Ou Sai-Hong Ignatius, Zhu Viola W, Nagasaka Misako
Department of Medicine, Division of Hematology-Oncology, Chao Family Comprehensive Cancer Center, University of California Irvine School of Medicine, Orange, California.
Department of Oncology, Karmanos Cancer Institute/Wayne State University School of Medicine, Detroit, Michigan.
JTO Clin Res Rep. 2020 Feb 19;1(1):100015. doi: 10.1016/j.jtocrr.2020.100015. eCollection 2020 Mar.
Since the discovery of anaplastic lymphoma kinase fusion-positive () NSCLC in 2007, the methods to detect NSCLC have evolved and expanded from fluorescence in situ hybridization and immunohistochemistry to next-generation DNA sequencing, targeted RNA sequencing, and whole transcriptome sequencing. As such, the deep sequencing methods have resulted in the expansion of distinct fusion partners identified in NSCLC to 90 (one variant is found in small cell lung cancer but included in this catalog) by the end of January 2020; about 65 of them (since 2018) and most of the recent novel fusion partners were reported from China. Thirty-four of the distinct fusion partners are located on the short arm of chromosome 2; 28 of these 34 fusion partners are located on 2p21-25, in which is located on 2p23.2-p23.1. Many of these new NSCLC fusion variants have responded to ALK tyrosine kinase inhibitors (TKIs). Several of these novel fusion variants were identified as being resistant to EGFR TKIs or as dual 3'ALK fusions. In addition, at least 28 intergenic rearrangements have also been reported, with three of them reported as responding to crizotinib. This review aims to serve as a central source of reference of fusion partners in NSCLC for clinicians and scientists. We aim to update and improve the list going forward.
自2007年发现间变性淋巴瘤激酶融合阳性()非小细胞肺癌以来,检测非小细胞肺癌的方法已从荧光原位杂交和免疫组化发展并扩展到新一代DNA测序、靶向RNA测序和全转录组测序。因此,截至2020年1月底,深度测序方法已使在非小细胞肺癌中鉴定出的不同融合伴侣扩展至90种(其中一种变体在小细胞肺癌中发现但包含在此目录中);其中约65种(自2018年以来)以及大多数最近发现的新型融合伴侣来自中国的报道。34种不同的融合伴侣位于2号染色体短臂上;这34种融合伴侣中的28种位于2p21 - 25,其中位于2p23.2 - p23.1。这些新的非小细胞肺癌融合变体中的许多对ALK酪氨酸激酶抑制剂(TKIs)有反应。其中一些新型融合变体被鉴定为对EGFR TKIs耐药或为双3'ALK融合。此外,至少28种基因间重排也有报道,其中三种被报道对克唑替尼有反应。本综述旨在为临床医生和科学家提供非小细胞肺癌融合伴侣的核心参考来源。我们旨在不断更新和完善这份清单。