Novel MRPS9-ALK Fusion Mutation in a Lung Adenocarcinoma Patient: A Case Report

被引:4
作者
Zhou, Huamiao [1 ]
Xu, Binyue [2 ]
Xu, Jili [2 ]
Zhu, Guomeng [1 ]
Guo, Yong [1 ]
机构
[1] Zhejiang Prov Hosp Tradit Chinese Med, Dept Oncol, Hangzhou, Peoples R China
[2] Zhejiang Chinese Med Univ, Sch Clin Med 1, Hangzhou, Peoples R China
基金
中国国家自然科学基金;
关键词
NSCLC; MRPS9-ALK; NGS; crizotinib; ALK-TKI; ANAPLASTIC LYMPHOMA KINASE; FRAMESHIFT MUTATION; EGFR-TKI; ALK; CANCER; IMMUNOHISTOCHEMISTRY; ALECTINIB; EFFICACY; NSCLC; GENE;
D O I
10.3389/fonc.2021.670907
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Anaplastic lymphoma kinase (ALK) rearrangements account for approximately 5-6% of non-small-cell lung cancer (NSCLC) patients. In this study, a case of lung adenocarcinoma harboring a novel MRPS9-ALK fusion is reported. The patient responded well to the first and second generation of ALK-tyrosine kinase inhibitors (ALK-TKIs) (crizotinib then alectinib), as her imaging findings and clinical symptoms significantly improved. At last follow-up, over 21 months of overall survival (OS) has been achieved since ALK-TKI treatment. The progression-free survival (PFS) is already ten months since alectinib. The adverse effects were manageable. The case presented here provides first clinical evidence of the efficacy of ALK-TKIs in NSCLC patients with MRPS9-ALK fusion.
引用
收藏
页数:7
相关论文
共 45 条
[2]   Differential effects of X-ALK fusion proteins on proliferation, transformation, and invasion properties of NIH3T3 cells [J].
Armstrong, F ;
Duplantier, MM ;
Trempat, P ;
Hieblot, C ;
Lamant, L ;
Espinos, E ;
Racaud-Sultan, C ;
Allouche, M ;
Campo, E ;
Delsol, G ;
Touriol, C .
ONCOGENE, 2004, 23 (36) :6071-6082
[3]   Lung adenocarcinoma with a novel SRBD1-ALK Fusion responding to crizotinib [J].
Chen, Yao ;
Zhang, Xiaochen ;
Jiang, Qi ;
Wang, Bo ;
Wang, Yina ;
Yan Junrong .
LUNG CANCER, 2020, 146 :370-372
[4]   ALK Fusion Partners Impact Response to ALK Inhibition: Differential Effects on Sensitivity, Cellular Phenotypes, and Biochemical Properties [J].
Childress, Merrida A. ;
Himmelberg, Stephen M. ;
Chen, Huiqin ;
Deng, Wanleng ;
Davies, Michael A. ;
Lovly, Christine M. .
MOLECULAR CANCER RESEARCH, 2018, 16 (11) :1724-1736
[5]   Molecular Modeling of ALK L1198F and/or G1202R Mutations to Determine Differential Crizotinib Sensitivity [J].
Chuang, Yu-Chung ;
Huang, Bo-Yen ;
Chang, Hsin-Wen ;
Yang, Chia-Ning .
SCIENTIFIC REPORTS, 2019, 9 (1)
[6]   Challenges in ALK inhibition of ALK-positive non-small-cell lung cancer: from ALK positivity detection to treatment strategies after relapse [J].
Cortinovis, Diego ;
Canova, Stefania ;
Abbate, Maria I. ;
Colonese, Francesca ;
Cogliati, Viola ;
Bidoli, Paolo .
FUTURE ONCOLOGY, 2018, 14 (22) :2303-2317
[7]   Screening for ALK Rearrangements in Lung Cancer: Time for a New Generation of Diagnostics? [J].
Dagogo-Jack, Ibiayi ;
Shaw, Alice T. .
ONCOLOGIST, 2016, 21 (06) :662-663
[8]   Mechanisms of Resistance to Crizotinib in Patients with ALK Gene Rearranged Non-Small Cell Lung Cancer [J].
Doebele, Robert C. ;
Pilling, Amanda B. ;
Aisner, Dara L. ;
Kutateladze, Tatiana G. ;
Le, Anh T. ;
Weickhardt, Andrew J. ;
Kondo, Kimi L. ;
Linderman, Derek J. ;
Heasley, Lynn E. ;
Franklin, Wilbur A. ;
Varella-Garcia, Marileila ;
Camidge, D. Ross .
CLINICAL CANCER RESEARCH, 2012, 18 (05) :1472-1482
[9]   CMTR1-ALK: an ALK fusion in a patient with no response to ALK inhibitor crizotinib [J].
Du, Xue ;
Shao, Yun ;
Gao, Hongjun ;
Zhang, Xueli ;
Zhang, Han ;
Ban, Yi ;
Qin, Haifeng ;
Tai, Yanhong .
CANCER BIOLOGY & THERAPY, 2018, 19 (11) :962-966
[10]   Translocations involving anaplastic lymphoma kinase (ALK) [J].
Duyster, J ;
Bai, RY ;
Morris, SW .
ONCOGENE, 2001, 20 (40) :5623-5637