Peptomyc S.L., Edifici Cellex, Hospital Vall d'Hebron, Barcelona, Spain.
Edifici Cellex, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Expert Opin Ther Targets. 2020 Feb;24(2):101-114. doi: 10.1080/14728222.2020.1723548. Epub 2020 Feb 13.
: Lung cancer is the leading cause of cancer-related mortality globally. Despite recent advances with personalized therapies and immunotherapy, the prognosis remains dire and recurrence is frequent. Myc is an oncogene deregulated in human cancers, including lung cancer, where it supports tumorigenic processes and progression. Elevated Myc levels have also been associated with resistance to therapy.: This article summarizes the genomic and transcriptomic studies that compile evidence for (i) MYC, MYCN, and MYCL amplification and overexpression in lung cancer patients, and (ii) their prognostic significance. We collected the most recent literature regarding the development of Myc inhibitors where the emphasis is on those inhibitors tested in lung cancer experimental models and their potential for future clinical application.: The targeting of Myc in lung cancer is potentially an unprecedented opportunity for inhibiting a key player in tumor progression and maintenance and therapeutic resistance. Myc inhibitory strategies are on the path to their clinical application but further work is necessary for the assessment of their use in combination with standard treatment approaches. Given the role of Myc in immune suppression, a significant opportunity may exist in the combination of Myc inhibitors with immunotherapies.
肺癌是全球癌症相关死亡的主要原因。尽管最近在个性化治疗和免疫疗法方面取得了进展,但预后仍然不佳,复发频繁。Myc 是一种在人类癌症中失调的癌基因,包括肺癌,它支持肿瘤发生过程和进展。升高的 Myc 水平也与对治疗的耐药性有关。
本文总结了基因组和转录组研究,这些研究提供了证据证明(i)肺癌患者中 MYC、MYCN 和 MYCL 的扩增和过表达,以及(ii)它们的预后意义。我们收集了最近关于 Myc 抑制剂开发的文献,重点是在肺癌实验模型中测试的那些抑制剂及其未来临床应用的潜力。
在肺癌中靶向 Myc 是抑制肿瘤进展和维持以及治疗耐药性的关键因素的前所未有的机会。Myc 抑制策略正在走向临床应用,但需要进一步研究,以评估它们与标准治疗方法联合使用的效果。鉴于 Myc 在免疫抑制中的作用,Myc 抑制剂与免疫疗法联合使用可能存在重大机会。