PMID- 32067719 OWN - NLM STAT- MEDLINE DCOM- 20200506 LR - 20200506 IS - 1769-6917 (Electronic) IS - 0007-4551 (Linking) VI - 107 IP - 4 DP - 2020 Apr TI - [NTRK Fusions: A new way of treatment for gastro-intestinal tumor?]. PG - 447-457 LID - S0007-4551(20)30031-X [pii] LID - 10.1016/j.bulcan.2019.11.014 [doi] AB - The advent of molecular biology resulted in the discovery of new oncogenes that have led to the development of targeted therapies for the management of cancer patients. The development of these therapies has improved the prognosis of patients in various tumour localizations. The TRK receptor (tropomyosin receptor kinase) is a transmembrane receptor with a tyrosine kinase activity that plays a role in both cell proliferation and the physiology of the nervous system. Fusions involving the NTRK gene, which codes for this receptor, have been found in different types of solid tumours and lead to its constitutional activation. These fusions, however uncommon, are mainly found in rare pediatric tumours but can also be encountered in digestive cancers with high prevalence (such as colorectal cancer, especially in case of microsatellite instability, with a frequency of 2.5 to 38.5 %) or in aggressive cancers (such as pancreatic cancer). Therapies targeting TRK, such as larotrectinib or entrectinib, have shown significant response rates, usually greater than 6 months, for tumours from various primary sites presenting NTRK fusions and refractory to standard therapies. These fusions can be detected by different methods: immunohistochemistry, FISH (fluorescence in situ hybridization) as well as NGS (next generation sequencing). The intent of this review is to report on current knowledge on NTRK fusions in oncology and to discuss the role of these fusions in digestive cancers and potential therapeutic implications. CI - Copyright (c) 2020 Societe Francaise du Cancer. Published by Elsevier Masson SAS. All rights reserved. FAU - Ouali, Kaissa AU - Ouali K AD - AP-HP, hopital Saint-Antoine, service d'oncologie medicale, 75012 Paris, France. FAU - Pellat, Anna AU - Pellat A AD - AP-HP, hopital Saint-Antoine, service d'oncologie medicale, 75012 Paris, France; Sorbonne universite, Paris, France. FAU - Cohen, Romain AU - Cohen R AD - AP-HP, hopital Saint-Antoine, service d'oncologie medicale, 75012 Paris, France; Sorbonne universite, Paris, France. FAU - Svrcek, Magali AU - Svrcek M AD - Sorbonne universite, Paris, France; AP-HP, hopital Saint-Antoine, departement d'anatomo-pathologie, 75012 Paris, France. FAU - Penault-Llorca, Frederique AU - Penault-Llorca F AD - Centre Jean Perrin, departement d'anatomo-pathologie, 63000 Clermont-Ferrand, France. FAU - Andre, Thierry AU - Andre T AD - AP-HP, hopital Saint-Antoine, service d'oncologie medicale, 75012 Paris, France; Sorbonne universite, Paris, France. Electronic address: thierry.andre@aphp.fr. LA - fre PT - Journal Article PT - Review TT - Fusions NTRK : une nouvelle piste dans les cancers digestifs ? DEP - 20200214 PL - France TA - Bull Cancer JT - Bulletin du cancer JID - 0072416 RN - 0 (Benzamides) RN - 0 (ETV6-NTRK3 fusion protein, human) RN - 0 (Indazoles) RN - 0 (Membrane Glycoproteins) RN - 0 (Nerve Growth Factors) RN - 0 (Oncogene Proteins) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyrazoles) RN - 0 (Pyrimidines) RN - 0 (oncogene protein trk) RN - EC 2.7.10.1 (Receptor, trkA) RN - EC 2.7.10.1 (Receptor, trkB) RN - EC 2.7.10.1 (Receptor, trkC) RN - EC 2.7.10.1 (tropomyosin-related kinase-B, human) RN - L5ORF0AN1I (entrectinib) RN - PF9462I9HX (larotrectinib) SB - IM MH - Benzamides/therapeutic use MH - Colorectal Neoplasms/drug therapy/genetics MH - Gastrointestinal Neoplasms/*drug therapy/*genetics MH - *Gene Fusion MH - High-Throughput Nucleotide Sequencing MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization MH - Indazoles/therapeutic use MH - Membrane Glycoproteins/genetics MH - Nerve Growth Factors/*genetics MH - Oncogene Proteins/*genetics MH - Oncogene Proteins, Fusion/*genetics MH - Pancreatic Neoplasms/drug therapy/genetics MH - Protein Kinase Inhibitors/therapeutic use MH - Pyrazoles/therapeutic use MH - Pyrimidines/therapeutic use MH - Receptor, trkA/genetics MH - Receptor, trkB/genetics MH - Receptor, trkC/genetics OTO - NOTNLM OT - Cancers digestifs OT - Entrectinib OT - Larotrectinib OT - Microsatellite instability OT - Neurotrophic Tropomyosin Receptor Kinase (NTRK) EDAT- 2020/02/19 06:00 MHDA- 2020/05/07 06:00 CRDT- 2020/02/19 06:00 PHST- 2019/08/25 00:00 [received] PHST- 2019/11/11 00:00 [revised] PHST- 2019/11/16 00:00 [accepted] PHST- 2020/02/19 06:00 [pubmed] PHST- 2020/05/07 06:00 [medline] PHST- 2020/02/19 06:00 [entrez] AID - S0007-4551(20)30031-X [pii] AID - 10.1016/j.bulcan.2019.11.014 [doi] PST - ppublish SO - Bull Cancer. 2020 Apr;107(4):447-457. doi: 10.1016/j.bulcan.2019.11.014. Epub 2020 Feb 14.