PMID- 38376315 OWN - NLM STAT- MEDLINE DCOM- 20240221 LR - 20240327 IS - 1998-4138 (Electronic) IS - 1998-4138 (Linking) VI - 19 IP - 7 DP - 2023 Oct 1 TI - A novel EML4-NTRK3 fusion in lung adenocarcinoma with dramatic response to entrectinib. PG - 2045-2047 LID - 10.4103/jcrt.jcrt_231_21 [doi] AB - In-frame fusions in NTRK genes, with intact kinase domain, have been reported to occur at higher frequencies in rare tumors like infantile fibrosarcoma, congenital mesoblastic nephroma, and secretory carcinoma, whereas they occur at very low frequencies in common malignancies like NSCLC and colon cancers (0.1%-1%). Despite the rare occurrence, these alterations have gained importance owing to approval of drugs like entrectinib and larotrectinib targeting the kinase domain of the gene. More than 50 fusion partners have been described, and only in-frame fusions result in constitutive ligand-independent kinase activity leading to oncogenesis. The commonly reported NTRK fusions in the lung include SQSTM1-NTRK1, ETV6-NTRK3, and SQSTM1-NTRK3. Detection of these rests on the use of conventional modalities like Immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH); however, accurate characterization requires direct sequencing methods. We report an interesting case of an NTRK fusion-positive NSCLC, exhibiting good response to entrectinib. CI - Copyright (c) 2023 Copyright: (c) 2023 Journal of Cancer Research and Therapeutics. FAU - Batra, Ullas AU - Batra U AD - Department of Medical Oncology, Section of Molecular Diagnostics, Pathology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India. FAU - Nathany, Shrinidhi AU - Nathany S AD - Department of Medical Oncology, Section of Molecular Diagnostics, Pathology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India. FAU - Sharma, Mansi AU - Sharma M AD - Department of Medical Oncology, Section of Molecular Diagnostics, Pathology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India. FAU - Jain, Parveen AU - Jain P AD - Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India. FAU - Mehta, Anurag AU - Mehta A AD - Department of Medical Oncology, Section of Molecular Diagnostics, Pathology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India. FAU - Bansal, Abhishek AU - Bansal A AD - Department of Medical Oncology, Section of Molecular Diagnostics, Pathology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India. LA - eng PT - Case Reports PT - Journal Article DEP - 20230426 PL - India TA - J Cancer Res Ther JT - Journal of cancer research and therapeutics JID - 101249598 RN - 0 (Benzamides) RN - L5ORF0AN1I (entrectinib) RN - 0 (Indazoles) RN - 0 (Sequestosome-1 Protein) SB - IM MH - Humans MH - *Adenocarcinoma of Lung/drug therapy/genetics MH - *Benzamides MH - *Carcinoma, Non-Small-Cell Lung MH - In Situ Hybridization, Fluorescence MH - *Indazoles MH - *Lung Neoplasms/drug therapy/genetics MH - Sequestosome-1 Protein EDAT- 2024/02/20 12:50 MHDA- 2024/02/21 11:22 CRDT- 2024/02/20 09:33 PHST- 2021/02/07 00:00 [received] PHST- 2022/04/25 00:00 [accepted] PHST- 2024/02/21 11:22 [medline] PHST- 2024/02/20 12:50 [pubmed] PHST- 2024/02/20 09:33 [entrez] AID - 01363817-202319070-00050 [pii] AID - 10.4103/jcrt.jcrt_231_21 [doi] PST - ppublish SO - J Cancer Res Ther. 2023 Oct 1;19(7):2045-2047. doi: 10.4103/jcrt.jcrt_231_21. Epub 2023 Apr 26.