Institute of Pathology, University Hospital Halle (Saale), Halle (Saale), Germany
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Introduction The neurotrophic tyrosine kinase receptor (NTRK) inhibitors, larotrectinib and entrectinib, were approved by the United States Food & Drug Administration (FDA) for the treatment of NTRK fusion-positive solid tumors that are
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). Recently, this strategy was extended to rarer oncogenic fusion genes like RET and NTRK1/2/3 rearrangements using the RET inhibitor selpercatinib and the NTRK inhibitor larotrectinib ( 6 , 8 , 9 ). The first instance of RAI uptake restoration leading
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Nova Medical School, Lisbon, Portugal
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Nova Medical School, Lisbon, Portugal
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clinicians and patients, by providing specific therapeutic targets that may allow for individualized therapy. Gene fusions involving the neutrotrophic tropomyosin receptor kinase ( NTRK ) gene family – NTRK1 , NTRK2 , and NTRK3 – lead to oncogenesis by
Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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Department of Ultrasound, Fudan University Shanghai Cancer Center, Shanghai, China
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Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China
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Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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.1%), NRAS gene (2.3%), TP53 (1.8%), and NTRK3 fusions (1.4%). The detailed overall mutation profiling was shown in Fig. 1 . Figure 1 Mutation profiling of 217 surgical resection samples by multigene NGS testing. Mutated genes included BRAF, RET
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Division of Oncology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
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Department of Otorhinolaryngology: Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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miRInform thyroid test analyzes the presence of common variants in BRAF , HRAS , KRAS , and NRAS , and fusion transcripts in RET/PTC1 , RET/PTC3 ,and PAX8-PPARγ in pathologic specimens, and does not analyze PTEN, DICER1 , NTRK fusions, and novel
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, 2 ). Today, tumor molecular genotyping plays a key role in the management of radioactive iodine refractory (RAIR) thyroid cancers, as patients with cancers harboring a specific mutation or fusion can be offered highly specific targeted therapies ( 3
College of Medicine, Yonsei University, Seoul, Republic of Korea
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reported to have neurotrophic tropomyosin receptor kinase (NTRK) fusions ( 27 ). In a pooled analysis of 1/2 clinical trials, 79% of 24 patients with DTC bearing an NTRK fusion who received larotrectinib demonstrated an objective response ( 28 ). Pitoia
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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Department of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy
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; HRASG13C, HRASQ61K, and HRASQ61R; KRASG12V and KRASG13C; TERT c.-124C>T and TERT c.-146C>T; PIK3CAE542K and six recurrent fusion genes typical of PTC: RET/PTC1 (RET/CCDC6), RET/PTC2 (RET/PRKAR1A), and RET/PTC3 (RET/NCOA4); TRK (NTRK1/TPM3), TRK-T1 (NTRK
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Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, the Netherlands
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Research Center for Functional Genomics, Biomedicine and Translational Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
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Retrospective cohort study Various PTC, FTC, PDTC BRAF V600E , NRAS 6 4/6 Lee et al. ( 16 ) Larotrectinib or Selpercatinib Case series 4–5 months Pediatric PTC NTRK rearrangement or RET fusion 2 2/2 Groussin et al
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Unidade de Investigação em Patobiologia Molecular (UIPM), Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
Nova Medical School: Faculdade de Ciências Médicas da Universidade Nova de Lisboa, Lisbon, Portugal
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.1016/j.annonc.2021.12.014 ) 11 Doebele RC Drilon A Paz-Ares L Siena S Shaw AT Farago AF Blakely CM Seto T Cho BC Tosi D , Entrectinib in patients with advanced or metastatic NTRK fusion-positive solid tumours: integrated analysis of three phase 1