[A simple view on lung cancer biology: The EGFR pathway].

Abstract:

:Epidermal growth factor receptor (EGFR) is a cell membrane tyrosine kinase receptor. Activating mutations at exon 19 and 21 of the EGFR gene are associated with the occurrence and development of lung adenocarcinoma. These gain of function mutations predict responsiveness to EGFR tyrosine kinase inhibitors (TKis), erlotinib or gefitinib and are also a favorable prognostic factor in lung cancer. Sequencing is the recommended technique to detect the mutations, but other more sensitive technics are under evaluation. Treatment as first line therapy by gefitinib is limited to lung cancer patients harboring an EGFR mutation. Erlotinib can be given regardless of the EGFR status as second or third line therapy, as well as maintenance therapy in patients with a stable disease after platinum based chemotherapy. In EGFR mutated tumors, most patients present a recurrence of the disease, despite an initial response on EGFR TKis. Two mechanisms of secondary resistance have been identified, the selection of the T790M mutation in EGFR exon 20 and the MET amplification. Other molecular anomalies as the ras mutations or the EMLA-ALK protein fusion are mutually exclusive with the EGFR mutations and are associated with primary resistance to EGFR TKis.

journal_name

Rev Mal Respir

authors

Ruppert AM,Wislez M,Poulot V,Lacave R,Antoine M,Cadranel J

doi

10.1016/j.rmr.2011.03.005

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

565-77

issue

4

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(11)00132-X

journal_volume

28

pub_type

杂志文章,评审
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    更新日期:2007-05-01 00:00:00

  • [Lung disease induced by isotretinoin].

    abstract::A young man without any past history of note had taken isotretinoin for disfiguring acne before the summer season. He presented with a severe bilateral pneumonia, associated with dyspnoea two months after the start of treatment. On the pulmonary radiography there was a bilateral ground glass appearance which was worse...

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    doi:

    authors: Oliviero G,Constans P,Caby I,De Rohan Chabot P,Lacherade JC

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  • [Pharyngeal muscles and sleep obstructive apnea syndrome].

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    journal_title:Revue des maladies respiratoires

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    doi:

    authors: Fleury B

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  • [Prevalence of asthma and related symptoms among adolescents in Guadeloupe: phase I of the ISAAC survey 2003].

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  • [Pulmonary involvement in the course of cytomegalovirus infection in an immunocompetent adult].

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    journal_title:Revue des maladies respiratoires

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    doi:10.1016/s0761-8425(09)70134-2

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    更新日期:2009-01-01 00:00:00

  • [Pleuro-pulmonary blastoma. Report of 4 cases].

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    doi:

    authors: Benouachane T,el Khorassani M,Nachef MN,Khattab M,Alhamany Z,Barahioui M,Msefer Alaoui F

    更新日期:1999-06-01 00:00:00

  • [Targeting insulin-like growth factors in the treatment of cancer].

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    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章,评审

    doi:10.1016/j.rmr.2010.07.005

    authors: Moro-Sibilot D,Coudurier M,Lantuejoul S

    更新日期:2010-10-01 00:00:00

  • [Relationship between primary lung cancer and tobacco consumption. Results of the KBP-2010-CPHG study by the French College of General Hospital Respiratory Physicians].

    abstract:INTRODUCTION:The Collège des Pneumologues des Hôpitaux Généraux has performed a prospective multicentre epidemiological study which aims to describe the baseline characteristics of all new cases of primary lung cancer histologically or cytologically diagnosed in 2010 and followed-up in the respiratory department of gen...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

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  • [Influence of chest physiotherapy on gastro-œsophageal reflux in children].

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    doi:10.1016/j.rmr.2015.02.004

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    更新日期:2015-05-01 00:00:00

  • [Benign asbestos-related pleuropulmonary diseases].

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    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章,评审

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    更新日期:2007-12-01 00:00:00

  • [The management of blunt chest trauma].

    abstract:INTRODUCTION:Blunt chest trauma is a frequent injury and it can be difficult to evaluate its seriousness. The risk of acute decompensation because of an occult thoracic lesion is a significant and justified cause for concern. STATE OF ART:As is common in the case of trauma to the torso, few studies are available to gu...

    journal_title:Revue des maladies respiratoires

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    authors: Rémy J,Rémy-Jardin M,Giraud F,Wannebroucq J

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    journal_title:Revue des maladies respiratoires

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  • [Targeted screening of COPD in primary care: Feasibility and effectiveness].

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    pub_type: 杂志文章,多中心研究,随机对照试验

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  • [Multiple basocellular epitheliomas of the back after repeated radiologic tests].

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    journal_title:Revue des maladies respiratoires

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    authors: Lulin J,Laidet B,Fur JL,Lezoraine C,Quere O,Rivoallan N

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  • [What perception have smokers of nicotine and tar yields of cigarettes?].

    abstract:INTRODUCTION:Advertising information on cigarette package participate to the reduction of health risks from smoking. Impact on smokers has been poorly studied. This study intended to determine the smoker perception of nicotine and tar yields of cigarettes. METHODS:Consulting in an outpatient smoking cessation clinic, ...

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    authors: Plantin-Carrenard E,Jacob N,Foglietti MJ,Derenne JP,de Lhomme G

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  • [Management of spinal metastases of lung cancer].

    abstract:INTRODUCTION:Spinal metastases of lung cancer occur frequently and lead to the risk of spinal cord compression. Our objective is to clarify the management of this disease, emphasizing, in particular the use of prognostic scores. BACKGROUND:The first step is to evaluate the characteristics of the spinal lesion and its ...

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  • [Follow-up of subjects occupationally exposed to asbestos: MRI and PET scans].

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  • [Indications and practical issues concerning oxygen therapy].

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    journal_title:Revue des maladies respiratoires

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    doi:

    authors: Gut-Gobert C,L'Her E

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  • [Oral appliances for obstructive sleep apnoea: What can we expect?]

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  • [Pneumonitis caused by hydrocarbon inhalation].

    abstract:INTRODUCTION:Kerosene pneumonitis is rare. It most commonly occurs in children who have ingested a hydrocarbon by accident. In adults, pneumonitis caused by aspiration of incompletely vaporized kerosene may be seen in fire-eaters can cause pneumonitis. CASE REPORTS:We report six cases of fire-eater's pneumonitis, from...

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    authors: Lamour C,Bouchaud C,Doré P,d'Arlhac M,Bodin J

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  • [Respiratory dysfunction in burned patients].

    abstract:INTRODUCTION:Smoke inhalation and respiratory complications are still the major causes of mortality in severely burned patients. STATE OF THE ART:The diagnosis is suspected clinically on the basis of history and physical examination and can be confirmed bronchoscopically. Respiratory failure in burned patients occurs ...

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  • [Severe pneumonia due to cytomegalovirus in chronic obstructive pulmonary disease].

    abstract:UNLABELLED:Severe pneumonia due to cytomegalovirus in chronic obstructive pulmonary disease. INTRODUCTION:We describe two cases of immunocompetent patients with chronic obstructive pulmonary disease (COPD) who developed severe cytomegalovirus (CMV) pneumonia. The clinical and radiological context and CMV replication i...

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  • [Comparison of the effect of 2 methods of histamine administration on the bronchomotor response in asthmatics].

    abstract::Bronchial provocation tests are useful for the detection of subclinical bronchial hyper-reactivity. Their standardisation is vital, in particular the method of administration of the bronchoconstrictor agent. Our study compares two systems of histamine delivery: an aerosol propellant with freons and a jet nebuliser lin...

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    doi:

    authors: Michel O,Sergysels R,Duchateau J

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  • [Study of forced expiratory flow rates in respiratory paralysis].

    abstract::Subjects with a complete paralysis of the abdominal muscles and severe or lesser involvement of the intercostals were studied. The author analysed, under electromyographic control, the flow-volume curves by measuring flow at 50% (V50) and at 25% (V25) of the observed and theoretical vital capacity (CV) above observed ...

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    doi:

    authors: Leroy M,Jaeger-Denavit O,Liot F

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  • [Chemotaxis and cellular migration in respiratory pathology].

    abstract::Numerous types of cells have a capacity for movement in physiological or pathological situations. For example, this is the case for inflammatory cells in the lung, during acute lobar pneumonia, sarcoidosis and idiopathic pulmonary fibrosis. Cellular migration is a general process which rests on the interaction between...

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    pub_type: 杂志文章,评审

    doi:

    authors: Martinet Y,Martinet N

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  • [Health effects of diesel exhaust: a state of the art].

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  • [Pain and primary lung cancer in the elderly].

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