Abstract
A number of mechanisms that drive oncogenesis have been deciphered over the last 20 years. The main oncogenic factors in the field of thoracic oncology are mutations of EGFR, KRAS, and EML4-ALK translocation, which are most often reported in adenocarcinomas. However, new molecular targets have been highlighted recently including BRAF mutations, HER2 or PI3K, new translocations such as ROS1 or KIF5B-RET. Molecular abnormalities have also been identified in tumors other than adenocarcinoma (squamous and small cell carcinoma). Therapeutic strategies have been designed to inhibit these signaling pathways including monoclonal antibodies and tyrosine kinase inhibitors. Some of these molecules are now approved as therapies, others are currently undergoing testing in clinical trials. We here present a review of novel targeted agents for lung cancer.
Keywords:
Biomarkers; Biomarqueurs; Cancer bronchique; Lung cancer; Targeted therapy; Thérapies ciblées.
Copyright © 2015 SPLF. Published by Elsevier Masson SAS. All rights reserved.
MeSH terms
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Antibodies, Monoclonal / therapeutic use
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Clinical Trials as Topic
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Drugs, Investigational / pharmacology
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Drugs, Investigational / therapeutic use*
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Genes, erbB-2
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Humans
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Lung Neoplasms / drug therapy*
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Lung Neoplasms / genetics
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Molecular Targeted Therapy*
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Mutation
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Neoplasm Proteins / antagonists & inhibitors*
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Neoplasm Proteins / genetics
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Neoplasm Proteins / physiology
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Oncogene Proteins, Fusion / antagonists & inhibitors
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Oncogene Proteins, Fusion / genetics
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Oncogenes
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Phosphatidylinositol 3-Kinases / physiology
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Phosphoinositide-3 Kinase Inhibitors
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Protein Kinase Inhibitors / therapeutic use
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Protein-Tyrosine Kinases / antagonists & inhibitors
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Protein-Tyrosine Kinases / genetics
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Proto-Oncogene Proteins / antagonists & inhibitors
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Proto-Oncogene Proteins / genetics
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Proto-Oncogene Proteins B-raf / antagonists & inhibitors
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Proto-Oncogene Proteins B-raf / genetics
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Proto-Oncogene Proteins B-raf / physiology
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Receptor, ErbB-2 / antagonists & inhibitors
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Receptor, ErbB-2 / physiology
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Signal Transduction / drug effects
Substances
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Antibodies, Monoclonal
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Drugs, Investigational
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KIF5B-RET fusion protein, human
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Neoplasm Proteins
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Oncogene Proteins, Fusion
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Phosphoinositide-3 Kinase Inhibitors
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Protein Kinase Inhibitors
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Proto-Oncogene Proteins
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ERBB2 protein, human
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Protein-Tyrosine Kinases
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ROS1 protein, human
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Receptor, ErbB-2
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BRAF protein, human
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Proto-Oncogene Proteins B-raf