Lung cancer genotype-based therapy and predictive biomarkers: present and future.

Abstract:

CONTEXT:The advent of genotype-based therapy and predictive biomarkers for lung cancer has thrust the pathologist into the front lines of precision medicine for this deadly disease. OBJECTIVE:To provide the clinical background, current status, and future perspectives of molecular targeted therapy for lung cancer patients, including the pivotal participation of the pathologist. DATA SOURCES:Data were obtained from review of the pertinent peer-reviewed literature. CONCLUSIONS:First-generation tyrosine kinase inhibitors have produced clinical response in a limited number of non-small cell lung cancers demonstrated to have activating mutations of epidermal growth factor receptor or anaplastic lymphoma kinase rearrangements with fusion partners. Patients treated with first-generation tyrosine kinase inhibitors develop acquired resistance to their therapy. Ongoing investigations of second-generation tyrosine kinase inhibitors and new druggable targets as well as the development of next-generation genotyping and new antibodies for immunohistochemistry promise to significantly expand the pathologist's already crucial role in precision medicine of lung cancer.

journal_name

Arch Pathol Lab Med

authors

Cagle PT,Allen TC

doi

10.5858/arpa.2012-0508-RA

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1482-91

issue

12

eissn

0003-9985

issn

1543-2165

journal_volume

136

pub_type

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