Next Generation Sequencing Analysis and its Benefit for Targeted Therapy of Lung Adenocarcinoma DOI Open Access
Vlastimil Kulda,

Jiří Polívka,

Martin Svatoň

et al.

Cancer Genomics & Proteomics, Journal Year: 2023, Volume and Issue: 20(4), P. 404 - 411

Published: Jan. 1, 2023

Targeted therapy has become increasingly important in treating lung adenocarcinoma, the most common subtype of cancer. Next-generation sequencing (NGS) enables precise identification specific genetic alterations individual tumor tissues, thereby guiding targeted selection. This study aimed to analyze mutations present adenocarcinoma tissues using NGS, assess benefit and evaluate progress availability therapies over last five years.The included 237 patients treated between 2018-2020. The Archer FusionPlex CTL panel was used for NGS analysis.Gene variants covered by were detected 57% fusion genes 5.9% patients. At time study, 34 (14.3% patients) identified with a targetable variant. Twenty-five EGFR variants, 8 EML4-ALK one patient CD74-ROS1 received therapy. Prognosis at advanced stages tyrosine kinase inhibitors alectinib significantly favorable compared without any variant chemotherapy (p=0.0172, p=0.0096, respectively). Based on treatment guidelines applicable May 2023, number who could profit from would be 64 (27.0% patients), this is an increase 88% comparison recommendations valid 2018-2020.As therapy, assessment mutational profiles crucial approach routine management oncological

Language: Английский

New promises and challenges in the treatment of advanced non-small-cell lung cancer DOI

May-Lucie Meyer,

Bailey G Fitzgerald,

Luis Paz‐Ares

et al.

The Lancet, Journal Year: 2024, Volume and Issue: 404(10454), P. 803 - 822

Published: Aug. 1, 2024

Language: Английский

Citations

54

D3S-001, a KRAS G12C Inhibitor with Rapid Target Engagement Kinetics, Overcomes Nucleotide Cycling, and Demonstrates Robust Preclinical and Clinical Activities DOI Creative Commons
Jing Zhang, Sun Min Lim, Mi Ra Yu

et al.

Cancer Discovery, Journal Year: 2024, Volume and Issue: 14(9), P. 1675 - 1698

Published: May 7, 2024

First-generation KRAS G12C inhibitors, such as sotorasib and adagrasib, are limited by the depth duration of clinical responses. One potential explanation for their modest activity is dynamic "cycling" between its guanosine diphosphate (GDP)- triphosphate (GTP)-bound states, raising controversy about whether targeting GDP-bound form can fully block this oncogenic driver. We herein report that D3S-001, a next-generation inhibitor with faster target engagement (TE) kinetics, depletes cellular active at nanomolar concentrations. In presence growth factors, epithelial factor hepatocyte factor, ability adagrasib to inhibit was compromised whereas TE kinetics D3S-001 nearly unaffected, unique feature differentiating from other inhibitors. Furthermore, high covalent potency efficiency contributed robust antitumor preclinically translated into promising efficacy in an ongoing phase 1 trial (NCT05410145). Significance: The kinetic study presented work unveils, first time, conformation-selective potentially deplete factors offers new insights critical features drive preclinical class drugs.

Language: Английский

Citations

9

NSCLC: Current Evidence on Its Pathogenesis, Integrated Treatment, and Future Perspectives DOI Open Access

Kareem S. Tahayneh,

Mayar Idkedek,

Firas Abu Akar

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(3), P. 1025 - 1025

Published: Feb. 6, 2025

Non-small cell lung carcinoma (NSCLC) comprises the majority of cancer cases, characterized by a complex interplay genetic alterations, environmental factors, and molecular pathways contributing to its pathogenesis. This article highlights multifaceted pathogenesis NSCLC discusses screening integrated strategies for current treatment options. is an evolving field with various aspects including underlying oncogenic driver mutations, immune microenvironment interactions that influence tumor progression response therapy. Surgical remains most applicable curative option, especially in early stages disease, adjuvant chemotherapy may add benefits previously resected patients. Combined Radio-chemotherapy can also be used palliative purposes. There are future perspectives advancing horizons management, encompassing novel therapeutic modalities their applications, such as CAR-T therapy, antibody-drug conjugates, gene therapies. On other hand, it’s crucial highlight efficacy innovative Immunotherapy checkpoint inhibitors nowadays widely NSCLC. Moreover, latest advancements profiling techniques development targeted therapies designed specific alterations play significant role treatment. In conclusion, personalized approaches cornerstone successful treatment, they based on patient’s unique profile, characteristics, host factors. Entitling concept individualized requires proper patient selection, taking into consideration mechanisms resistance, investigating potential combination therapies, achieve optimal impact long-term survival.

Language: Английский

Citations

1

Exploring the Molecular Tumor Microenvironment and Translational Biomarkers in Brain Metastases of Non-Small-Cell Lung Cancer DOI Open Access

Jiexi Wen,

Jie Zeng Yu, Catherine Liu

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(4), P. 2044 - 2044

Published: Feb. 7, 2024

Brain metastases represent a significant clinical challenge in the treatment of non-small-cell lung cancer (NSCLC), often leading to severe decline patient prognosis and survival. Recent advances imaging systemic treatments have increased detection rates brain metastases, yet outcomes remain dismal due complexity metastatic tumor microenvironment (TME) lack specific biomarkers for early targeted therapy. The intricate interplay between NSCLC cells surrounding TME is pivotal, influencing progression, immune evasion, response This underscores necessity deeper understanding molecular underpinnings microenvironment, identification actionable that can inform multimodal approaches. goal this review synthesize current insights into elucidate mechanisms metastases. Furthermore, we will explore promising horizon emerging biomarkers, both tissue- liquid-based, hold potential radically transform strategies enhancement outcomes.

Language: Английский

Citations

9

Lung Cancer Research and Treatment: Global Perspectives and Strategic Calls to Action DOI
May-Lucie Meyer,

S. Peters,

Tony Mok

et al.

Annals of Oncology, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 1, 2024

Language: Английский

Citations

8

Reactive Oxygen Species Modulation in the Current Landscape of Anticancer Therapies DOI
Jiaqi Li, Lim Yi Shen Justin, Jie Qing Eu

et al.

Antioxidants and Redox Signaling, Journal Year: 2024, Volume and Issue: 41(4-6), P. 322 - 341

Published: March 6, 2024

Reactive oxygen species (ROS) are generated during mitochondrial oxidative metabolism, and tightly controlled through homeostatic mechanisms to maintain intracellular redox, regulating growth proliferation in healthy cells. However, ROS production is perturbed cancers where abnormal accumulation of leads stress genomic instability, triggering oncogenic signaling pathways on one hand, while increasing damage ROS-dependent death the other.

Language: Английский

Citations

5

Discovery of a prominent dual-target DDR1/EGFR inhibitor aimed DDR1/EGFR-positive NSCLC DOI
Xuebao Wang, Ying Lu, Siyu Chen

et al.

Bioorganic Chemistry, Journal Year: 2024, Volume and Issue: 149, P. 107500 - 107500

Published: May 27, 2024

Language: Английский

Citations

5

Oral targeted therapy for the treatment of non–small cell lung carcinoma DOI Creative Commons
William J. Phillips, Natasha B. Leighl, Normand Blais

et al.

Canadian Medical Association Journal, Journal Year: 2024, Volume and Issue: 196(16), P. E558 - E561

Published: April 28, 2024

KEY POINTS Lung cancer is the leading cause of cancer-related death in Canada, with non–small cell lung carcinoma (NSCLC) making up 85% cases.[1][1] has been associated a poor prognosis, particularly for patients metastatic disease. Since Health Canada's initial approval

Language: Английский

Citations

4

Exosomal miR-21 determines lung-to-brain metastasis specificity through the DGKB/ERK axis within the tumor microenvironment DOI

Tung-Yu Tiong,

M. Ete Chan,

Chun‐Hua Wang

et al.

Life Sciences, Journal Year: 2023, Volume and Issue: 329, P. 121945 - 121945

Published: July 16, 2023

Language: Английский

Citations

11

Stimulator of Interferon Genes Signal in Lung Cancer Regulates Differentiation of Myeloid-Derived Suppressor Cells in the Tumor Microenvironment Via the Interferon Regulatory Factor 3/NF-κB Pathway DOI

Jiaojiao Ren,

Jun Ying,

H Liu

et al.

Journal of Interferon & Cytokine Research, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 8, 2025

Language: Английский

Citations

0