癌症生物学与医学(英文版)
癌癥生物學與醫學(英文版)
암증생물학여의학(영문판)
Cancer Biology & Medicine
2014年
3期
173-181
,共9页
Lung cancer%epidermal growth factor (EGFR)%anaplastic lymphoma kinase fusions (ALK fusions)%tyrosine kinase inhibitors (TKIs)%TKI resistance
Lung cancer is the most frequently diagnosed cancer and a leading cause of cancer mortality worldwide, with adenocarcinoma being the most common histological subtype. Deeper understanding of the pathobiology of non-small cell lung cancer (NSCLC) has led to the development of small molecules that target genetic mutations known to play critical roles in progression to metastatic disease and to inlfuence response to targeted therapies. hTe principle goal of precision medicine is to deifne those patient populations most likely to respond to targeted therapies. However, the cancer genome landscape is composed of relatively few “mountains” [representing the most commonly mutated genes like KARS, epidermal growth factor (EGFR), and anaplastic lymphoma kinase (ALK)] and a vast number of “hills” (representing low frequency but potentially actionable mutations). Low-frequency lesions that affect a druggable gene product allow a relatively small population of cancer patients for targeted therapy to be selected.