国际肿瘤学杂志 ›› 2025, Vol. 52 ›› Issue (4): 237-241.doi: 10.3760/cma.j.cn371439-20241115-00039

• 综述 • 上一篇    下一篇

RET原癌基因与非小细胞肺癌的研究现状

唐磊, 蔡宗佑, 常建华()   

  1. 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院深圳医院肿瘤内科,深圳 518116
  • 收稿日期:2024-11-15 修回日期:2025-02-26 出版日期:2025-04-08 发布日期:2025-04-21
  • 通讯作者: 常建华,Email:changjianhua@163.com
  • 基金资助:
    深圳市医学重点学科建设(SZXK013);中国医学科学院肿瘤医院深圳医院院内科研课题(E010221001)

Research updates of RET proto-oncogene in non-small cell lung cancer

Tang Lei, Cai Zongyou, Chang Jianhua()   

  1. Department of Oncology,National Cancer Center,National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College,Shenzhen 518116,China
  • Received:2024-11-15 Revised:2025-02-26 Online:2025-04-08 Published:2025-04-21
  • Supported by:
    Shenzhen Key Medical Discipline Construction Fund(SZXK013);National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Shenzhen(E010221001)

摘要:

RET原癌基因编码的RET蛋白是一种受体酪氨酸激酶,可作为非小细胞肺癌(NSCLC)潜在的治疗靶点。在NSCLC中,RET融合变异发生率为1%~2%,多见于年轻、不吸烟患者。传统化疗、免疫治疗和多靶点激酶抑制剂在RET融合NSCLC患者中的疗效有限,但选择性RET抑制剂,如塞普替尼和普拉替尼,显著改善了此类患者的预后。选择性RET抑制剂耐药后的治疗策略是未来的研究方向。

关键词: 原癌基因蛋白质c-ret, 癌, 非小细胞肺, 分子靶向治疗

Abstract:

The RET protein encoded by RET proto-oncogene is a receptor tyrosine kinase that serves as a potential therapeutic target in non-small cell lung cancer (NSCLC). In NSCLC,the incidence of RET fusions variants ranges from 1%-2% and is more common in younger,non-smoking patients. Traditional chemotherapy,immunotherapy,and multitarget kinase inhibitors have shown limited efficacy in treating RET fusion-positive NSCLC patients. However,selective RET inhibitors,such as selpercatinib and pralsetinib,have significantly improved the prognosis of those patients. The treatment strategy following resistance to selective RET inhibitors is a future research direction.

Key words: Proto-oncogene proteins c-ret, Carcinoma, non-small-cell lung, Molecular targeted therapy