Department of Medical Oncology, Hospital Universitario 12 de Octubre, Madrid, Spain.
H12O-CNIO Lung Cancer Clinical Research Unit, Health Research Institute Hospital Universitario 12 de Octubre, Madrid, Spain.
Cancer. 2023 Jun 15;129(12):1803-1820. doi: 10.1002/cncr.34757. Epub 2023 Apr 19.
Precision oncology comprises the set of strategies that aim to design the best cancer treatment based on tumor biology. A recognized subset of patients with non-small cell lung cancer (NSCLC) harbor actionable genomic aberrations that can benefit from targeted therapy. In lung cancer, epidermal growth factor receptor (EGFR) mutations and anaplastic lymphoma kinase (ALK) rearrangements are well characterized oncogenic drivers for which the therapeutic use of tyrosine kinase inhibitors has demonstrated improved outcomes compared with chemotherapy. Other druggable targets are also well characterized, and effective inhibitors have been developed and commercialized, leading to a paradigm shift in NSCLC treatment. Here, the authors provide a review of the oncogenic role of the most relevant molecular alterations in NSCLC and emerging treatments in this setting beyond EGFR-driven and ALK-driven diseases.
精准肿瘤学包含了一系列旨在根据肿瘤生物学设计最佳癌症治疗方案的策略。非小细胞肺癌(NSCLC)中有一部分患者具有可采取靶向治疗的明确的基因组异常。在肺癌中,表皮生长因子受体(EGFR)突变和间变性淋巴瘤激酶(ALK)重排是明确的致癌驱动因素,与化疗相比,酪氨酸激酶抑制剂的治疗应用已显示出改善的结果。其他可用药的靶点也有明确的特征,并且已经开发和商业化了有效的抑制剂,这导致 NSCLC 治疗的范式转变。在这里,作者综述了 NSCLC 中最相关的分子改变的致癌作用,以及除 EGFR 驱动和 ALK 驱动疾病之外,该领域新兴的治疗方法。