Immunotherapy in advanced, KRAS G12C-mutant non-small-cell lung cancer: current strategies and future directions.

IF 4.3 2区 医学 Q2 ONCOLOGY Therapeutic Advances in Medical Oncology Pub Date : 2025-03-14 eCollection Date: 2025-01-01 DOI:10.1177/17588359251323985
Nadia Ghazali, Marina C Garassino, Natasha B Leighl, Christine M Bestvina
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Abstract

Kirsten rat sarcoma (KRAS) mutations are present in up to 25% of non-small-cell lung cancer (NSCLC). KRAS G12C is the most common type of mutation, representing approximately half of the cases in KRAS-mutant NSCLC. Mutations in KRAS activate the RAF-MEK-ERK pathway, leading to increased cell proliferation and survival. Recent advances in drug development have led to the approval of KRAS G12C inhibitors sotorasib and adagrasib. This review explores the emerging therapeutic strategies in KRAS G12C-mutant NSCLC, including dual checkpoint blockade and combinations with checkpoint inhibitors, with a focus on the setting of advanced disease.

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多达 25% 的非小细胞肺癌(NSCLC)都存在克氏大鼠肉瘤(KRAS)突变。KRAS G12C 是最常见的突变类型,约占 KRAS 突变 NSCLC 病例的一半。KRAS 突变会激活 RAF-MEK-ERK 通路,导致细胞增殖和存活率增加。最近的药物开发进展促使 KRAS G12C 抑制剂 sotorasib 和 adagrasib 获得批准。本综述探讨了 KRAS G12C 突变 NSCLC 的新兴治疗策略,包括双重检查点阻断和与检查点抑制剂的联合治疗,重点关注晚期疾病的治疗。
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来源期刊
CiteScore
8.20
自引率
2.00%
发文量
160
审稿时长
15 weeks
期刊介绍: Therapeutic Advances in Medical Oncology is an open access, peer-reviewed journal delivering the highest quality articles, reviews, and scholarly comment on pioneering efforts and innovative studies in the medical treatment of cancer. The journal has a strong clinical and pharmacological focus and is aimed at clinicians and researchers in medical oncology, providing a forum in print and online for publishing the highest quality articles in this area. This journal is a member of the Committee on Publication Ethics (COPE).
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