记录和分类癌症中的MET受体突变。

Recording and classifying MET receptor mutations in cancers.

作者信息

Guérin Célia, Tulasne David

机构信息

Univ. Lille, CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, UMR9020 - UMR1277 - Canther - Cancer Heterogeneity, Plasticity and Resistance to Therapies, Lille, France.

出版信息

Elife. 2024 Apr 23;13:e92762. doi: 10.7554/eLife.92762.

Abstract

Tyrosine kinase inhibitors (TKI) directed against MET have been recently approved to treat advanced non-small cell lung cancer (NSCLC) harbouring activating MET mutations. This success is the consequence of a long characterization of MET mutations in cancers, which we propose to outline in this review. MET, a receptor tyrosine kinase (RTK), displays in a broad panel of cancers many deregulations liable to promote tumour progression. The first MET mutation was discovered in 1997, in hereditary papillary renal cancer (HPRC), providing the first direct link between MET mutations and cancer development. As in other RTKs, these mutations are located in the kinase domain, leading in most cases to ligand-independent MET activation. In 2014, novel MET mutations were identified in several advanced cancers, including lung cancers. These mutations alter splice sites of exon 14, causing in-frame exon 14 skipping and deletion of a regulatory domain. Because these mutations are not located in the kinase domain, they are original and their mode of action has yet to be fully elucidated. Less than five years after the discovery of such mutations, the efficacy of a MET TKI was evidenced in NSCLC patients displaying MET exon 14 skipping. Yet its use led to a resistance mechanism involving acquisition of novel and already characterized MET mutations. Furthermore, novel somatic MET mutations are constantly being discovered. The challenge is no longer to identify them but to characterize them in order to predict their transforming activity and their sensitivity or resistance to MET TKIs, in order to adapt treatment.

摘要

针对MET的酪氨酸激酶抑制剂(TKI)最近已被批准用于治疗携带激活型MET突变的晚期非小细胞肺癌(NSCLC)。这一成功是对癌症中MET突变进行长期特征描述的结果,我们打算在本综述中对此进行概述。MET是一种受体酪氨酸激酶(RTK),在多种癌症中表现出许多易于促进肿瘤进展的失调。1997年在遗传性乳头状肾癌(HPRC)中发现了首个MET突变,这首次建立了MET突变与癌症发展之间的直接联系。与其他RTK一样,这些突变位于激酶结构域,在大多数情况下导致MET的非配体依赖性激活。2014年,在包括肺癌在内的几种晚期癌症中发现了新的MET突变。这些突变改变了外显子14的剪接位点,导致框内外显子14跳跃和一个调节结构域的缺失。由于这些突变不在激酶结构域中,它们很独特,其作用方式尚未完全阐明。在发现此类突变不到五年后,MET TKI在显示MET外显子14跳跃的NSCLC患者中显示出疗效。然而,其使用导致了一种耐药机制,涉及获得新的和已被表征的MET突变。此外,新的体细胞MET突变不断被发现。挑战不再是识别它们,而是对它们进行表征,以便预测其转化活性以及它们对MET TKI的敏感性或耐药性,从而调整治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9416/11042802/cf7091c8e099/elife-92762-fig1.jpg

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