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[表皮生长因子受体-TP53共突变在晚期非小细胞肺癌中的研究进展]

[Research Advances of EGFR-TP53 Co-mutation in Advanced Non-small Cell Lung Cancer].

作者信息

Wang Rong, Pan Sisi, Song Xia

机构信息

The Second Department of Respiratory, Shanxi Provincial Cancer Hospital, Taiyuan 030000, China.

The Second Clinical Medical College of Shanxi Medical University, Taiyuan 030000, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2022 Mar 20;25(3):174-182. doi: 10.3779/j.issn.1009-3419.2022.101.06.

DOI:10.3779/j.issn.1009-3419.2022.101.06
PMID:35340160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8976205/
Abstract

With the rapid development and wide application of next generation sequencing (NGS) technology, a series of researches have revealed that concurrent genetic alterations play an important role in the response and resistance of epidermal growth factor receptor (EGFR)-mutant NSCLC to EGFR-tyrosine kinase inhibitor (TKI). Besides, TP53 mutation is the most common co-mutation gene in EGFR-mutant NSCLC, which has been proved to confer a worse prognosis in EGFR-mutated patients treated with first, second and third generation of EGFR-TKIs. Currently, it is still being explored how to select the best treatment strategies for patients with concomitant presence of TP53 mutation in EGFR-mutant NSCLC. Here, we review the literature on recent research progress of TP53 concurrent mutation in EGFR-mutant advanced NSCLC.
.

摘要

随着下一代测序(NGS)技术的迅速发展和广泛应用,一系列研究表明,同时发生的基因改变在表皮生长因子受体(EGFR)突变的非小细胞肺癌(NSCLC)对EGFR酪氨酸激酶抑制剂(TKI)的反应和耐药性中起重要作用。此外,TP53突变是EGFR突变NSCLC中最常见的共突变基因,已被证明在接受第一代、第二代和第三代EGFR-TKI治疗的EGFR突变患者中预后较差。目前,如何为EGFR突变NSCLC中同时存在TP53突变的患者选择最佳治疗策略仍在探索中。在此,我们综述了关于EGFR突变晚期NSCLC中TP53共突变的最新研究进展的文献。

相似文献

1
[Research Advances of EGFR-TP53 Co-mutation in Advanced Non-small Cell Lung Cancer].[表皮生长因子受体-TP53共突变在晚期非小细胞肺癌中的研究进展]
Zhongguo Fei Ai Za Zhi. 2022 Mar 20;25(3):174-182. doi: 10.3779/j.issn.1009-3419.2022.101.06.
2
Next-generation sequencing of tissue and circulating tumor DNA: Resistance mechanisms to EGFR targeted therapy in a cohort of patients with advanced non-small cell lung cancer.组织和循环肿瘤 DNA 的下一代测序:在一组晚期非小细胞肺癌患者中对 EGFR 靶向治疗的耐药机制。
Cancer Med. 2021 Jul;10(14):4697-4709. doi: 10.1002/cam4.3948. Epub 2021 Jun 25.
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Prognostic value of TP53 concurrent mutations for EGFR- TKIs and ALK-TKIs based targeted therapy in advanced non-small cell lung cancer: a meta-analysis.TP53 并发突变对晚期非小细胞肺癌 EGFR-TKIs 和 ALK-TKIs 靶向治疗的预后价值:一项荟萃分析。
BMC Cancer. 2020 Apr 16;20(1):328. doi: 10.1186/s12885-020-06805-5.
4
A high number of co-occurring genomic alterations detected by NGS is associated with worse clinical outcomes in advanced EGFR-mutant lung adenocarcinoma: Data from LATAM population.通过二代测序(NGS)检测到的大量同时出现的基因组改变与晚期表皮生长因子受体(EGFR)突变型肺腺癌的更差临床结局相关:来自拉丁美洲人群的数据。
Lung Cancer. 2022 Dec;174:133-140. doi: 10.1016/j.lungcan.2022.11.002. Epub 2022 Nov 9.
5
Concurrent Genetic Alterations Predict the Progression to Target Therapy in EGFR-Mutated Advanced NSCLC.同时存在的基因改变可预测 EGFR 突变型晚期 NSCLC 进展为靶向治疗。
J Thorac Oncol. 2019 Feb;14(2):193-202. doi: 10.1016/j.jtho.2018.10.150. Epub 2018 Nov 1.
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Clinical significance of TP53 alterations in advanced NSCLC patients treated with EGFR, ALK and ROS1 tyrosine kinase inhibitors: An update.晚期 NSCLC 患者接受 EGFR、ALK 和 ROS1 酪氨酸激酶抑制剂治疗时 TP53 改变的临床意义:最新进展。
Tumour Biol. 2024;46(s1):S309-S325. doi: 10.3233/TUB-230034.
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[The concomitant gene alterations impact the therapeutic efficacy of epidermal growth factor receptor-tyrosine kinase inhibitors in advanced non-small cell lung cancer patients with epidermal growth factor receptor sensitive mutation].[伴随基因改变对表皮生长因子受体敏感突变的晚期非小细胞肺癌患者中表皮生长因子受体酪氨酸激酶抑制剂治疗疗效的影响]
Zhonghua Jie He He Hu Xi Za Zhi. 2018 Oct 12;41(10):778-782. doi: 10.3760/cma.j.issn.1001-0939.2018.10.006.
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Comprehensive characterization and clinical impact of concomitant genomic alterations in EGFR-mutant NSCLCs treated with EGFR kinase inhibitors.表皮生长因子受体(EGFR)激酶抑制剂治疗的EGFR突变型非小细胞肺癌(NSCLC)中伴随基因组改变的综合特征及临床影响
Lung Cancer. 2020 Jul;145:63-70. doi: 10.1016/j.lungcan.2020.04.004. Epub 2020 Apr 17.
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Optimal therapy for concomitant EGFR and TP53 mutated non-small cell lung cancer: a real-world study.同时存在 EGFR 和 TP53 突变的非小细胞肺癌的最佳治疗:一项真实世界研究。
BMC Cancer. 2023 Mar 2;23(1):198. doi: 10.1186/s12885-023-10637-4.
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Predictive and Prognostic Potential of TP53 in Patients With Advanced Non-Small-Cell Lung Cancer Treated With EGFR-TKI: Analysis of a Phase III Randomized Clinical Trial (CTONG 0901).TP53在接受EGFR-TKI治疗的晚期非小细胞肺癌患者中的预测和预后潜力:一项III期随机临床试验(CTONG 0901)分析
Clin Lung Cancer. 2021 Mar;22(2):100-109.e3. doi: 10.1016/j.cllc.2020.11.001. Epub 2020 Nov 17.

引用本文的文献

1
Drug resistance mechanisms and progress in the treatment of EGFR-mutated lung adenocarcinoma.表皮生长因子受体(EGFR)突变型肺腺癌的耐药机制及治疗进展
Oncol Lett. 2022 Sep 26;24(5):408. doi: 10.3892/ol.2022.13528. eCollection 2022 Nov.

本文引用的文献

1
The role of distinct co-mutation patterns with mutation in immunotherapy for NSCLC.不同共突变模式与突变在非小细胞肺癌免疫治疗中的作用。
Genes Dis. 2020 Apr 9;9(1):245-251. doi: 10.1016/j.gendis.2020.04.001. eCollection 2022 Jan.
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Efficacy of EGFR-TKI Plus Chemotherapy or Monotherapy as First-Line Treatment for Advanced EGFR-Mutant Lung Adenocarcinoma Patients With Co-Mutations.表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)联合化疗或单药治疗作为晚期EGFR突变且伴有共突变的肺腺癌患者一线治疗的疗效
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RELAY Subgroup Analyses by EGFR Ex19del and Ex21L858R Mutations for Ramucirumab Plus Erlotinib in Metastatic Non-Small Cell Lung Cancer.雷莫芦单抗联合厄洛替尼治疗 EGFR 外显子 19 缺失和外显子 21 L858R 突变的转移性非小细胞肺癌的 RELAY 亚组分析。
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TP53 mutations in circulating tumor DNA in advanced epidermal growth factor receptor-mutant lung adenocarcinoma patients treated with gefitinib.接受吉非替尼治疗的晚期表皮生长因子受体突变型肺腺癌患者循环肿瘤DNA中的TP53突变
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5
Apatinib Plus Gefitinib as First-Line Treatment in Advanced EGFR-Mutant NSCLC: The Phase III ACTIVE Study (CTONG1706).阿帕替尼联合吉非替尼作为晚期 EGFR 突变型 NSCLC 的一线治疗:III 期 ACTIVE 研究(CTONG1706)。
J Thorac Oncol. 2021 Sep;16(9):1533-1546. doi: 10.1016/j.jtho.2021.05.006. Epub 2021 May 24.
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Treatment Patterns and Survival of Patients With Advanced Non-Small Cell Lung Cancer Guided by Comprehensive Genomic Profiling: Real-World Single-Institute Study in China.综合基因组分析指导下的晚期非小细胞肺癌患者的治疗模式与生存情况:中国单中心真实世界研究
Front Oncol. 2021 Mar 10;11:630717. doi: 10.3389/fonc.2021.630717. eCollection 2021.
7
The ubiquitin ligase MDM2 sustains STAT5 stability to control T cell-mediated antitumor immunity.泛素连接酶 MDM2 维持 STAT5 的稳定性以控制 T 细胞介导的抗肿瘤免疫。
Nat Immunol. 2021 Apr;22(4):460-470. doi: 10.1038/s41590-021-00888-3. Epub 2021 Mar 25.
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Targeting a neoantigen derived from a common mutation.靶向一种常见突变衍生的新抗原。
Science. 2021 Mar 5;371(6533). doi: 10.1126/science.abc8697. Epub 2021 Mar 1.
9
Prognostic value of TP53 concurrent mutations for EGFR- TKIs and ALK-TKIs based targeted therapy in advanced non-small cell lung cancer: a meta-analysis.TP53 并发突变对晚期非小细胞肺癌 EGFR-TKIs 和 ALK-TKIs 靶向治疗的预后价值:一项荟萃分析。
BMC Cancer. 2020 Apr 16;20(1):328. doi: 10.1186/s12885-020-06805-5.
10
Concomitant Mutation Confers Worse Prognosis in -Mutated Non-Small Cell Lung Cancer Patients Treated with TKIs.伴随突变使接受酪氨酸激酶抑制剂治疗的EGFR突变非小细胞肺癌患者预后更差。
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