Journal of International Oncology ›› 2021, Vol. 48 ›› Issue (6): 366-369.doi: 10.3760/cma.j.cn371439-20201207-00070

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MET14 exon skipping mutation and non-small cell lung cancer

Zhou Ye, Yu Yan()   

  1. Department of Medical Oncology, Harbin Medical University Cancer Hospital, Harbin 150081, China
  • Received:2020-12-07 Revised:2020-12-27 Online:2021-06-08 Published:2021-06-24
  • Contact: Yu Yan E-mail:yuyan@hrbmu.edu.cn

Abstract:

The molecular mechanism of the skipping mutation of MET14 exon (METex14) is mainly that the skipping of METex14 leads to the loss of the c-Cbl tyrosine binding site, which causes the proteasome-mediated degradation of MET protein to decrease, which continuously activates the MET signal, and finally leads to tumorigenesis. The incidence of METex14 skipping mutations in non-small cell lung cancer is 3%-4%. Drugs that act on skipping mutations of METex14 include crizotinib, capmatinib, tepotinib, savolitinib, and have a high objective remission rate and good safety. However, due to gene amplification, second site mutations, bypass activation and pathological type conversion, drug resistance after targeted drug therapy requires attention.

Key words: Carcinoma, non-small-cell lung, MET exon 14 skipping mutation, Tyrosine kinase inhibitors