KRAS mutated NSCLC: past, present, and future directions in a rapidly evolving landscape.

IF 4.8 2区 医学 Q1 ONCOLOGY
Oncologist Pub Date : 2025-06-04 DOI:10.1093/oncolo/oyaf153
Austin Frisch, Eric Martin, So Yeon Kim, Jonathan W Riess, Triparna Sen, Nagla Karim
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引用次数: 0

Abstract

Non-small cell lung cancer (NSCLC) is among one of the most common and deadliest malignancies worldwide. With this new era of precision medicine, oncogenic driver genes and immunotherapy have changed the way we classify and treat this disease. Among these genes, the Kirsten rat sarcoma virus (KRAS) gene is the most mutated in NSCLC and has been the focus of numerous clinical trials for targeted therapy over the past few years. Here, we present an in-depth literature review of past, present, and future KRAS mutated NSCLC treatment with KRAS inhibitor monotherapy and combinatorial approaches including immunotherapy. The molecular biology behind KRAS targeted therapy is discussed while highlighting the difficulties of KRAS inhibitor treatment, including resistance, and the next steps needed to overcome them.

KRAS突变的NSCLC:过去,现在和未来的方向在快速发展的景观。
非小细胞肺癌(NSCLC)是世界上最常见和最致命的恶性肿瘤之一。在精准医疗的新时代,致癌驱动基因和免疫疗法已经改变了我们对这种疾病的分类和治疗方式。在这些基因中,Kirsten大鼠肉瘤病毒(KRAS)基因是NSCLC中突变最多的基因,在过去几年中已成为许多靶向治疗临床试验的焦点。在这里,我们对过去、现在和未来KRAS抑制剂单药治疗和包括免疫治疗在内的联合治疗KRAS突变的NSCLC进行了深入的文献综述。讨论了KRAS靶向治疗背后的分子生物学,同时强调了KRAS抑制剂治疗的困难,包括耐药性,以及克服这些困难所需的下一步措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Oncologist
Oncologist 医学-肿瘤学
CiteScore
10.40
自引率
3.40%
发文量
309
审稿时长
3-8 weeks
期刊介绍: The Oncologist® is dedicated to translating the latest research developments into the best multidimensional care for cancer patients. Thus, The Oncologist is committed to helping physicians excel in this ever-expanding environment through the publication of timely reviews, original studies, and commentaries on important developments. We believe that the practice of oncology requires both an understanding of a range of disciplines encompassing basic science related to cancer, translational research, and clinical practice, but also the socioeconomic and psychosocial factors that determine access to care and quality of life and function following cancer treatment.
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