The biology and treatment of EML4-ALK non-small cell lung cancer.

The biology and treatment of EML4-ALK non-small cell lung cancer.
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DOI:
10.1016/j.ejca.2010.04.002
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发表时间:
2010-07
影响因子:
8.4
通讯作者:
Janne, Pasi A.
Janne, Pasi A.
中科院分区:
医学1区
文献类型:
--
作者:
Sasaki, Takaaki;Rodig, Scott J.;Chirieac, Lucian R.;Janne, Pasi A.

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最近在非小细胞肺癌(nsclc)的一个亚群中发现了棘皮微管相关蛋白样4 (EML4)和间变性淋巴瘤激酶(ALK)的融合。EML4-ALK最常见于从不吸烟的肺癌患者,具有独特的病理特征。EML4-ALK在体内和体外都具有致癌性,ALK激酶抑制剂在临床前模型系统中非常有效。最近ALK抑制剂已进入临床开发阶段,在EML4-ALK易位的非小细胞肺癌患者中观察到显著的临床疗效。本文就EML4-ALK NSCLC的生物学、临床特点、诊断和治疗进行综述。
The fusion between echinoderm microtubule-associated protein-like 4 (EML4) and anaplastic lymphoma kinase (ALK) has recently been identified in a subset of non-small cell lung cancers (NSCLCs). EML4-ALK is most often detected in never smokers with lung cancer and has unique pathologic features. EML4-ALK is oncogenic both in vitro and in vivo and ALK kinase inhibitors are quite effective in pre-clinical model systems. More recently ALK inhibitors have entered clinical development and remarkably clinical efficacy has been observed in NSCLC patients harbouring EML4-ALK translocations. This review will focus on the biology, clinical characteristics, diagnosis and treatment of EML4-ALK NSCLC.
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