Clinical utility of Circulating Tumor Cells in ALK-Positive Non-Small-Cell Lung Cancer

The advent of rationally targeted therapies such as small-molecule tyrosine kinase inhibitors (TKIs) has considerably transformed the therapeutic management of a subset of patients with non-small cell lung cancer (NSCLC) harboring defined molecular abnormalities. When such genetic molecular alterati...

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Main Authors: Vincent eFaugeroux, Emma ePailler, Nathalie eAuger, Meilissa eTaylor, Françoise eFarace
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00281/full
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author Vincent eFaugeroux
Vincent eFaugeroux
Emma ePailler
Emma ePailler
Nathalie eAuger
Meilissa eTaylor
Meilissa eTaylor
Françoise eFarace
Françoise eFarace
author_facet Vincent eFaugeroux
Vincent eFaugeroux
Emma ePailler
Emma ePailler
Nathalie eAuger
Meilissa eTaylor
Meilissa eTaylor
Françoise eFarace
Françoise eFarace
author_sort Vincent eFaugeroux
collection DOAJ
description The advent of rationally targeted therapies such as small-molecule tyrosine kinase inhibitors (TKIs) has considerably transformed the therapeutic management of a subset of patients with non-small cell lung cancer (NSCLC) harboring defined molecular abnormalities. When such genetic molecular alterations are detected the use of specific TKI has demonstrated better results (overall response rate (ORR), progression free survival (PFS)) compared to systemic therapy. However the detection of such molecular abnormalities is complicated by the difficulty in obtaining sufficient tumor material, in terms of quantity and quality, from a biopsy. Here we described how circulating tumor cells (CTCs) can have a clinical utility in ALK (anaplastic lymphoma kinase) positive NSCLC patients to diagnose ALK-EML4 gene rearrangement and to guide therapeutic management of these patients. The ability to detect genetic abnormalities such ALK rearrangement in CTCs shows that these cells could offer new perspectives both for the diagnosis and the monitoring of ALK-positive patients eligible for treatment with ALK inhibitors.
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spelling doaj.art-8423d7572c4d4928a2505f2629dcbc162022-12-22T02:55:30ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2014-11-01410.3389/fonc.2014.00281112513Clinical utility of Circulating Tumor Cells in ALK-Positive Non-Small-Cell Lung CancerVincent eFaugeroux0Vincent eFaugeroux1Emma ePailler2Emma ePailler3Nathalie eAuger4Meilissa eTaylor5Meilissa eTaylor6Françoise eFarace7Françoise eFarace8Gustave RoussyGustave RoussyGustave RoussyGustave RoussyGustave RoussyGustave RoussyGustave RoussyGustave RoussyGustave RoussyThe advent of rationally targeted therapies such as small-molecule tyrosine kinase inhibitors (TKIs) has considerably transformed the therapeutic management of a subset of patients with non-small cell lung cancer (NSCLC) harboring defined molecular abnormalities. When such genetic molecular alterations are detected the use of specific TKI has demonstrated better results (overall response rate (ORR), progression free survival (PFS)) compared to systemic therapy. However the detection of such molecular abnormalities is complicated by the difficulty in obtaining sufficient tumor material, in terms of quantity and quality, from a biopsy. Here we described how circulating tumor cells (CTCs) can have a clinical utility in ALK (anaplastic lymphoma kinase) positive NSCLC patients to diagnose ALK-EML4 gene rearrangement and to guide therapeutic management of these patients. The ability to detect genetic abnormalities such ALK rearrangement in CTCs shows that these cells could offer new perspectives both for the diagnosis and the monitoring of ALK-positive patients eligible for treatment with ALK inhibitors.http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00281/fulltargeted therapyCirculating Tumor Cells (CTCs)predictive biomarkerALK rearrangementnon-small-cell lung cancer (NSCLC)
spellingShingle Vincent eFaugeroux
Vincent eFaugeroux
Emma ePailler
Emma ePailler
Nathalie eAuger
Meilissa eTaylor
Meilissa eTaylor
Françoise eFarace
Françoise eFarace
Clinical utility of Circulating Tumor Cells in ALK-Positive Non-Small-Cell Lung Cancer
Frontiers in Oncology
targeted therapy
Circulating Tumor Cells (CTCs)
predictive biomarker
ALK rearrangement
non-small-cell lung cancer (NSCLC)
title Clinical utility of Circulating Tumor Cells in ALK-Positive Non-Small-Cell Lung Cancer
title_full Clinical utility of Circulating Tumor Cells in ALK-Positive Non-Small-Cell Lung Cancer
title_fullStr Clinical utility of Circulating Tumor Cells in ALK-Positive Non-Small-Cell Lung Cancer
title_full_unstemmed Clinical utility of Circulating Tumor Cells in ALK-Positive Non-Small-Cell Lung Cancer
title_short Clinical utility of Circulating Tumor Cells in ALK-Positive Non-Small-Cell Lung Cancer
title_sort clinical utility of circulating tumor cells in alk positive non small cell lung cancer
topic targeted therapy
Circulating Tumor Cells (CTCs)
predictive biomarker
ALK rearrangement
non-small-cell lung cancer (NSCLC)
url http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00281/full
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