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液体活检在监测癌基因成瘾性非小细胞肺癌治疗耐药性中的应用

Use of liquid biopsy in monitoring therapeutic resistance in oncogene addicted NSCLC.

作者信息

Iacovino Marialucia, Ciaramella Vincenza, Paragliola Fernando, Suarato Gabriella, Busiello Gesualdina, Sparano Francesca

机构信息

Medical Oncology, Department of Precision Medicine, Università degli Studi della Campania Luigi Vanvitelli, 80131 Naples, Italy.

出版信息

Explor Target Antitumor Ther. 2020;1(6):391-400. doi: 10.37349/etat.2020.00024. Epub 2020 Dec 28.

DOI:10.37349/etat.2020.00024
PMID:36046387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9400718/
Abstract

Liquid biopsy has emerged as a minimally invasive alternative to tumor tissue analysis for the management of lung cancer patients, especially for epidermal growth factor receptor () oncogene addicted tumor. In these patients, despite the clear benefits of tyrosine kinase inhibitors therapy, the development of acquired resistance and progressive disease is inevitable in most cases and liquid biopsy is important for molecular characterization at resistance and, being non-invasive, may be useful for disease monitoring. In this review, the authors will focus on the applications of liquid biopsy in -mutated non small cells lung cancer at diagnosis, during treatment and at progression, describing available data and possible future scenarios.

摘要

液体活检已成为一种微创方法,可替代肿瘤组织分析用于肺癌患者的管理,尤其是对于依赖表皮生长因子受体(EGFR)致癌基因的肿瘤。在这些患者中,尽管酪氨酸激酶抑制剂治疗有明显益处,但在大多数情况下,获得性耐药和疾病进展的发生是不可避免的,而液体活检对于耐药时的分子特征分析很重要,并且由于其非侵入性,可能对疾病监测有用。在本综述中,作者将重点关注液体活检在EGFR突变的非小细胞肺癌诊断、治疗期间和疾病进展时的应用,描述现有数据和可能的未来情况。

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引用本文的文献

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本文引用的文献

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Single-cell analyses reveal increased intratumoral heterogeneity after the onset of therapy resistance in small-cell lung cancer.单细胞分析揭示小细胞肺癌发生治疗抵抗后肿瘤内异质性增加。
Nat Cancer. 2020 Apr;1:423-436. doi: 10.1038/s43018-019-0020-z. Epub 2020 Feb 17.
2
Circulating tumor cells in precision oncology: clinical applications in liquid biopsy and 3D organoid model.精准肿瘤学中的循环肿瘤细胞:液体活检和3D类器官模型中的临床应用
Cancer Cell Int. 2019 Dec 18;19:341. doi: 10.1186/s12935-019-1067-8. eCollection 2019.
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The Evolving Landscape of Resistance to Osimertinib.
奥希替尼耐药性的不断演变态势
J Thorac Oncol. 2020 Jan;15(1):18-21. doi: 10.1016/j.jtho.2019.11.005.
4
Resistance mechanisms to osimertinib in EGFR-mutated non-small cell lung cancer.奥希替尼治疗 EGFR 突变型非小细胞肺癌的耐药机制。
Br J Cancer. 2019 Oct;121(9):725-737. doi: 10.1038/s41416-019-0573-8. Epub 2019 Sep 30.
5
Exon 16-Skipping HER2 as a Novel Mechanism of Osimertinib Resistance in EGFR L858R/T790M-Positive Non-Small Cell Lung Cancer.外显子 16 跳跃 HER2 作为 EGFR L858R/T790M 阳性非小细胞肺癌中奥希替尼耐药的新机制
J Thorac Oncol. 2020 Jan;15(1):50-61. doi: 10.1016/j.jtho.2019.09.006. Epub 2019 Sep 23.
6
Prospective detection of mutations in cerebrospinal fluid, pleural effusion, and ascites of advanced cancer patients to guide treatment decisions.前瞻性检测晚期癌症患者脑脊液、胸腔积液和腹水的突变,以指导治疗决策。
Mol Oncol. 2019 Dec;13(12):2633-2645. doi: 10.1002/1878-0261.12574. Epub 2019 Oct 11.
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Understanding the Mechanisms of Resistance in -Positive NSCLC: From Tissue to Liquid Biopsy to Guide Treatment Strategy.理解 - 阳性 NSCLC 的耐药机制:从组织到液体活检,以指导治疗策略。
Int J Mol Sci. 2019 Aug 14;20(16):3951. doi: 10.3390/ijms20163951.
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From the beginning to resistance: Study of plasma monitoring and resistance mechanisms in a cohort of patients treated with osimertinib for advanced T790M-positive NSCLC.从初始治疗到出现耐药:奥希替尼治疗 T790M 阳性晚期 NSCLC 患者的血浆监测及耐药机制研究。
Lung Cancer. 2019 May;131:78-85. doi: 10.1016/j.lungcan.2019.03.017. Epub 2019 Mar 19.
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