Targeted Therapies in Non-Small Cell Lung Cancer—Beyond EGFR and ALK

Systemic therapy for non-small cell lung cancer (NSCLC) has undergone a dramatic paradigm shift over the past decade. Advances in our understanding of the underlying biology of NSCLC have revealed distinct molecular subtypes. A substantial proportion of NSCLC depends on oncogenic molecular aberratio...

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Main Author: Sacha I. Rothschild
Format: Article
Language:English
Published: MDPI AG 2015-05-01
Series:Cancers
Subjects:
Online Access:http://www.mdpi.com/2072-6694/7/2/0816
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author Sacha I. Rothschild
author_facet Sacha I. Rothschild
author_sort Sacha I. Rothschild
collection DOAJ
description Systemic therapy for non-small cell lung cancer (NSCLC) has undergone a dramatic paradigm shift over the past decade. Advances in our understanding of the underlying biology of NSCLC have revealed distinct molecular subtypes. A substantial proportion of NSCLC depends on oncogenic molecular aberrations (so-called “driver mutations”) for their malignant phenotype. Personalized therapy encompasses the strategy of matching these subtypes with effective targeted therapies. EGFR mutations and ALK translocation are the most effectively targeted oncogenes in NSCLC. EGFR mutations and ALK gene rearrangements are successfully being targeted with specific tyrosine kinase inhibitors. The number of molecular subgroups of NSCLC continues to grow. The scope of this review is to discuss recent data on novel molecular targets as ROS1, BRAF, KRAS, HER2, c-MET, RET, PIK3CA, FGFR1 and DDR2. Thereby the review will focus on therapeutic strategies targeting these aberrations. Moreover, the emerging challenge of acquired resistance to initially effective therapies will be discussed.
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spelling doaj.art-f40690485dfd4287a0c900ca5d02d2782023-08-02T08:06:29ZengMDPI AGCancers2072-66942015-05-017293094910.3390/cancers7020816cancers7020816Targeted Therapies in Non-Small Cell Lung Cancer—Beyond EGFR and ALKSacha I. Rothschild0Medical Oncology, University Hospital Basel, Petersgraben 4, 4031 Basel, SwitzerlandSystemic therapy for non-small cell lung cancer (NSCLC) has undergone a dramatic paradigm shift over the past decade. Advances in our understanding of the underlying biology of NSCLC have revealed distinct molecular subtypes. A substantial proportion of NSCLC depends on oncogenic molecular aberrations (so-called “driver mutations”) for their malignant phenotype. Personalized therapy encompasses the strategy of matching these subtypes with effective targeted therapies. EGFR mutations and ALK translocation are the most effectively targeted oncogenes in NSCLC. EGFR mutations and ALK gene rearrangements are successfully being targeted with specific tyrosine kinase inhibitors. The number of molecular subgroups of NSCLC continues to grow. The scope of this review is to discuss recent data on novel molecular targets as ROS1, BRAF, KRAS, HER2, c-MET, RET, PIK3CA, FGFR1 and DDR2. Thereby the review will focus on therapeutic strategies targeting these aberrations. Moreover, the emerging challenge of acquired resistance to initially effective therapies will be discussed.http://www.mdpi.com/2072-6694/7/2/0816lung cancertargeted cancer therapyoncogeneROS1c-METRETBRAFHER2FGFR1DDR2
spellingShingle Sacha I. Rothschild
Targeted Therapies in Non-Small Cell Lung Cancer—Beyond EGFR and ALK
Cancers
lung cancer
targeted cancer therapy
oncogene
ROS1
c-MET
RET
BRAF
HER2
FGFR1
DDR2
title Targeted Therapies in Non-Small Cell Lung Cancer—Beyond EGFR and ALK
title_full Targeted Therapies in Non-Small Cell Lung Cancer—Beyond EGFR and ALK
title_fullStr Targeted Therapies in Non-Small Cell Lung Cancer—Beyond EGFR and ALK
title_full_unstemmed Targeted Therapies in Non-Small Cell Lung Cancer—Beyond EGFR and ALK
title_short Targeted Therapies in Non-Small Cell Lung Cancer—Beyond EGFR and ALK
title_sort targeted therapies in non small cell lung cancer beyond egfr and alk
topic lung cancer
targeted cancer therapy
oncogene
ROS1
c-MET
RET
BRAF
HER2
FGFR1
DDR2
url http://www.mdpi.com/2072-6694/7/2/0816
work_keys_str_mv AT sachairothschild targetedtherapiesinnonsmallcelllungcancerbeyondegfrandalk