Oncogene addiction and tumor mutational burden in non‐small‐cell lung cancer: Clinical significance and limitations

Abstract Lung cancer incidence has increased worldwide over the past decades, with non‐small cell lung cancer (NSCLC) accounting for the vast majority (85%) of lung cancer specimens. It is estimated that lung cancer causes about 1.7 million global deaths per year worldwide. Multiple trials have been...

Full description

Bibliographic Details
Main Authors: Elisabeth Smolle, Katharina Leithner, Horst Olschewski
Format: Article
Language:English
Published: Wiley 2020-02-01
Series:Thoracic Cancer
Subjects:
Online Access:https://doi.org/10.1111/1759-7714.13246
_version_ 1819069613399343104
author Elisabeth Smolle
Katharina Leithner
Horst Olschewski
author_facet Elisabeth Smolle
Katharina Leithner
Horst Olschewski
author_sort Elisabeth Smolle
collection DOAJ
description Abstract Lung cancer incidence has increased worldwide over the past decades, with non‐small cell lung cancer (NSCLC) accounting for the vast majority (85%) of lung cancer specimens. It is estimated that lung cancer causes about 1.7 million global deaths per year worldwide. Multiple trials have been carried out, with the aim of finding new effective treatment options. Lately, special focus has been placed on immune checkpoint (PD1/PD‐L1) inhibitors which impact the tumor immune microenvironment. Tumor mutational burden (TMB) has been found to predict response to immune checkpoint inhibitors. Conversely, recent studies have weakened the significance of TMB as a predictor of response to therapy and survival. In this review article, we discuss the significance of TMB, as well as possible limitations. Furthermore, we give a concise overview of mutations frequently found in NSCLC, and discuss the significance of oncogene addiction in lung cancer as an essential driver of tumorigenesis and tumor progression.
first_indexed 2024-12-21T16:52:50Z
format Article
id doaj.art-8c93ccc453e042b4aca3e93e9e190660
institution Directory Open Access Journal
issn 1759-7706
1759-7714
language English
last_indexed 2024-12-21T16:52:50Z
publishDate 2020-02-01
publisher Wiley
record_format Article
series Thoracic Cancer
spelling doaj.art-8c93ccc453e042b4aca3e93e9e1906602022-12-21T18:56:49ZengWileyThoracic Cancer1759-77061759-77142020-02-0111220521510.1111/1759-7714.13246Oncogene addiction and tumor mutational burden in non‐small‐cell lung cancer: Clinical significance and limitationsElisabeth Smolle0Katharina Leithner1Horst Olschewski2Division of Pulmonology, Department of Internal Medicine Medical University of Graz Graz AustriaDivision of Pulmonology, Department of Internal Medicine Medical University of Graz Graz AustriaDivision of Pulmonology, Department of Internal Medicine Medical University of Graz Graz AustriaAbstract Lung cancer incidence has increased worldwide over the past decades, with non‐small cell lung cancer (NSCLC) accounting for the vast majority (85%) of lung cancer specimens. It is estimated that lung cancer causes about 1.7 million global deaths per year worldwide. Multiple trials have been carried out, with the aim of finding new effective treatment options. Lately, special focus has been placed on immune checkpoint (PD1/PD‐L1) inhibitors which impact the tumor immune microenvironment. Tumor mutational burden (TMB) has been found to predict response to immune checkpoint inhibitors. Conversely, recent studies have weakened the significance of TMB as a predictor of response to therapy and survival. In this review article, we discuss the significance of TMB, as well as possible limitations. Furthermore, we give a concise overview of mutations frequently found in NSCLC, and discuss the significance of oncogene addiction in lung cancer as an essential driver of tumorigenesis and tumor progression.https://doi.org/10.1111/1759-7714.13246Mutational burdennon‐small cell lung canceroncogene addiction
spellingShingle Elisabeth Smolle
Katharina Leithner
Horst Olschewski
Oncogene addiction and tumor mutational burden in non‐small‐cell lung cancer: Clinical significance and limitations
Thoracic Cancer
Mutational burden
non‐small cell lung cancer
oncogene addiction
title Oncogene addiction and tumor mutational burden in non‐small‐cell lung cancer: Clinical significance and limitations
title_full Oncogene addiction and tumor mutational burden in non‐small‐cell lung cancer: Clinical significance and limitations
title_fullStr Oncogene addiction and tumor mutational burden in non‐small‐cell lung cancer: Clinical significance and limitations
title_full_unstemmed Oncogene addiction and tumor mutational burden in non‐small‐cell lung cancer: Clinical significance and limitations
title_short Oncogene addiction and tumor mutational burden in non‐small‐cell lung cancer: Clinical significance and limitations
title_sort oncogene addiction and tumor mutational burden in non small cell lung cancer clinical significance and limitations
topic Mutational burden
non‐small cell lung cancer
oncogene addiction
url https://doi.org/10.1111/1759-7714.13246
work_keys_str_mv AT elisabethsmolle oncogeneaddictionandtumormutationalburdeninnonsmallcelllungcancerclinicalsignificanceandlimitations
AT katharinaleithner oncogeneaddictionandtumormutationalburdeninnonsmallcelllungcancerclinicalsignificanceandlimitations
AT horstolschewski oncogeneaddictionandtumormutationalburdeninnonsmallcelllungcancerclinicalsignificanceandlimitations