Samuel-Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Riverside School of Medicine, University of California, Riverside, CA 92521, USA.
Int J Mol Sci. 2024 Sep 18;25(18):10046. doi: 10.3390/ijms251810046.
Lung cancer is responsible for a high burden of disease globally. Over the last two decades, the discovery of targetable oncogenic genomic alterations has revolutionized the treatment landscape for early-stage and advanced non-small cell lung cancer (NSCLC). New molecular drivers continue to emerge as promising therapeutic targets, including KRAS non-G12C, RAF/MEK, HER3, Nectin-4, folate receptor alpha, ITGB6, and PRMT5. In this review, we summarize the emerging molecular targets with a potential clinical impact in advanced NSCLC, elaborating on their clinical characteristics and specific mechanisms and molecular pathways for which targeted treatments are currently available. Additionally, we present an aggregate of ongoing clinical trials investigating the available treatment options targeting such alterations, in addition to their current recruitment status and preliminary efficacy data. These advancements may guide further research endeavors and inform future treatment strategies to improve the management of and transform outcomes for patients with advanced NSCLC.
肺癌在全球范围内造成了很高的疾病负担。在过去的二十年中,靶向致癌基因组改变的发现彻底改变了早期和晚期非小细胞肺癌(NSCLC)的治疗格局。新的分子驱动因素不断涌现,成为有前途的治疗靶点,包括 KRAS 非 G12C、RAF/MEK、HER3、Nectin-4、叶酸受体α、ITGB6 和 PRMT5。在这篇综述中,我们总结了晚期 NSCLC 中具有潜在临床影响的新兴分子靶点,详细阐述了它们的临床特征以及针对这些靶点目前可获得的靶向治疗的具体机制和分子途径。此外,我们还介绍了正在进行的临床试验,这些试验针对这些改变进行了评估,包括其当前的招募状态和初步疗效数据。这些进展可能会指导进一步的研究,并为改善晚期 NSCLC 患者的管理和转化结果提供未来的治疗策略。
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