Zhao Lu, Wang Na, Zhang Dou, Jia Yingjie, Kong Fanming
Department of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China.
Front Oncol. 2023 Feb 14;13:1090757. doi: 10.3389/fonc.2023.1090757. eCollection 2023.
RET gene plays significant roles in the nervous system and many other tissues. Rearranged during transfection (RET) mutation is related to cell proliferation, invasion, and migration. Many invasive tumors (e.g., non-small cell lung cancer, thyroid cancer, and breast cancer) were found to have changes in RET. Recently, great efforts have been made against RET. Selpercatinib and pralsetinib, with encouraging efficacy, intracranial activity, and tolerability, were approved by the Food and Drug Administration (FDA) in 2020. The development of acquired resistance is inevitable, and a deeper exploration should be conducted. This article systematically reviewed RET gene and its biology as well as the oncogenic role in multiple cancers. Moreover, we also summarized recent advances in the treatment of RET and the mechanism of drug resistance.
RET基因在神经系统和许多其他组织中发挥着重要作用。转染重排(RET)突变与细胞增殖、侵袭和迁移有关。许多侵袭性肿瘤(如非小细胞肺癌、甲状腺癌和乳腺癌)被发现存在RET改变。最近,针对RET的研究取得了很大进展。塞尔帕替尼和普拉替尼具有令人鼓舞的疗效、颅内活性和耐受性,于2020年获得美国食品药品监督管理局(FDA)批准。获得性耐药的出现不可避免,需要进行更深入的探索。本文系统综述了RET基因及其生物学特性,以及在多种癌症中的致癌作用。此外,我们还总结了RET治疗的最新进展和耐药机制。