EGFR mutations in lung cancer: from tissue testing to liquid biopsy

被引:75
作者
Fenizia, Francesca [1 ]
De Luca, Antonella [2 ]
Pasquale, Raffaella [1 ]
Sacco, Alessandra [1 ]
Forgione, Laura [1 ]
Lambiase, Matilde [1 ]
Iannaccone, Alessia [1 ]
Chicchinelli, Nicoletta [2 ]
Franco, Renato [3 ]
Rossi, Antonio [4 ]
Morabito, Alessandro [5 ]
Rocco, Gaetano [6 ]
Piccirillo, Maria Carmela [7 ]
Normanno, Nicola [1 ,2 ]
机构
[1] Ist Nazl Tumori Fdn G Pascale IRCCS, CROM, Lab Pharmacogen, Mercogliano, AV, Italy
[2] Ist Nazl Tumori Fdn G Pascale IRCCS, Cell Biol & Biotherapy Unit, Naples, Italy
[3] Ist Nazl Tumori Fdn G Pascale IRCCS, Surg Pathol Unit, Naples, Italy
[4] SG Moscati Hosp, Div Med Oncol, Avellino, Italy
[5] Ist Nazl Tumori Fdn G Pascale IRCCS, Med Oncol Unit, Thoracopulm Dept, Naples, Italy
[6] Ist Nazl Tumori Fdn G Pascale IRCCS, Thorac Surg, Thoracopulm Dept, Naples, Italy
[7] Ist Nazl Tumori Fdn G Pascale IRCCS, Clin Trials Unit, Naples, Italy
关键词
EGFR mutations; EGFR-TKIs; liquid biopsy; mechanisms of resistance; non-small-cell lung carcinoma; targeted therapy; GROWTH-FACTOR RECEPTOR; TYROSINE KINASE INHIBITORS; CIRCULATING TUMOR DNA; ACQUIRED-RESISTANCE; OPEN-LABEL; PHASE-III; 1ST-LINE TREATMENT; GEFITINIB TREATMENT; MET AMPLIFICATION; DRUG-RESISTANCE;
D O I
10.2217/fon.15.23
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The presence of EGFR mutations predicts the sensitivity to EGF receptor (EGFR)-tyrosine kinase inhibitors in a molecularly defined subset of non-small-cell lung carcinoma (NSCLC) patients. For this reason, EGFR testing of NSCLC is required to provide personalized treatment options and better outcomes for NSCLC patients. As surgery specimens are not available in the majority of NSCLC, other currently available DNA sources are small biopsies and cytological samples, providing however limited and low-quality material. In order to address this issue, the use of surrogate sources of DNA, such as blood, serum and plasma samples, which often contains circulating free tumor DNA or circulating tumor cells, is emerging as a new strategy for tumor genotyping.
引用
收藏
页码:1611 / 1623
页数:13
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