Case report: ALK D1225N missense mutation in lung adenocarcinoma responds to tyrosine kinase inhibitors

ALK gene missense mutations are conventionally considered non-driver mutations without pathological significance, and therefore, there is a lack of effective target drugs against them. The standard treatment option for patients with ALK missense mutations is chemotherapy with or without antiangiogen...

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Main Authors: Jianxin Chen (Author), Junhui Wang (Author)
Format: Book
Published: Frontiers Media S.A., 2023-07-01T00:00:00Z.
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100 1 0 |a Jianxin Chen  |e author 
700 1 0 |a Junhui Wang  |e author 
245 0 0 |a Case report: ALK D1225N missense mutation in lung adenocarcinoma responds to tyrosine kinase inhibitors 
260 |b Frontiers Media S.A.,   |c 2023-07-01T00:00:00Z. 
500 |a 1663-9812 
500 |a 10.3389/fphar.2023.1190447 
520 |a ALK gene missense mutations are conventionally considered non-driver mutations without pathological significance, and therefore, there is a lack of effective target drugs against them. The standard treatment option for patients with ALK missense mutations is chemotherapy with or without antiangiogenic agents, which usually results in unsatisfactory outcomes. Herein, we present the case of a patient with metastatic lung adenocarcinoma harboring the only missense mutation in ALK D1225N responding to two ALK-tyrosine kinase inhibitors (TKIs), namely, crizotinib and ensartinib. Our case highlights that non-small cell lung cancer (NSCLC) patients harboring the D1225N mutation may benefit from ALK-TKIs, and therefore, ALK-TKIs should be considered candidates for further line treatment. 
546 |a EN 
690 |a ALK gene 
690 |a missense mutations 
690 |a tyrosine kinase inhibitors 
690 |a lung adenocarcinoma 
690 |a non-small-cell lung cancer 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pharmacology, Vol 14 (2023) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fphar.2023.1190447/full 
787 0 |n https://doaj.org/toc/1663-9812 
856 4 1 |u https://doaj.org/article/b0a7c3a93acd484ea9d20b10a8ca701d  |z Connect to this object online.