» Articles » PMID: 34391699

Precision Therapy for RET-altered Cancers with RET Inhibitors

Overview
Journal Trends Cancer
Publisher Cell Press
Specialty Oncology
Date 2021 Aug 15
PMID 34391699
Citations 65
Authors
Affiliations
Soon will be listed here.
Abstract

Rearranged during transfection (RET) is involved in the physiological development of some organ systems. Activating RET alterations via either gene fusions or point mutations are potent oncogenic drivers in non-small cell lung cancer, thyroid cancer, and in multiple diverse cancers. RET-altered cancers were initially treated with multikinase inhibitors (MKIs). The efficacy of MKIs was modest at the expense of notable toxicities from their off-target activity. Recently, highly potent and RET-specific inhibitors selpercatinib and pralsetinib were successfully translated to the clinic and FDA approved. We summarize the current state-of-the-art therapeutics with preclinical and clinical insights of these novel RET inhibitors, acquired resistance mechanisms, and future outlooks.

Citing Articles

From actinic keratosis to cutaneous squamous cell carcinoma: the key pathogenesis and treatments.

Li Z, Lu F, Zhou F, Song D, Chang L, Liu W Front Immunol. 2025; 16:1518633.

PMID: 39925808 PMC: 11802505. DOI: 10.3389/fimmu.2025.1518633.


Research on detection methods of related substances and degradation products of the antitumor drug selpercatinib.

Xiang J, Cai L, Wang Q, Zhu Y, Han Y Front Chem. 2025; 12:1534132.

PMID: 39872362 PMC: 11770003. DOI: 10.3389/fchem.2024.1534132.


Real-World Outcomes of Selective Inhibitor Selpercatinib in the United States: Descriptive, Retrospective Findings from Two Databases.

Liao C, Gonzalez-Ferrer C, Whipple S, Peterson P, Barker S, Bhandari N Cancers (Basel). 2024; 16(22).

PMID: 39594790 PMC: 11592841. DOI: 10.3390/cancers16223835.


Updates in Drug-Related Pneumonitis Due to Targeted Oncologic Therapies.

Chan K, Faiz S, Altan M, Sheshadri A J Immunother Precis Oncol. 2024; 7(4):272-282.

PMID: 39524467 PMC: 11541925. DOI: 10.36401/JIPO-24-12.


First-in-human, phase 1 dose-escalation and dose-expansion study of a RET inhibitor SY-5007 in patients with advanced RET-altered solid tumors.

Li W, Wang Y, Xiong A, Gao G, Song Z, Zhang Y Signal Transduct Target Ther. 2024; 9(1):300.

PMID: 39489747 PMC: 11532403. DOI: 10.1038/s41392-024-02006-9.


References
1.
Nakaoku T, Kohno T, Araki M, Niho S, Chauhan R, Knowles P . A secondary RET mutation in the activation loop conferring resistance to vandetanib. Nat Commun. 2018; 9(1):625. PMC: 5809600. DOI: 10.1038/s41467-018-02994-7. View

2.
Romei C, Ciampi R, Elisei R . A comprehensive overview of the role of the RET proto-oncogene in thyroid carcinoma. Nat Rev Endocrinol. 2016; 12(4):192-202. DOI: 10.1038/nrendo.2016.11. View

3.
Perrinjaquet M, Vilar M, Ibanez C . Protein-tyrosine phosphatase SHP2 contributes to GDNF neurotrophic activity through direct binding to phospho-Tyr687 in the RET receptor tyrosine kinase. J Biol Chem. 2010; 285(41):31867-75. PMC: 2951258. DOI: 10.1074/jbc.M110.144923. View

4.
Nelson-Taylor S, Le A, Yoo M, Schubert L, Mishall K, Doak A . Resistance to RET-Inhibition in RET-Rearranged NSCLC Is Mediated By Reactivation of RAS/MAPK Signaling. Mol Cancer Ther. 2017; 16(8):1623-1633. PMC: 5544556. DOI: 10.1158/1535-7163.MCT-17-0008. View

5.
Drilon A, Oxnard G, Tan D, Loong H, Johnson M, Gainor J . Efficacy of Selpercatinib in Fusion-Positive Non-Small-Cell Lung Cancer. N Engl J Med. 2020; 383(9):813-824. PMC: 7506467. DOI: 10.1056/NEJMoa2005653. View