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非小细胞肺癌的新兴靶点。

Emerging Targets in Non-Small Cell Lung Cancer.

机构信息

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.

出版信息

Int J Mol Sci. 2024 Sep 18;25(18):10046. doi: 10.3390/ijms251810046.


DOI:10.3390/ijms251810046
PMID:39337530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11432526/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc65/11432526/a3355f36a290/ijms-25-10046-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc65/11432526/a3355f36a290/ijms-25-10046-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc65/11432526/a3355f36a290/ijms-25-10046-g001.jpg

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本文引用的文献

[1]
Combination therapy of KRAS G12V mRNA vaccine and pembrolizumab: clinical benefit in patients with advanced solid tumors.

Cell Res. 2024-9

[2]
Tunlametinib (HL-085) plus vemurafenib in patients with advanced BRAF V600-mutant solid tumors: an open-label, single-arm, multicenter, phase I study.

Exp Hematol Oncol. 2024-6-12

[3]
Divarasib in the Evolving Landscape of KRAS G12C Inhibitors for NSCLC.

Target Oncol. 2024-5

[4]
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Nat Med. 2024-4

[5]
DB-1310, an ADC comprised of a novel anti-HER3 antibody conjugated to a DNA topoisomerase I inhibitor, is highly effective for the treatment of HER3-positive solid tumors.

J Transl Med. 2024-4-17

[6]
BRAF-mutant metastatic NSCLC: disease overview and treatment landscape.

NPJ Precis Oncol. 2024-4-16

[7]
Discovery of TNG908: A Selective, Brain Penetrant, MTA-Cooperative PRMT5 Inhibitor That Is Synthetically Lethal with -Deleted Cancers.

J Med Chem. 2024-4-25

[8]
Acidity-induced ITGB6 promote migration and invasion of lung cancer cells by epithelial-mesenchymal transition and focal adhesion.

Exp Cell Res. 2024-3-1

[9]
Targeting HER3 to overcome EGFR TKI resistance in NSCLC.

Front Immunol. 2023

[10]
Cobimetinib Plus Vemurafenib in Patients With Solid Tumors With Mutations: Results From the Targeted Agent and Profiling Utilization Registry Study.

JCO Precis Oncol. 2023-9

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