How to find a needle in a haystack: a systematic review on targeting KRAS wild-type pancreatic cancer.

IF 3 4区 医学 Q2 ONCOLOGY Future oncology Pub Date : 2024-06-05 DOI:10.1080/14796694.2024.2355078
Antoine Mouawad, Sofia Habib, Marc Boutros, Fouad Attieh, Hampig Raphaël Kourie
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Abstract

Aim: Pancreatic adenocarcinoma is a very aggressive type of cancer, in which targeted therapies have not yet been fully utilized. KRAS wild-type pancreatic adenocarcinoma tumors are associated with different genomic alterations in comparison to KRAS mutated pancreatic adenocarcinoma. Objective: This systematic review aims to provide a one-stop summary of all these alterations, their proposed targeted treatment and their effect on disease progression. Methods: An electronic search strategy was elaborated in the PubMed database between 2020 and January 2024. Results: 21 studies were included, and we found that the most frequent targetable genomic alterations in KRAS wild-type pancreatic adenocarcinoma were BRAF, EGFR, FGFR, MSI-H/dMMR, Her2/ERBB2 amplification, BRCA1/2 and other HRDs, and gene fusions like ALK, NTRK and NRG1.

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如何大海捞针:针对 KRAS 野生型胰腺癌的系统综述。
目的:胰腺癌是一种侵袭性很强的癌症,其靶向疗法尚未得到充分利用。与 KRAS 突变的胰腺腺癌相比,KRAS 野生型胰腺腺癌肿瘤与不同的基因组改变有关。目的:本系统综述旨在一站式总结所有这些改变、其拟议的靶向治疗及其对疾病进展的影响。方法:在 2020 年至 2024 年 1 月期间,在 PubMed 数据库中制定了电子检索策略。结果:共纳入 21 项研究,我们发现 KRAS 野生型胰腺癌中最常见的可靶向基因组改变是 BRAF、EGFR、FGFR、MSI-H/dMMR、Her2/ERBB2 扩增、BRCA1/2 和其他 HRDs,以及 ALK、NTRK 和 NRG1 等基因融合。
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来源期刊
Future oncology
Future oncology ONCOLOGY-
CiteScore
5.40
自引率
3.00%
发文量
335
审稿时长
4-8 weeks
期刊介绍: Future Oncology (ISSN 1479-6694) provides a forum for a new era of cancer care. The journal focuses on the most important advances and highlights their relevance in the clinical setting. Furthermore, Future Oncology delivers essential information in concise, at-a-glance article formats - vital in delivering information to an increasingly time-constrained community. The journal takes a forward-looking stance toward the scientific and clinical issues, together with the economic and policy issues that confront us in this new era of cancer care. The journal includes literature awareness such as the latest developments in radiotherapy and immunotherapy, concise commentary and analysis, and full review articles all of which provide key findings, translational to the clinical setting.
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