EGFR T790M resistance mutation in non small-cell lung carcinoma

被引:59
作者
Denis, Marc G. [1 ]
Vallee, Audrey [1 ]
Theoleyre, Sandrine [1 ]
机构
[1] Nantes Univ Hosp, Dept Biochem, Nantes, France
关键词
EGFR; T790M; Mutation; Resistance; Non small-cell lung cancer; FACTOR RECEPTOR MUTATIONS; RESOLUTION MELTING ANALYSIS; TYROSINE KINASE INHIBITORS; OPEN-LABEL; 1ST-LINE TREATMENT; ACQUIRED-RESISTANCE; SEQUENCE ARTIFACTS; DRUG-RESISTANCE; CANCER PATIENTS; NEVER-SMOKERS;
D O I
10.1016/j.cca.2015.01.039
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Lung cancer patients carrying sensitive epidermal growth factor receptor (EGFR) mutations show dramatic responses to tyrosine kinase inhibitors (TKIs). However, the majority of patients whose disease responds to drugs eventually develop resistance to these EGFR-TKIs. The T790M gatekeeper mutation in the EGFR tyrosine kinase domain accounts for half of resistance to these drugs. In some patients, this mutation is also detected as a primary event before drug exposure, at a frequency that is highly dependent on the technique used. This review will focus on the methods that have been used to detect the T790M mutation, and its potential clinical applications both in TKI naive patients and in patients with an acquired resistance. (C) 2015 Elsevier B.V. All rights reserved.
引用
收藏
页码:81 / 85
页数:5
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