Drug Resistance to Molecular Targeted Therapy and Its Consequences for Treatment Decisions in Non-Small-Cell Lung Cancer
Open accessAbstract
Our ability to detect and directly target the oncogenic alterations responsible for tumor proliferation has contributed significantly to the management of lung cancer in the last decade. The therapeutic efficacy of molecularly targeted therapy is, however, mainly limited to patients harboring certain genetic mutations and is generally short-lived. Herein, we review primary and secondary drug resistance using the most well-studied of the molecularly targeted agents, the tyrosine kinase inhibitors targeting the epidermal growth factor (EGF) receptor, and the anaplastic lymphoma kinase (ALK) rearrangement, the current limitations of targeted therapies and their consequences on the management of patients with lung cancer.
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Primary and acquired resistance to EGFR-TKI therapy can involve MET and ERBB2 amplification, EGFR, KRAS, BRAF, and PIK3CA deletions or point mutations, and PTEN loss or inactivation.
“Mechanisms of primary and acquired resistance to EGFR-TKI therapy have been identified including amplifications in MET and ERBB2, deletions or point mutations in EGFR, KRAS, BRAF, and PIK3CA, and loss or inactivation of PTEN (10, 11).”
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Thompson, J. C., Yee, S. S., Troxel, A. B., Savitch, S. L., Fan, R., Balli, D., Lieberman, D. B., Morrissette, J. D., Evans, T. L., Bauml, J., et al. (2016) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-16-1231 · Cited by 325 · see citing works
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- Authors
- Spaans, J. N., & Goss, G. D.
- Affiliations
- Ottawa Hospital Research Institute (CA)
- University of Ottawa (CA)
- Corresponding author
- Goss, Glenwood D.
- ORCID
- Goss, Glenwood D.
- Venue
- Frontiers in Oncology
- Publisher
- Frontiers Media SA
- Published
- 2014-07-23
- Volume
- 4
- Pages
- 190-190
- ISSN
- 2234-943X (ISSN-L)
- PMC
- PMC4107955
- OpenAlex
- W2066584196
- Cited by
- 57
- References
- 68
- Citations by year
- 2025: 2 · 2023: 2 · 2022: 9 · 2021: 1 · 2020: 10 · 2019: 6 · 2018: 4 · 2017: 6 · 2016: 6 · 2015: 10 · 2014: 1
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Oncology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
- Keywords
- drug resistance, targeted therapy, non-small cell lung cancer, tyrosine kinase inhibitors, EGFR, anaplastic lymphoma kinase rearrangement, anaplastic lymphoma kinase, primary resistance, secondary resistance, treatment decision-making
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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