Rare mutations in non-small-cell lung cancer

被引:4
作者
D'Arcangelo, Manolo [1 ,2 ]
D'Incecco, Armida [2 ]
Cappuzzo, Federico [2 ]
机构
[1] Univ Colorado, Ctr Canc, Aurora, CO 80045 USA
[2] Osped Civile Livorno, Ist Toscano Tumori, I-57100 Livorno, Italy
关键词
ALK; BRAF; DDR2; EGFR; gene rearrangement; HER2; mutation; non-small-cell lung cancer; RET; ROS1; GROWTH-FACTOR-RECEPTOR; TYROSINE KINASE INHIBITORS; PHASE-II TRIAL; ANAPLASTIC LYMPHOMA KINASE; EGFR T790M MUTATION; ACQUIRED-RESISTANCE; CLINICOPATHOLOGICAL FEATURES; MISSENSE MUTATIONS; 1ST-LINE TREATMENT; SOMATIC MUTATIONS;
D O I
10.2217/FON.13.16
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In the last decade, new insights in molecular biology have changed the therapeutic landscape of non-small-cell lung cancer. Since 2004, when activating mutations of the EGFR were firstly identified, several genetic aberrations have been discovered, mainly in adenocarcinoma. EGFR mutations are a relatively frequent event in non-small-cell lung cancer, generally consisting of exon 19 deletion or exon 21 substitution. In adenocarcinoma, additional rare mutations are detectable in the EGFR gene, as well as in other genes, including ALK, ROS1, RET, HER2 and BRAF. Recent studies in squamous cell carcinoma identified TP53 as the most frequent mutation, followed by additional more rare mutations, including PI3KCA, PTEN, DDR2 and FGFR. The aim of the present review is to analyze the potential prognostic and predictive role of rare mutations.
引用
收藏
页码:699 / 711
页数:13
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