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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vmireaviz</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник медицинского института «РЕАВИЗ». Реабилитация, Врач и Здоровье</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2226-762X</issn><issn pub-type="epub">2782-1579</issn><publisher><publisher-name>РЕАВИЗ</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20340/vmi-rvz.2024.1.CLIN.2</article-id><article-id custom-type="elpub" pub-id-type="custom">vmireaviz-912</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Клиническая медицина</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Clinical medicine</subject></subj-group></article-categories><title-group><article-title>Выявление мутаций гена EGFR для назначения таргетных препаратовпри немелкоклеточном раке лёгкого</article-title><trans-title-group xml:lang="en"><trans-title>Detection of EGFR gene mutations for prescription of targeted drugs for non-small cell lung cancer</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8055-1958</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Павлова</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Pavlova</surname><given-names>O. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Павлова Ольга Николаевна - д-р биол. наук, доцент, заведующая кафедрой физиологии с курсом безопасности жизнедеятельности и медицины катастроф,</p><p>ул. Чапаевская, д. 89, Самара, 443099</p></bio><bio xml:lang="en"><p>Ol'ga N. Pavlova - Dr. Sci. (Biol.), Associate Professor, Head of the Department of Physiology with the course of Life Safety and Disaster Medicine,</p><p>89, Chapaevskaya, Samara, 443099</p></bio><email xlink:type="simple">casiopeya13@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Букарева</surname><given-names>О. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Bukareva</surname><given-names>O. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Букарева Ольга Петровна - врач-онколог, ассистент кафедры физиологии с курсом безопасности жизнедеятельности и медицины катастроф,</p><p>ул. Чапаевская, д. 89, Самара, 443099</p></bio><bio xml:lang="en"><p>Ol'ga P. Bukareva - Oncologist, assistant at the Department of Physiology with a course in life safety and Disaster Medicine,</p><p>89, Chapaevskaya, Samara, 443099</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Самарский государственный медицинский университет<country>Россия</country></aff><aff xml:lang="en">Samara State Medical University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>24</day><month>02</month><year>2024</year></pub-date><volume>14</volume><issue>1</issue><fpage>86</fpage><lpage>90</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Павлова О.Н., Букарева О.П., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Павлова О.Н., Букарева О.П.</copyright-holder><copyright-holder xml:lang="en">Pavlova O.N., Bukareva O.P.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vestnik.reaviz.ru/jour/article/view/912">https://vestnik.reaviz.ru/jour/article/view/912</self-uri><abstract><p>Рак лёгких – это один из наиболее распространённых видов онкологических заболеваний, которое встречается как у мужчин, так и у женщин. Эта опухоль занимает лидирующее место среди причин смерти от онкологии, на неё приходится 18,4% от общего числа смертей. Немелкоклеточный рак лёгких является наиболее частым типом рака лёгких, составляющим 85% всех случаев. В его рамках чаще всего встречаются аденокарцинома (30-45%) и плоскоклеточный рак (25–40%). Примерно у 20% пациентов, живущих на территории Российской Федерации и страдающих от немелкоклеточного рака лёгких, наблюдаются мутации гена EGFR. Сигнальные пути EGFR играют важную роль в развитии злокачественных опухолей. Они регулируют прогрессию клеточного цикла, влияют на апоптоз, стимулируют образование новых кровеносных сосудов и усиливают подвижность раковых клеток и их способность к метастазированию. Углубленное понимание фундаментальной биологии редких мутаций EGFR поможет выявить зависимости, специфичные только для этих мутаций. Это знание может быть использовано в разработке терапевтических подходов, направленных на определенные мутации EGFR и их влияние на разные патологии. Результаты проведённых исследований могут способствовать разработке более точных и эффективных методов лечения, которые будут специально ориентированы на конкретные мутации EGFR и их влияние на различные заболевания.</p></abstract><trans-abstract xml:lang="en"><p>Lung cancer is one of the most common types of cancer that occurs in both men and women. This tumor is the leading cause of death from cancer, accounting for 18.4% of the total number of deaths. Non-small cell lung cancer is the most common type of lung cancer, accounting for 85% of all cases. Within its framework, adenocarcinoma (30-45%) and squamous cell carcinoma (25-40%) are most often found. Approximately 20% of patients living in the Russian Federation and suffering from non-small cell lung cancer have EGFR gene mutations. EGFR signaling pathways play an important role in the development of malignant tumors. They regulate cell cycle progression, influence apoptosis, stimulate the formation of new blood vessels and enhance the motility of cancer cells and their ability to metastasize. An in-depth understanding of the fundamental biology of rare EGFR mutations will help identify dependencies specific to these mutations. This knowledge can be used to develop therapeutic approaches targeting specific EGFR mutations and their impact on various pathologies. The results of these studies may help develop more precise and effective treatments that will specifically target specific EGFR mutations and their impact on various diseases.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>EGFR</kwd><kwd>немелкоклеточный рак лёгкого</kwd></kwd-group><kwd-group xml:lang="en"><kwd>EGFR</kwd><kwd>non-small cell lung cancer</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Bray F, Ferlay J, Soerjomataram I et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 85 countries. CA Cancer J Clin. 2018;68(6):394–424. https://doi.org/10.3322/caac.21492</mixed-citation><mixed-citation xml:lang="en">1 Bray F, Ferlay J, Soerjomataram I et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 85 countries. CA Cancer J Clin. 2018;68(6):394–424. https://doi.org/10.3322/caac.21492</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Мазуренко Н.Н., Цыганова И.В., Гагарин И.М., Чуев Ю.В., Мочальникова В.В., Коломейцева А.А., Горбунова В.А. Мутации EGFR и KRAS, важные для таргетной терапии немелкоклеточного рака легких. Молекулярная медицина. 2013;6. URL: https://cyberleninka.ru/article/n/mutatsii-egfr-i-krasvazhnye-dlya-targetnoy-terapii-nemelkokletochnogo-raka-legkih.</mixed-citation><mixed-citation xml:lang="en">2 Mazurenko N.N., Tsyganova I.V., Gagarin I.M., Chuev Yu.V., Mochalnikova V.V., Kolomeitseva A.A., Gorbunova V.A. EGFR and KRAS mutations important for targeted therapy of non-small cell lung cancer. Molecular medicine. 2013;6. (In Russ). URL: https://cyberleninka.ru/article/n/mutatsii-egfr-i-krasvazhnye-dlya-targetnoy-terapii-nemelkokletochnogo-raka-legkih.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Duma N, Santana-Davila R, Molina JR. Non-Small Cell Lung Cancer: Epidemiology, Screening, Diagnosis, and Treatment. Mayo Clin Proc. 2019 Aug. 94(8):1623–1640. https://doi.org/10.1016/j.mayocp.2019.01.013. PMID: 31378236.</mixed-citation><mixed-citation xml:lang="en">3 Duma N, Santana-Davila R, Molina JR. Non-Small Cell Lung Cancer: Epidemiology, Screening, Diagnosis, and Treatment. Mayo Clin Proc. 2019 Aug. 94(8):1623–1640. https://doi.org/10.1016/j.mayocp.2019.01.013. PMID: 31378236.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Моисеенко В.М., Проценко С.А., Семенов И.И. и др. Применение Ирессы (гефитиниба) в качестве терапии первой линии для лечения неоперабельных аденокарцином лёгкого, содержащих мутацию в гене EGFR. Современная онкология. 2010;12(1):74–80.</mixed-citation><mixed-citation xml:lang="en">4 Moiseenko V.M., Protsenko S.A., Semenov I.I., etc. The use of Iressa (gefitinib) as a first-line therapy for the treatment of inoperable lung adenocarcinomas containing a mutation in the EGFR gene. Modern oncology. 2010;12(1):74–80. (In Russ).</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Shi Y et al. A prospective, molecular epidemiology study of EGFR mutations in asian patients with advanced non-small-cеll lung cаncеr of аdеnocаrcinomа histology (PIONЕЕR). J Thorac Oncol. 2014;9(2):154–162.</mixed-citation><mixed-citation xml:lang="en">5 Shi Y et al. A prospective, molecular epidemiology study of EGFR mutations in asian patients with advanced non-small-cеll lung cаncеr of аdеnocаrcinomа histology (PIONЕЕR). J Thorac Oncol. 2014;9(2):154–162.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Огнерубов Н.А., Сычeв В.Д., Козловa Н.А., Чaнг В.Л. Молeкулярно-гeнeтический портрeт немeлкоклетoчногo рaка легких в Тамбовской области: региональный опыт. Современная oнколoгия. 2020;22(3):88–93. https://doi.org/10.26442/18151434.2020.3.200393</mixed-citation><mixed-citation xml:lang="en">6 Ognerubov N.A., Sychev V.D., Kozlova N.A., Chang V.L. Molecular genetic portrait of non-small cell lung cancer in the Tambov region: regional experience. Modern oncology. 2020;22(3):88–93. (In Russ). https://doi.org/10.26442/18151434.2020.3.200393</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Herbst RS, Shin DM. Monoclonal antibodies to target epidermal growth factor receptor-positive tumors: a new paradigm for cancer therapy. Cancer. 2002;94:1593–611.</mixed-citation><mixed-citation xml:lang="en">7 Herbst RS, Shin DM. Monoclonal antibodies to target epidermal growth factor receptor-positive tumors: a new paradigm for cancer therapy. Cancer. 2002;94:1593–611.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Olayioye MA, Neve RM, Lane HA, Hynes NE. The ErbB signaling network: receptor heterodimerization in development and cancer. EMBO J.2000;19:3159–67.</mixed-citation><mixed-citation xml:lang="en">8 Olayioye MA, Neve RM, Lane HA, Hynes NE. The ErbB signaling network: receptor heterodimerization in development and cancer. EMBO J.2000;19:3159–67.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Normanno N, De Luca A, Bianco C, Strizzi L, Mancino M, Maiello MR, et al. Epidermal growth factor receptor (EGFR) signaling in cancer. Gene. 2006;366:2–16.</mixed-citation><mixed-citation xml:lang="en">9 Normanno N, De Luca A, Bianco C, Strizzi L, Mancino M, Maiello MR, et al. Epidermal growth factor receptor (EGFR) signaling in cancer. Gene. 2006;366:2–16.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Sergina NV, Moasser MM. The HER family and cancer: emerging molecular mechanisms and therapeutic targets. Trends Mol Med. 2007;13(12):527–34. https://doi.org/10.1016/j.molmed.2007.10.002</mixed-citation><mixed-citation xml:lang="en">10 Sergina NV, Moasser MM. The HER family and cancer: emerging molecular mechanisms and therapeutic targets. Trends Mol Med. 2007;13(12):527–34. https://doi.org/10.1016/j.molmed.2007.10.002</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Lynch TJ, Bell DW, Sordella R, Gurubhagavatula S, Okimoto RA, Brannigan BW, et al. Activating mutations in the epidermal growth factor receptor underlying responsiveness of non-small-cell lung cancer to gefitinib. New Engl J Med. 2004;350:2129–39.</mixed-citation><mixed-citation xml:lang="en">11 Lynch TJ, Bell DW, Sordella R, Gurubhagavatula S, Okimoto RA, Brannigan BW, et al. Activating mutations in the epidermal growth factor receptor underlying responsiveness of non-small-cell lung cancer to gefitinib. New Engl J Med. 2004;350:2129–39.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Mitsudomi T, Kosaka T, Endoh H, Horio Y, Hida T, Mori S, et al. Mutations of the epidermal growth factor receptor gene predict prolonged survival after gefitinib treatment in patients with non-small-cell lung cancer with postoperative recurrence. J Clin Oncol. 2005;23:2513–20.</mixed-citation><mixed-citation xml:lang="en">12 Mitsudomi T, Kosaka T, Endoh H, Horio Y, Hida T, Mori S, et al. Mutations of the epidermal growth factor receptor gene predict prolonged survival after gefitinib treatment in patients with non-small-cell lung cancer with postoperative recurrence. J Clin Oncol. 2005;23:2513–20.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Sharma SV, Bell DW, Settleman J, Haber DA. Epidermal growth factor receptor mutations in lung cancer. Nat Rev Cancer. 2007;7(3):169–81.</mixed-citation><mixed-citation xml:lang="en">13 Sharma SV, Bell DW, Settleman J, Haber DA. Epidermal growth factor receptor mutations in lung cancer. Nat Rev Cancer. 2007;7(3):169–81.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Rosell R, Moran T, Queralt C, Porta R, Cardenal F, Camps C, et al. Screening for epidermal growth factor receptor mutations in lung cancer. N Engl J Med. 2009;361(10):958–67.</mixed-citation><mixed-citation xml:lang="en">14 Rosell R, Moran T, Queralt C, Porta R, Cardenal F, Camps C, et al. Screening for epidermal growth factor receptor mutations in lung cancer. N Engl J Med. 2009;361(10):958–67.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Когония Л.М., Губенко М.С., Ашхацава Т.И. Что мы знаем о молекулярно-биологических особенностях EGFR при глиобластомах и немелкоклеточном раке легких? Медицинский совет. 2022;16(9):126–130. https://doi.org/10.21518/2079-701X-2022-16-9-126-130</mixed-citation><mixed-citation xml:lang="en">15 Kogonia L.M., Gubenko M.S., Ashkhatsava T.I. What do we know about the molecular biological features of EGFR in glioblastomas and non-small cell lung cancer? Medical advice. 2022;16(9):126–130. (In Russ). https://doi.org/10.21518/2079- 701X-2022-16-9-126-130</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Carcereny, E., Morán, T., Capdevila, L. et al. The epidermal growth factor receptor (EGRF) in lung cancer. Transl Respir Med. 2015;3(1). https://doi.org/10.1186/s40247-015-0013-z</mixed-citation><mixed-citation xml:lang="en">16 Carcereny, E., Morán, T., Capdevila, L. et al. The epidermal growth factor receptor (EGRF) in lung cancer. Transl Respir Med. 2015;3(1). https://doi.org/10.1186/s40247-015-0013-z</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Cappuzzo F, Camidge DR, Varella-Garcia M. Is FISH floating or still swimming in the lung cancer ocean? Ann Oncol 2011;22(3):493–99</mixed-citation><mixed-citation xml:lang="en">17 Cappuzzo F, Camidge DR, Varella-Garcia M. Is FISH floating or still swimming in the lung cancer ocean? Ann Oncol 2011;22(3):493–99</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Li D, Ambrogio L, Shimamura T, Kubo S, Takahashi M, Chirieac LR, et al. BIBW2992, an irreversible EGFR/HER2 inhibitor highly effective in preclinical l ung cancer models. Oncogene. 2008;27(34):4702–11.</mixed-citation><mixed-citation xml:lang="en">18 Li D, Ambrogio L, Shimamura T, Kubo S, Takahashi M, Chirieac LR, et al. BIBW2992, an irreversible EGFR/HER2 inhibitor highly effective in preclinical l ung cancer models. Oncogene. 2008;27(34):4702–11.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Mitsudomi T., Kosaka T., Endoh H., Horio Y., Hida T., Mori S. et al. Mutations of the epidermal growth factor receptor gene predict prolonged survival after gefitinib treatment in patients with non-smallcell lung cancer with postoperative recurrence. J. Clin. Oncol. 2005;23:2513–2520.</mixed-citation><mixed-citation xml:lang="en">19 Mitsudomi T., Kosaka T., Endoh H., Horio Y., Hida T., Mori S. et al. Mutations of the epidermal growth factor receptor gene predict prolonged survival after gefitinib treatment in patients with non-smallcell lung cancer with postoperative recurrence. J. Clin. Oncol. 2005;23:2513–2520.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">U.S. Food and Drug Administration. NDA/BLA multi-disciplinary review and evaluation: BLA 761210; RYBREVANT, amivantamab-vmjw. [accessed 2021 Nov 1].</mixed-citation><mixed-citation xml:lang="en">20 U.S. Food and Drug Administration. NDA/BLA multi-disciplinary review and evaluation: BLA 761210; RYBREVANT, amivantamab-vmjw. [accessed 2021 Nov 1].</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Neijssen J, Cardoso RMF, Chevalier KM, Wiegman L, Valerius T, Anderson GM et al. Discovery of amivantamab (JNJ-61186372), a bispecific antibody targeting EGFR and MET. J Biol Chem. 2021;296:100641. https://doi.org/10.1016/j.jbc.2021.10064</mixed-citation><mixed-citation xml:lang="en">21 Neijssen J, Cardoso RMF, Chevalier KM, Wiegman L, Valerius T, Anderson GM et al. Discovery of amivantamab (JNJ-61186372), a bispecific antibody targeting EGFR and MET. J Biol Chem. 2021;296:100641. https://doi.org/10.1016/j.jbc.2021.10064</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
