Yang Yanlong, Zheng Hongbo, Li Zizhe, Shi Shuchen, Zhong Lang, Gong Longlong, Lan Bin
Department of Cardiothoracic Surgery, Shantou Central Hospital, Shantou, China.
Medical Department, Genecast Biotechnology Co., Ltd., Wuxi, China.
Front Oncol. 2022 May 19;12:841493. doi: 10.3389/fonc.2022.841493. eCollection 2022.
Rearrangements of the anaplastic lymphoma kinase (ALK) gene comprise a small subset of non-small cell lung cancer (NSCLC). Patients with NSCLC harboring ALK fusion proteins are sensitive to ALK tyrosine kinase inhibitors (TKIs). Various fusion partners of ALK are being discovered with the application of next-generation sequencing (NGS).
Here, we report a female patient with metastatic lung adenocarcinoma harboring LMO7-ALK (L15, A20) rearrangement revealed by NGS. The patient received crizotinib as first-line treatment and has achieved partial response with a progression-free survival over 1 year.
We firstly found that the satisfactory response to crizotinib verified the oncogenic activity of LMO7-ALK fusion. Great progression and wide application of NGS facilitate the findings of rare fusion types.
间变性淋巴瘤激酶(ALK)基因重排是非小细胞肺癌(NSCLC)中的一个小亚组。携带ALK融合蛋白的NSCLC患者对ALK酪氨酸激酶抑制剂(TKIs)敏感。随着下一代测序(NGS)的应用,正在发现ALK的各种融合伴侣。
在此,我们报告一名转移性肺腺癌女性患者,通过NGS检测发现其存在LMO7-ALK(L15,A20)重排。该患者接受克唑替尼作为一线治疗,已取得部分缓解,无进展生存期超过1年。
我们首次发现对克唑替尼的满意反应证实了LMO7-ALK融合的致癌活性。NGS的巨大进展和广泛应用有助于发现罕见的融合类型。