Acquired resistance to targeted therapies in NSCLC: Updates and evolving insights.

Pharmacol Ther

Massachusetts General Hospital Cancer Center, Charlestown, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA. Electronic address:

Published: June 2020


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Article Abstract

While significant advancements have been made in the available therapies for metastatic non-small cell lung cancer (NSCLC), acquired resistance remains a major barrier to treatment. We have not yet achieved the ability to cure advanced NSCLC with systemic therapy, despite our growing understanding of many of the oncogenic drivers of this disease. Rather, the emergence of drug-tolerant and drug-resistant cells remains the rule, even in the face of increasingly potent targeted therapies. In this review, we provide a broad overview of the mechanisms of resistance to targeted therapy that have been demonstrated across molecular subtypes of NSCLC, highlighting the dynamic interplay between driver oncogene, bypass signaling pathways, shifting cellular phenotypes, and surrounding tumor microenvironment.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8675642PMC
http://dx.doi.org/10.1016/j.pharmthera.2020.107522DOI Listing

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