Lung cancer as a paradigm for precision oncology in solid tumours

Virchows Arch. 2017 Aug;471(2):221-233. doi: 10.1007/s00428-017-2183-2. Epub 2017 Jul 20.

Abstract

Non-small cell lung cancer (NSCLC) is the leading cause of cancer-related death in the western world. However, the combination of molecular genotyping and subsequent systematic treatment of decoded target structures is a prime example of precision oncology in solid tumours. In this review, current targets of approved therapeutics and potential targets in clinical and preclinical trials are outlined. Furthermore, immune checkpoint inhibitors, as promising new therapeutic options, which have already been applied successfully in cases of lung cancer, are introduced. A major issue of targeted treatment of lung tumours is the persistent development of resistance. The underlying mechanisms and established and potentially applicable alternative therapeutic approaches are described. In this process of precision oncology, immunohistochemistry, fluorescence in situ hybridization, and parallel sequencing are crucial diagnostic tools.

Keywords: Immune checkpoint inhibitors; Network Genomic Medicine; Non-small cell lung cancer; Resistance; TKI.

Publication types

  • Review

MeSH terms

  • Humans
  • Lung Neoplasms / genetics
  • Lung Neoplasms / therapy
  • Molecular Targeted Therapy / methods*
  • Molecular Targeted Therapy / trends
  • Neoplasms / genetics
  • Neoplasms / therapy*
  • Precision Medicine / methods*
  • Precision Medicine / trends