Department of Medicine, Division of Medical Oncology, United States.
Department of Medicine, Division of Medical Oncology, United States.
Lung Cancer. 2023 Apr;178:254-268. doi: 10.1016/j.lungcan.2023.02.018. Epub 2023 Mar 1.
Targeting the MET pathway in advanced NSCLC has been of particular interest due to its role as both a primary oncogenic driver and secondary oncogenic driver of acquired resistance. Activation of the MET pathway can occur through several mechanisms, which can complicate the diagnostic and treatment approach. Recently, several MET-directed therapies have been developed with promising results. In this narrative review, we summarize the biology and mechanism of MET as a clinically relevant driver mutation, distinct MET alterations including diagnostic challenges, significance in the setting of acquired resistance, and novel treatment strategies in advanced NSCLC.
由于 MET 通路既是原发性致癌驱动基因,也是获得性耐药的继发性致癌驱动基因,因此靶向治疗晚期 NSCLC 特别受到关注。MET 通路的激活可以通过几种机制发生,这使得诊断和治疗方法变得复杂。最近,已经开发出几种针对 MET 的治疗方法,取得了有希望的结果。在这篇叙述性综述中,我们总结了 MET 作为临床相关驱动突变的生物学和机制,包括诊断挑战的不同 MET 改变、在获得性耐药中的意义以及晚期 NSCLC 的新治疗策略。