KRAS and MET in non-small-cell lung cancer: two of the new kids on the ‘drivers’ block

Author:

Garcia-Robledo Juan Esteban1ORCID,Rosell Rafael2,Ruíz-Patiño Alejandro344ORCID,Sotelo Carolina4,Arrieta Oscar5,Zatarain-Barrón Lucia5,Ordoñez Camila4,Jaller Elvira6,Rojas Leonardo7,Russo Alessandro8,de Miguel-Pérez Diego9,Rolfo Christian9,Cardona Andrés F.ORCID

Affiliation:

1. Division of Hematology/Oncology, Mayo Clinic, Scottsdale, AZ, USA

2. Cancer Biology and Precision Medicine Program, Germans Trias i Pujol Research Institute (IGTP)/Dr. Rosell Oncology Institute (IOR), Quirón-Dexeus University Institute, Barcelona, Spain

3. Direction of Research and Education, Luis Carlos Sarmiento Angulo Cancer Treatment and Research Center (CTIC), Bogotá, Colombia

4. Foundation for Clinical and Applied Cancer Research (FICMAC), Bogotá, Colombia Molecular Oncology and Biology Systems Research Group (Fox-G), Universidad El Bosque, Bogotá, Colombia

5. Thoracic Oncology Unit and Personalized Oncology Laboratory, National Cancer Institute (INCan), México City, México

6. Department of Internal Medicine, Universidad El Bosque, Bogotá, Colombia

7. Foundation for Clinical and Applied Cancer Research (FICMAC), Bogotá, Colombia Department of Clinical Oncology, Clínica Colsanitas, Bogotá, Colombia Clinical and Translational Oncology Group, Clínica del Country, Bogotá, Colombia

8. Medical Oncology Unit, A.O. Papardo, Messina, Italy Marlene and Stewart Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, MD, USA

9. Marlene and Stewart Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, MD, USA

Abstract

Non-small-cell lung cancer (NSCLC) is a heterogeneous disease, and therapeutic management has advanced to identify various critical oncogenic mutations that promote lung cancer tumorigenesis. Subsequent studies have developed targeted therapies against these oncogenes in the hope of personalized treatment based on the tumor’s molecular genomics. This review presents a comprehensive review of the biology, new therapeutic interventions, and resistance patterns of two well-defined subgroups, tumors with KRAS and MET alterations. We also discuss the status of molecular testing practices for these two key oncogenic drivers, considering the progressive introduction of next-generation sequencing (NGS) and RNA sequencing in regular clinical practice.

Publisher

SAGE Publications

Subject

Pharmacology (medical),Pulmonary and Respiratory Medicine

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