Suppr超能文献

非小细胞肺癌中的致癌融合:从机制到临床应用

Oncogenic Fusions in NSCLC: From Mechanisms to Clinical Applications.

作者信息

Theik Nyein Wint Yee, De Armas Suset Almuinas, Rosas Daniel, Kiamos Amy, Thaw Dar Nyein Nyein, Shoreibah Ahmed, Hussein Atif, Raez Luis E

机构信息

Memorial Healthcare System, Internal Medicine Residency Program, Pembroke Pines, FL 33028, USA.

Memorial Cancer Institute, Memorial Healthcare System, Hematology-Oncology Fellowship Program, Pembroke Pines, FL 33028, USA.

出版信息

Int J Mol Sci. 2025 Apr 17;26(8):3802. doi: 10.3390/ijms26083802.

Abstract

Non-small cell lung cancer (NSCLC) is operated commonly by diverse genetic alterations, and oncogenic fusions represent a significant therapeutic role. Common fusions include ALK, ROS1, RET, and NTRK, signaling pathways in tumorigenesis. Recent advances in investigating tumor molecular biology include underlying fusions, including chromosomal rearrangements, highlighting their role as oncogenic drivers. The development of targeted therapies, such as tyrosine kinase inhibitors (TKIs), has impacted most patients' NSCLC treatment. Despite the greater profiles, such as remarkable efficiency and tolerable side effects compared to traditional chemotherapy, challenges, such as acquired mutations, lead to more ongoing research-optimized future NSCLC therapies.

摘要

非小细胞肺癌(NSCLC)通常由多种基因改变驱动,致癌融合在其中发挥着重要的治疗作用。常见的融合包括ALK、ROS1、RET和NTRK,它们在肿瘤发生过程中涉及信号通路。肿瘤分子生物学研究的最新进展包括对潜在融合的研究,其中包括染色体重排,突出了它们作为致癌驱动因素的作用。靶向治疗的发展,如酪氨酸激酶抑制剂(TKIs),已经影响了大多数非小细胞肺癌患者的治疗。尽管这些治疗有诸多优势,比如与传统化疗相比疗效显著且副作用可耐受,但仍面临一些挑战,如获得性突变,这促使更多持续的研究以优化未来的非小细胞肺癌治疗。

相似文献

1
Oncogenic Fusions in NSCLC: From Mechanisms to Clinical Applications.
Int J Mol Sci. 2025 Apr 17;26(8):3802. doi: 10.3390/ijms26083802.
2
Novel targets in non-small cell lung cancer: ROS1 and RET fusions.
Oncologist. 2013;18(7):865-75. doi: 10.1634/theoncologist.2013-0095. Epub 2013 Jun 28.
3
Resistance Mechanisms to Targeted Therapies in and Non-small Cell Lung Cancer.
Clin Cancer Res. 2018 Jul 15;24(14):3334-3347. doi: 10.1158/1078-0432.CCR-17-2452. Epub 2018 Apr 10.
4
Current treatment and future challenges in ROS1- and ALK-rearranged advanced non-small cell lung cancer.
Cancer Treat Rev. 2021 Apr;95:102178. doi: 10.1016/j.ctrv.2021.102178. Epub 2021 Mar 10.
5
ROS1 Fusions Rarely Overlap with Other Oncogenic Drivers in Non-Small Cell Lung Cancer.
J Thorac Oncol. 2017 May;12(5):872-877. doi: 10.1016/j.jtho.2017.01.004. Epub 2017 Jan 11.
6
Brain Metastases in Lung Cancers with Emerging Targetable Fusion Drivers.
Int J Mol Sci. 2020 Feb 19;21(4):1416. doi: 10.3390/ijms21041416.

引用本文的文献

1
Clinical and preclinical insights into a novel MDM2::PDGFRA fusion in recurrent glioblastoma.
NPJ Precis Oncol. 2025 Aug 16;9(1):289. doi: 10.1038/s41698-025-01076-4.

本文引用的文献

1
Alectinib Versus Crizotinib in Asian Patients With Treatment-Naïve Advanced -Positive NSCLC: Five-Year Update From the Phase 3 ALESIA Study.
JTO Clin Res Rep. 2024 Jun 27;5(9):100700. doi: 10.1016/j.jtocrr.2024.100700. eCollection 2024 Sep.
2
Analysis on the pathogenesis and treatment progress of NRG1 fusion-positive non-small cell lung cancer.
Front Oncol. 2024 Jun 18;14:1405380. doi: 10.3389/fonc.2024.1405380. eCollection 2024.
3
Taletrectinib: TRUST in the Continued Evolution of Treatments for Fusion-Positive Lung Cancer.
J Clin Oncol. 2024 Aug 1;42(22):2622-2627. doi: 10.1200/JCO.24.01062. Epub 2024 Jun 28.
4
Efficacy and Safety of Taletrectinib in Chinese Patients With Non-Small Cell Lung Cancer: The Phase II TRUST-I Study.
J Clin Oncol. 2024 Aug 1;42(22):2660-2670. doi: 10.1200/JCO.24.00731. Epub 2024 Jun 1.
7
8
Alectinib in Resected -Positive Non-Small-Cell Lung Cancer.
N Engl J Med. 2024 Apr 11;390(14):1265-1276. doi: 10.1056/NEJMoa2310532.
9
Therapy for Stage IV Non-Small Cell Lung Cancer With Driver Alterations: ASCO Living Guideline, Version 2023.3.
J Clin Oncol. 2024 Apr 10;42(11):e1-e22. doi: 10.1200/JCO.23.02744. Epub 2024 Feb 28.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验