LUNG CANCER

Tumor heterogeneity involving SCLC with a single exon deletion in RB1 and adenocarcinoma with EGFR-L718V mutation in EGFR-TKI-resistant lung cancer
Kakuto S, Uchibori K, Yamamoto Y, Miyauchi E, Nishio M, Sugiura H and Katayama R
EGFR tyrosine kinase inhibitors (EGFR-TKIs) have significantly improved the outcomes of EGFR-mutant non-small cell lung cancer (NSCLC); however, resistance commonly develops. While secondary EGFR mutations (e.g., C797S) and histological transformations are known mechanisms, their coexistence at distinct sites is rarely documented.
Higher lung cancer risk among female never-smokers than males in a large married couple study
Cai H, Shu XO, Wu S, Gao YT, Lan Q, Rothman N, Zheng W and Yang G
Whether female being more susceptible to lung cancer among never smokers (LCNS) than males has been a long-standing debate.
Prevalence and molecular landscape of NRG1 fusions in Japanese solid tumors: a nationwide data analysis using the C-CAT database
Ishida M, Yamada T, Tsunashima R, Morita M, Kataoka N, Kunimatsu Y, Sawada R, Hata T, Kawachi H, Iwasaku M, Naoi Y and Takayama K
Neuregulin 1 (NRG1) gene fusions are critical oncogenic drivers that activate the ERBB signaling pathway across various solid tumors. Although targeted therapies for NRG1 fusion-positive cancers are advancing rapidly in clinical settings, their epidemiological and clinicogenomic characteristics remain poorly understood, warranting large-scale investigations.
Letter to the Editor: On the clinical irrelevance of SUCRA rankings in relapsed small-cell lung cancer
Önder AH
Impact of N1 lymph node burden on survival outcomes in non-skip pN2 non-small-cell lung cancer
Luo B, Liang S, Zhong L, Gao W, Zeng M, Chen Y and Wen Z
This study aimed to evaluate the prognostic value of quantitative N1 nodal burden metrics-including positive node count, positive station count, lymph node ratio (LNR), and lymph node station ratio (LNsR)-in patients with non-skip pN2 non-small cell lung cancer (NSCLC).
NHWD-870 suppresses tumor proliferation via the BRD4/STRADA/CCND1 axis in small cell lung cancer
Ma L, Zhang X, Xu S, Dai J, Huang Z, Ruan Z, Zhang Y, Zhou X, Sun Y, Chen Y, Yan H, Zou C, Xiang SQ, Li J, Chen Y, Xu T, Zhang R, Yang D, Tian F, Zou N, Liao Y, Zou J, Jiang W, Chen X, Zhang J, Deng J, Xiang H, Zeng L and Zhang Y
Small cell lung cancer (SCLC) is a highly aggressive malignancy with poor prognosis and limited therapeutic options. The lack of effective targeted therapies for SCLC is a major limitation of this field. Bromodomain and Extra-Terminal (BET) inhibitors have emerged as a promising class of anticancer agents. This study aimed to evaluate the preclinical efficacy and mechanism of action of NHWD-870, a novel BET inhibitor targeting BRD4, in SCLC.
Circulating microRNAs as biomarkers for risk assessment and prognostic stratification of pleural mesothelioma
Sharova E, Del Bianco P, Urso L, Silic-Benussi M, Scattolin D, D'Agostino DM, Pasello G and Ciminale V
Pleural mesothelioma (PM) is an aggressive neoplasm associated with asbestos exposure. Clinical management of PM poses major challenges due to the lack of reliable markers for early diagnosis and prognostic stratification. Here we evaluated circulating microRNAs (miRNAs) as minimally invasive biomarkers for PM detection and risk assessment.
Genetic composition and evolutionary trajectories of brain metastasis in non-small-cell lung cancer
Nicoś M, Galant N, Kowalczyk A, Pęksa R, Jarosz B, Żuk M, Wasąg B, Duchnowska R, Krawczyk P, Jassem J and Crosetto N
Non-small cell lung cancer (NSCLC) is an aggressive solid malignancy that commonly disseminates to the central nervous system (CNS). Comparative analysis of primary NSCLC and brain metastases (BM) by next-generation sequencing may reveal somatic genetic alterations that drive or favor NSCLC-derived BM.
Long-term outcomes of Extensive-Stage small cell lung cancer treated with chemotherapy or Chemo-immunotherapy: A propensity score adjusted cohort study
Batah H, Zabor EC, Adcock B, Lee M, Patel P, Patel M, Zureigat H, Mohamed AN, Nurse DP, Bedelu YB, Tomer J, Delasos L, Hassan KA, Pennell NA, Shapiro MA, Stevenson J, Adjei AA and Mustafa Ali MK
Combining atezolizumab with carboplatin plus etoposide (Carbo-E) improved overall survival (OS) in patients with extensive-stage small cell lung cancer (ES-SCLC). However, there is a paucity of real-world outcomes. We present the largest and longest follow-up retrospective study evaluating treatment outcomes in ES-SCLC.
Treatment outcomes in patients with stage IV large cell neuroendocrine carcinoma: a nationwide registry study
Heijboer FWJ, Derks JL, van Nederveen FH, Hillen LM, den Bakker MA, Radonic T, Damhuis RAM and
Overall survival (OS) of patients with stage IV large cell neuroendocrine carcinoma (LCNEC) is poor and optimal systemic treatment is unknown. Here, we describe clinical outcomes per treatment strategy of patients with stage IV LCNEC, including stratification by immunohistochemical (IHC) protein RB1 (pRb) status.
Reappraising preoperative ctDNA in EGFR-mutant NSCLC: from detection to responsible clinical integration
Sun M, Zang D and Chen J
First-line treatment in EGFR-mutated non-small cell lung cancer: brief report of an individual patient data comparison of phase 3 clinical trials
Torchia A, Sabatini A, Bengala E, Di Civita MA, Ciurluini F, Marinelli D, Giammaruco M, Laudisi A, Gelibter A, Minuti G, Landi L, Santini D and Cappuzzo F
Clinical trials evaluated the efficacy and safety of novel first-line treatment strategies for advanced epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer (NSCLC), relative to osimertinib monotherapy.
Treatment and outcomes of limited stage small cell lung cancer in the Canadian small cell lung cancer database (CASCADE)
Phillips WJ, Zhan LJ, Chowdhury D, Gill J, Sun A, Rittberg R, Cohen V, Gibson AJW, Yan M, Liwski D, Surapaneni S, D'Amours MF, Yu FPS, Kim Y, Qadeer RA, Dawe DE, Agulnik J, Navani V, Fung AS, Snow S, Kuruvilla S, Ho C, Lok BH, Liu G, Wheatley-Price P and Moore S
There have been minimal advances in the systemic treatment of limited stage small cell lung cancer (LS-SCLC) for decades. With the publication of the ADRIATIC trial, consolidation durvalumab is a new standard of care. This study evaluated real-world treatments and clinical outcomes prior to the era of immunotherapy for LS-SCLC.
CAR-T cell therapy for the treatment of lung cancer: Current challenges and emerging therapeutic strategies
Shi D, Yan X, Liu J, Chen H, Wang X, Li R, Tian X, Lin X and Wang Y
Lung carcinoma has consistently ranked as the most prevalent malignancy and foremost contributor to cancer-related mortality in global epidemiology. Despite the paradigm-shifting advancements in molecularly targeted therapies and immune checkpoint inhibitors (ICIs) for advanced-stage non-small cell lung cancer (NSCLC), clinical outcomes remain constrained by tumor recurrence and treatment resistance. Chimeric antigen receptor (CAR) T cell therapy, a revolutionary cellular immunotherapy modality, has demonstrated unprecedented clinical efficacy in hematological malignancies. Nevertheless, its clinical implementation in solid malignancies, particularly non-small cell lung cancer (NSCLC), remains hindered by some cardinal biological barriers including spatial heterogeneity of tumor-associated antigens, on-target/off-tumor toxicity risks, immunosuppressive tumor microenvironment (TME), inefficient T-cell trafficking, and T-cell dysfunction hallmarked by exhaustion and poor persistence signatures. This review aims to discuss the development of CAR-T cells for lung cancer from preclinical studies to ongoing clinical trials. Specifically, we summarize tumor-associated antigens in lung cancer, ongoing clinical trials, barriers to CAR-T cell therapy in lung cancer, and discuss potential strategies to improve therapeutic efficacy. We, therefore outline the trajectory of CAR-T cells that may evolve from promising experimental approaches to a standard modality for lung cancer therapy.
AXL expression to predict resistance to immunotherapy in metastatic non-small cell lung cancer
Ancel J, Dewolf M, Nawrocki-Raby B, Durlach A, Dalstein V, Lalun N, Dormoy V, Deslée G, Gilles C and Polette M
Non-small cell lung cancer (NSCLC) remains a major therapeutic challenge. While PD-1/PD-L1 immunotherapies have improved outcomes, predictive biomarkers are limited. AXL, a receptor tyrosine kinase associated with poor prognosis, may impact treatment response. This study evaluates AXL expression and clinical outcomes in advanced NSCLC patients treated with immunotherapy or chemotherapy.
Threshold of adequate resection margin for sub-lobar resection in peripheral clinical stage IA1-2 non-small cell lung cancer with tumor spread through air spaces
Pan H, Yin H, Li W, Kong W, Zhang J, Chen H, Ge Z, Tian Y, Ning J, Dai Z, Huang W, Fang L, Zheng M, Ruan G, Chen Z, Zhang M, Niu X, Huang J, Zhou C, Xu G and Luo Q
Sub-lobar resection (SR) is an established treatment for peripheral clinical stage IA1-2 (cIA1-2) non-small cell lung cancer (NSCLC). However, it may fail to achieve complete resection and is associated with worse survival than lobar resection (LR) in spread through air spaces (STAS) populations. This study aims to define the threshold of an adequate SR margin that may yield survival outcomes comparable to LR in peripheral cIA1-2 STAS NSCLC.
Impact of immune-related and non-immune related hospital admissions on survival of patients with non-small cell lung cancer receiving first-line immunotherapy
Khorasanchi A, Li M, Zhao S, Wei L, Goodyear E, Ho K, Abu-Sbeih H, Secor A, Bertino EM, Shields PG, Roof L, Gheeya J, He K, Kaufman J, Memmott R, Alahmadi A, Carbone DP, Otterson GA, Meara A, Presley CJ and Owen DH
Patients with metastatic non-small cell lung cancer (NSCLC) treated with immune checkpoint inhibitors (ICIs) are at risk for severe immune-related adverse events (irAEs). Limited data exists on the association between severe irAEs requiring hospitalization (irAEh) and overall survival (OS) in patients with NSCLC who received front-line ICIs, as well as risk factors for irAEh.
Tarlatamab population survival kinetics in extensive-stage small cell lung cancer: brief report
Stewart DJ, Zhang B and Kurzrock R
Immune checkpoint inhibitors (ICIs) prolong progression-free survival (PFS) and overall survival (OS) in extensive-stage small cell lung cancer (ES-SCLC). ES-SCLC PFS curve exponential decay nonlinear regression analyses (EDNLRAs) suggests that only 10% of patients benefit. Here we report ES-SCLC EDNLRAs for the bispecific T-cell engager tarlatamab.
KRAS-USP15 axis promotes TGF-β/SMAD signaling and glycolytic flux to accelerate NSCLC pathogenesis
Sindi IA, Abu-Elsaoud AM, Almars AI, Ghouth NM, Shaheen S, Basri AM, Hakami ZH, Jurayb TN, Alqasem AA, Abumansour IS, Naffadi HM, Elhawary NA, Rudayni H, Al-Zharani M, Alneghery LM and Ghoneim MMI
Non-small cell lung cancer (NSCLC) is one of the leading causes of cancer-related mortality worldwide, with activating KRAS mutations representing a key oncogenic driver. These mutations profoundly reprogram cellular metabolism, especially glycolysis, thereby sustaining uncontrolled tumor proliferation. We identified ubiquitin-specific peptidase 15 (USP15) as a pivotal regulator in KRAS-driven metabolic remodeling and tumor progression. This study aims to elucidate the biological functions and molecular mechanisms of USP15 in KRAS-mutant NSCLC.
Entrectinib in Asian patients with ROS1 fusion-positive non-small cell lung cancer: updated efficacy and safety analysis
Lu S, Fan Y, Dong X, Yu Y, Li J, Zhao J, Lin CC, Zhang P, Shi Y, Luo R and Hu X
In an integrated analysis of phase I/II trials (STARTRK-2, STARTRK-1, ALKA-372-001), entrectinib induced responses in global populations with advanced ROS1-fusion positive (ROS1-fp) non-small cell lung cancer (NSCLC). This study reports updated efficacy and safety data in Asian patients from the integrated analysis (cutoff: 16 July 2023).
Patient and oncologist preferences for ALK+ advanced non-small cell lung cancer tyrosine kinase inhibitor treatments: a discrete choice experiment in the United States
Le H, Coulter J, Culver K, Cappelleri JC, Rifi N, Lu H, Quaife M, Meginnis K, Fernandez GS, Vaghela S, Hauber B and Stinchcombe TE
Next-generation anaplastic lymphoma kinase (ALK)-targeting tyrosine kinase inhibitors (TKIs) are standard first-line (1L) treatments for ALK+ advanced non-small cell lung cancer (aNSCLC). Treatments differ in systemic and central nervous system (CNS) efficacy and adverse event (AE) profiles. There is a need for understanding treatment preferences of patients and oncologists in this setting.