转染(RET)肺癌中的重排-靶向治疗的最新进展。

IF 4.5 2区 医学 Q1 ONCOLOGY Lung Cancer Pub Date : 2025-02-01 DOI:10.1016/j.lungcan.2025.108083
W.J. Mullally , C.G. O’Leary , K.J. O’Byrne
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引用次数: 0

摘要

对非小细胞肺癌(NSCLC)中肿瘤发生的分子通路的深入了解,促进了针对具有可操作突变的个体使用靶向治疗的个性化治疗的进展。转染(RET)过程中原癌基因的重排对包括肾、神经和神经内分泌组织在内的各种组织的胚胎发育至关重要。在大约1-2%的NSCLC病例中观察到RET融合。在过去的十年中,针对RET改变的非小细胞肺癌的靶向治疗取得了显著进展。虽然多激酶抑制剂(MKIs)在疗效和耐受性方面存在局限性,但选择性RET抑制剂(SRIs)如selpercatinb和pralsetinib的引入已经改变了患者的预后,产生了深刻而持久的反应。正在进行的临床试验正在探索它们在新辅助和辅助环境中的潜在益处。早期临床试验努力证明下一代选择性RET抑制剂可以有效克服SRI耐药机制,提供更好的安全性,并提高患者预后。
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Rearranged during transfection (RET) lung cancer – Update on targeted therapies
The enhanced comprehension of the molecular pathways underpinning oncogenesis in non-small cell lung cancer (NSCLC) has led to the advancement of personalized treatment for individuals with actionable mutations using targeted therapies. The rearranged during transfection (RET) proto-oncogene, is critical in the embryonic development of various tissues, including renal, neural, and neuroendocrine tissue. RET fusions have been observed in approximately 1–2% of NSCLC cases. Targeted therapies for NSCLC with RET alterations have progressed significantly over the past decade. While multikinase inhibitors (MKIs) faced limitations in efficacy and tolerability, the introduction of selective RET inhibitors (SRIs) such as selpercatininb and pralsetinib has transformed patient outcomes, resulting in deep and durable responses. Ongoing clinical trials are exploring their potential benefits in the neoadjuvant and adjuvant setting. Early phase clinical trials endeavor to demonstrate next-generation selective RET inhibitors can effectively overcome SRI resistance mechanisms, offer improved safety profiles, and enhance patient outcomes.
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来源期刊
Lung Cancer
Lung Cancer 医学-呼吸系统
CiteScore
9.40
自引率
3.80%
发文量
407
审稿时长
25 days
期刊介绍: Lung Cancer is an international publication covering the clinical, translational and basic science of malignancies of the lung and chest region.Original research articles, early reports, review articles, editorials and correspondence covering the prevention, epidemiology and etiology, basic biology, pathology, clinical assessment, surgery, chemotherapy, radiotherapy, combined treatment modalities, other treatment modalities and outcomes of lung cancer are welcome.
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