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Lung cancer in 2014

Optimizing lung cancer treatment approaches

In 2014, developments in our understanding of escape signalling circuits implicated in resistance to targeted agents in patients with lung cancer have led to improvements in tackling such resistance. The potential role for PET in the management of erlotinib therapy, novel combination therapies and pharmacogenomic-driven individualization of platinum-based chemotherapy represent other key advances.

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Figure 1: Imbalance in EGFR-mutant signalling networks caused by single-agent TKI therapy.

References

  1. Rosell, R., Bivona, T. G. & Karachaliou, N. Genetics and biomarkers in personalisation of lung cancer treatment. Lancet 382, 720–731 (2013).

    Article  CAS  Google Scholar 

  2. Lee, H. J. et al. Drug resistance via feedback activation of Stat3 in oncogene-addicted cancer cells. Cancer Cell 26, 207–221 (2014).

    Article  CAS  Google Scholar 

  3. Gao, S. P. et al. Mutations in the EGFR kinase domain mediate STAT3 activation via IL-6 production in human lung adenocarcinomas. J. Clin. Invest. 117, 3846–3856 (2007).

    Article  CAS  Google Scholar 

  4. Fan, W. et al. MET-independent lung cancer cells evading EGFR kinase inhibitors are therapeutically susceptible to BH3 mimetic agents. Cancer Res. 71, 4494–4505 (2011).

    Article  CAS  Google Scholar 

  5. Hachemi, M. et al. [18F]FDG positron emission tomography within two weeks of starting erlotinib therapy can predict response in non-small cell lung cancer patients. PLoS ONE 9, e87629 (2014).

    Article  Google Scholar 

  6. Seto, T. et al. Erlotinib alone or with bevacizumab as a first line therapy in patients with advanced non-squamous non-small cell lung cancer harbouring epidermal growth factor receptor mutations (JO25567): a randomised phase II study. Lancet Oncol. 15, 1236–1244 (2014).

    Article  CAS  Google Scholar 

  7. Li, R. et al. Niclosamide overcomes acquired resistance to erlotinib through suppression of STAT3 in non-small cell lung cancer. Mol. Cancer Ther. 12, 2200–2212 (2013).

    Article  CAS  Google Scholar 

  8. Reck, M. et al. Docetaxel plus nintedanib versus docetaxel plus placebo in patients with previously treated non-small-cell lung cancer (LUME-Lung 1): a phase 3, double-blind, randomised controlled trial. Lancet Oncol. 15, 143–155 (2014).

    Article  CAS  Google Scholar 

  9. Moran, T. et al. Two biomarker-directed randomized trials in European and Chinese patients with non-small-cell lung cancer: the BRCA1-RAP80 Expression Customization (BREC) studies. Ann. Oncol. 25, 2147–2155 (2014).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

Work in the laboratory of R.R. is partially supported by a grant from La Caixa Foundation.

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Correspondence to Rafael Rosell.

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The authors declare no competing financial interests.

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Rosell, R., Karachaliou, N. Optimizing lung cancer treatment approaches. Nat Rev Clin Oncol 12, 75–76 (2015). https://doi.org/10.1038/nrclinonc.2014.225

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