EGFR and KRAS mutations, and ALK fusions: current developments and personalized therapies for patients with advanced non-small-cell lung cancer

被引:57
作者
de Mello, Ramon Andrade [1 ,2 ,3 ]
Madureira, Pedro [4 ,5 ]
Carvalho, Liliana S. [5 ,6 ]
Araujo, Antonio [1 ,4 ]
O'Brien, Mary [3 ]
Popat, Sanjay [3 ,7 ]
机构
[1] Portuguese Oncol Inst, Dept Med Oncol, P-4200072 Oporto, Portugal
[2] Univ Porto FMUP, Fac Med, Dept Med, P-4200319 Oporto, Portugal
[3] Royal Marsden NHS Fdn Trust, Dept Med, London SW3 6JJ, England
[4] Univ Porto, ICBAS, P-4100 Oporto, Portugal
[5] IBMC, Oporto, Portugal
[6] Univ Porto, Fac Med, Dept Pharmacol & Therapeut, P-4200319 Oporto, Portugal
[7] Univ London Imperial Coll Sci Technol & Med, Mol Genet & Genom Grp, London, England
关键词
afatinib; ALK-EML4; bevacizumab; cetuximab; crizotinib; EGFR mutation; erlotinib; gefitinib; lung cancer; GROWTH-FACTOR-RECEPTOR; PHASE-III TRIAL; CISPLATIN-GEMCITABINE; ANTITUMOR-ACTIVITY; ERBB RECEPTORS; IMMUNOHISTOCHEMICAL EXPRESSION; MAINTENANCE THERAPY; GENE REARRANGEMENT; PROGNOSTIC-FACTORS; 1ST-LINE TREATMENT;
D O I
10.2217/pgs.13.177
中图分类号
R9 [药学];
学科分类号
100702 [药剂学];
摘要
Personalized therapy has significantly developed in lung cancer treatment over recent years. VEGF and EGF play a major role in non-small-cell lung cancer (NSCLC) tumor angiogenesis and aggressiveness. EGFR mutation as well as KRAS and ALK rearrangements are important biomarkers in the field owing to potential targeted therapies involved in clinical practice: erlotinib, geftinib, cetuximab and crizotinib. More recently, regulation of tumor immunity through CTLA4 and PD1/L1 has emerged as a promising field in NSCLC management. This review will focus on the current and future biomarkers in the advanced NSCLC field and also address potential related targeted therapies for these patients.
引用
收藏
页码:1765 / 1777
页数:13
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