Current Molecular-Targeted Therapies in NSCLC and Their Mechanism of Resistance

Lung cancer is treated with many conventional therapies, such as surgery, radiation, and chemotherapy. However, these therapies have multiple undesirable side effects. To bypass the side effects elicited by these conventional treatments, molecularly-targeted therapies are currently in use or under d...

Full description

Bibliographic Details
Main Authors: Zachary Schrank, Gagan Chhabra, Leo Lin, Tsatsral Iderzorig, Chike Osude, Nabiha Khan, Adijan Kuckovic, Sanjana Singh, Rachel J. Miller, Neelu Puri
Format: Article
Language:English
Published: MDPI AG 2018-07-01
Series:Cancers
Subjects:
Online Access:http://www.mdpi.com/2072-6694/10/7/224
_version_ 1797708096761495552
author Zachary Schrank
Gagan Chhabra
Leo Lin
Tsatsral Iderzorig
Chike Osude
Nabiha Khan
Adijan Kuckovic
Sanjana Singh
Rachel J. Miller
Neelu Puri
author_facet Zachary Schrank
Gagan Chhabra
Leo Lin
Tsatsral Iderzorig
Chike Osude
Nabiha Khan
Adijan Kuckovic
Sanjana Singh
Rachel J. Miller
Neelu Puri
author_sort Zachary Schrank
collection DOAJ
description Lung cancer is treated with many conventional therapies, such as surgery, radiation, and chemotherapy. However, these therapies have multiple undesirable side effects. To bypass the side effects elicited by these conventional treatments, molecularly-targeted therapies are currently in use or under development. Current molecularly-targeted therapies effectively target specific biomarkers, which are commonly overexpressed in lung cancers and can cause increased tumorigenicity. Unfortunately, several molecularly-targeted therapies are associated with initial dramatic responses followed by acquired resistance due to spontaneous mutations or activation of signaling pathways. Acquired resistance to molecularly targeted therapies presents a major clinical challenge in the treatment of lung cancer. Therefore, to address this clinical challenge and to improve lung cancer patient prognosis, we need to understand the mechanism of acquired resistance to current therapies and develop additional novel therapies. This review concentrates on various lung cancer biomarkers, including EGFR, ALK, and BRAF, as well as their potential mechanisms of drug resistance.
first_indexed 2024-03-12T06:17:20Z
format Article
id doaj.art-044ff804b28a4edb88fde80d1eece0b5
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-12T06:17:20Z
publishDate 2018-07-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-044ff804b28a4edb88fde80d1eece0b52023-09-03T02:26:44ZengMDPI AGCancers2072-66942018-07-0110722410.3390/cancers10070224cancers10070224Current Molecular-Targeted Therapies in NSCLC and Their Mechanism of ResistanceZachary Schrank0Gagan Chhabra1Leo Lin2Tsatsral Iderzorig3Chike Osude4Nabiha Khan5Adijan Kuckovic6Sanjana Singh7Rachel J. Miller8Neelu Puri9Department of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USADepartment of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USADepartment of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USADepartment of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USADepartment of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USADepartment of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USADepartment of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USADepartment of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USADepartment of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USADepartment of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USALung cancer is treated with many conventional therapies, such as surgery, radiation, and chemotherapy. However, these therapies have multiple undesirable side effects. To bypass the side effects elicited by these conventional treatments, molecularly-targeted therapies are currently in use or under development. Current molecularly-targeted therapies effectively target specific biomarkers, which are commonly overexpressed in lung cancers and can cause increased tumorigenicity. Unfortunately, several molecularly-targeted therapies are associated with initial dramatic responses followed by acquired resistance due to spontaneous mutations or activation of signaling pathways. Acquired resistance to molecularly targeted therapies presents a major clinical challenge in the treatment of lung cancer. Therefore, to address this clinical challenge and to improve lung cancer patient prognosis, we need to understand the mechanism of acquired resistance to current therapies and develop additional novel therapies. This review concentrates on various lung cancer biomarkers, including EGFR, ALK, and BRAF, as well as their potential mechanisms of drug resistance.http://www.mdpi.com/2072-6694/10/7/224lung cancermolecularly-targeted therapiesTKIresistanceinhibitor
spellingShingle Zachary Schrank
Gagan Chhabra
Leo Lin
Tsatsral Iderzorig
Chike Osude
Nabiha Khan
Adijan Kuckovic
Sanjana Singh
Rachel J. Miller
Neelu Puri
Current Molecular-Targeted Therapies in NSCLC and Their Mechanism of Resistance
Cancers
lung cancer
molecularly-targeted therapies
TKI
resistance
inhibitor
title Current Molecular-Targeted Therapies in NSCLC and Their Mechanism of Resistance
title_full Current Molecular-Targeted Therapies in NSCLC and Their Mechanism of Resistance
title_fullStr Current Molecular-Targeted Therapies in NSCLC and Their Mechanism of Resistance
title_full_unstemmed Current Molecular-Targeted Therapies in NSCLC and Their Mechanism of Resistance
title_short Current Molecular-Targeted Therapies in NSCLC and Their Mechanism of Resistance
title_sort current molecular targeted therapies in nsclc and their mechanism of resistance
topic lung cancer
molecularly-targeted therapies
TKI
resistance
inhibitor
url http://www.mdpi.com/2072-6694/10/7/224
work_keys_str_mv AT zacharyschrank currentmoleculartargetedtherapiesinnsclcandtheirmechanismofresistance
AT gaganchhabra currentmoleculartargetedtherapiesinnsclcandtheirmechanismofresistance
AT leolin currentmoleculartargetedtherapiesinnsclcandtheirmechanismofresistance
AT tsatsraliderzorig currentmoleculartargetedtherapiesinnsclcandtheirmechanismofresistance
AT chikeosude currentmoleculartargetedtherapiesinnsclcandtheirmechanismofresistance
AT nabihakhan currentmoleculartargetedtherapiesinnsclcandtheirmechanismofresistance
AT adijankuckovic currentmoleculartargetedtherapiesinnsclcandtheirmechanismofresistance
AT sanjanasingh currentmoleculartargetedtherapiesinnsclcandtheirmechanismofresistance
AT racheljmiller currentmoleculartargetedtherapiesinnsclcandtheirmechanismofresistance
AT neelupuri currentmoleculartargetedtherapiesinnsclcandtheirmechanismofresistance