩展。联合治疗对于优化晚期和早期疾病的管理将是必要的。

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