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. 2012 Feb 12;18(3):378-81.
doi: 10.1038/nm.2658.

RET, ROS1 and ALK fusions in lung cancer

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RET, ROS1 and ALK fusions in lung cancer

Kengo Takeuchi et al. Nat Med. .

Abstract

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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Comment in

  • Genetics: Gene fusion power.
    Villanueva MT. Villanueva MT. Nat Rev Clin Oncol. 2012 Feb 28;9(4):188. doi: 10.1038/nrclinonc.2012.26. Nat Rev Clin Oncol. 2012. PMID: 22371133 No abstract available.
  • Chipping away at the lung cancer genome.
    Pao W, Hutchinson KE. Pao W, et al. Nat Med. 2012 Mar 6;18(3):349-51. doi: 10.1038/nm.2697. Nat Med. 2012. PMID: 22395697 No abstract available.

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