RET, ROS1 and ALK fusions in lung cancer
Author(s) -
Kengo Takeuchi,
Manabu Soda,
Yosuke Togashi,
Ritsuro Suzuki,
Seiji Sakata,
Satoko Hatano,
Reimi Asaka,
Wakako Hamanaka,
Hironori Ninomiya,
Hirofumi Uehara,
Young Lim Choi,
Yukitoshi Satoh,
Sakae Okumura,
Ken Nakagawa,
Hiroyuki Mano,
Yuichi Ishikawa
Publication year - 2012
Publication title -
nature medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.536
H-Index - 547
eISSN - 1546-170X
pISSN - 1078-8956
DOI - 10.1038/nm.2658
Subject(s) - ros1 , anaplastic lymphoma kinase , cancer research , adenocarcinoma , oncogene , lung cancer , receptor tyrosine kinase , tyrosine kinase , fusion gene , cancer , kinase , viral oncogene , targeted therapy , crizotinib , biology , medicine , oncology , receptor , gene , genetics , cell cycle , malignant pleural effusion
Through an integrated molecular- and histopathology-based screening system, we performed a screening for fusions of anaplastic lymphoma kinase (ALK) and c-ros oncogene 1, receptor tyrosine kinase (ROS1) in 1,529 lung cancers and identified 44 ALK-fusion-positive and 13 ROS1-fusion-positive adenocarcinomas, including for unidentified fusion partners for ROS1. In addition, we discovered previously unidentified kinase fusions that may be promising for molecular-targeted therapy, kinesin family member 5B (KIF5B)-ret proto-oncogene (RET) and coiled-coil domain containing 6 (CCDC6)-RET, in 14 adenocarcinomas. A multivariate analysis of 1,116 adenocarcinomas containing these 71 kinase-fusion-positive adenocarcinomas identified four independent factors that are indicators of poor prognosis: age ≥ 50 years, male sex, high pathological stage and negative kinase-fusion status.
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