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Potential subtype-specific therapeutic approaches in small cell lung cancer

Horvath, Lilla ; Lang, Christian ; Boettiger, Kristiina ; Aigner, Clemens ; Dome, Balazs LU and Megyesfalvi, Zsolt (2024) In Current Opinion in Oncology 36(1). p.51-56
Abstract

PURPOSE OF REVIEW: Small cell lung cancer (SCLC) remains one of the most aggressive thoracic malignancies with an especially dismal prognosis. While the detection of various targetable driver mutations and immune checkpoints have revolutionized the treatment of non-small cell lung cancer (NSCLC), there has been only modest therapeutic innovation over the past decades in SCLC. In this review, we aim to provide a brief summary on the clinical relevance of recent research findings, which could soon pave the way towards a more personalized and targeted management of SCLC patients. RECENT FINDINGS: Substantial research on the biological and molecular heterogeneity of SCLC has been conducted in the last years. Recent results from... (More)

PURPOSE OF REVIEW: Small cell lung cancer (SCLC) remains one of the most aggressive thoracic malignancies with an especially dismal prognosis. While the detection of various targetable driver mutations and immune checkpoints have revolutionized the treatment of non-small cell lung cancer (NSCLC), there has been only modest therapeutic innovation over the past decades in SCLC. In this review, we aim to provide a brief summary on the clinical relevance of recent research findings, which could soon pave the way towards a more personalized and targeted management of SCLC patients. RECENT FINDINGS: Substantial research on the biological and molecular heterogeneity of SCLC has been conducted in the last years. Recent results from comprehensive profiling studies have shown that unique major SCLC subtypes can be distinguished based on the relative expression of key transcription regulators (ASCL1, NEUROD1, POU2F3) or distinct inflammatory features. Understanding the differing molecular characteristics of these distinct subtypes has resulted in the identification of specific therapeutic vulnerabilities. SUMMARY: The recently introduced molecular SCLC subtype classification represents a substantial progress towards a personalized and more efficacious approach in SCLC. The consequences of this paradigm shift provide hope for improved patient care and clinical outcomes in this exceptionally lethal thoracic malignancy.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Current Opinion in Oncology
volume
36
issue
1
pages
6 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:37865844
  • scopus:85180009502
ISSN
1040-8746
DOI
10.1097/CCO.0000000000001005
language
English
LU publication?
yes
id
128947c3-7e30-4c39-807f-778fbcd79cfa
date added to LUP
2024-01-31 14:17:38
date last changed
2024-04-17 02:32:51
@article{128947c3-7e30-4c39-807f-778fbcd79cfa,
  abstract     = {{<p>PURPOSE OF REVIEW: Small cell lung cancer (SCLC) remains one of the most aggressive thoracic malignancies with an especially dismal prognosis. While the detection of various targetable driver mutations and immune checkpoints have revolutionized the treatment of non-small cell lung cancer (NSCLC), there has been only modest therapeutic innovation over the past decades in SCLC. In this review, we aim to provide a brief summary on the clinical relevance of recent research findings, which could soon pave the way towards a more personalized and targeted management of SCLC patients. RECENT FINDINGS: Substantial research on the biological and molecular heterogeneity of SCLC has been conducted in the last years. Recent results from comprehensive profiling studies have shown that unique major SCLC subtypes can be distinguished based on the relative expression of key transcription regulators (ASCL1, NEUROD1, POU2F3) or distinct inflammatory features. Understanding the differing molecular characteristics of these distinct subtypes has resulted in the identification of specific therapeutic vulnerabilities. SUMMARY: The recently introduced molecular SCLC subtype classification represents a substantial progress towards a personalized and more efficacious approach in SCLC. The consequences of this paradigm shift provide hope for improved patient care and clinical outcomes in this exceptionally lethal thoracic malignancy.</p>}},
  author       = {{Horvath, Lilla and Lang, Christian and Boettiger, Kristiina and Aigner, Clemens and Dome, Balazs and Megyesfalvi, Zsolt}},
  issn         = {{1040-8746}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{51--56}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Current Opinion in Oncology}},
  title        = {{Potential subtype-specific therapeutic approaches in small cell lung cancer}},
  url          = {{http://dx.doi.org/10.1097/CCO.0000000000001005}},
  doi          = {{10.1097/CCO.0000000000001005}},
  volume       = {{36}},
  year         = {{2024}},
}