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Cell Adh Migr. 2010 Jan-Mar; 4(1): 94–95.
PMCID: PMC2852564

Letter from the guest editors

Lung cancer is the leading cause of cancer-related death in the western world. At the time of presentation, most patients are at an advance stage of disease and have a poor prognosis. Lung cancer comprises two major pathologic categories, which are treated differently: small-cell (SCLC) and non small-cell lung cancer (NSCLC). SCLCs display neuroendocrine features and have a propensity for rapid growth and early metastasis. NSCLCs include adenocarcinoma, squamous, bronchio-alveolar and large-cell histologies, although the latter often has neuroendocrine features. Associated with an increase in female smokers and the use of filtered cigarettes, the proportion of adenocarcinomas has increased, while squamous carcinomas and SCLCs have decreased.

SCLCs account for less than 20% of lung tumors. Because of its propensity for early metastases, it is treated with chemo- and radiation therapy, but not surgery. While initially very responsive, nearly all patients relapse and die of their disease. In contrast, NSCLCs are potentially curable by surgery if discovered early. Thus, attempts at earlier diagnosis are ongoing and are discussed by Drs. Tanner and Silvestri. Two important new developments in NSCLC have been the discovery of activating mutations involving EGFR and ALK in distinct subsets, which respond to specific inhibitors. Lung cancers are characteristically associated with complex cytogenetic abnormalities that include EGFR and ALK alterations, described in the review by Dr. Varella Garcia. In addition to cytogenetic abnormalities, an increasing number of chromatin epigenetic and microRNA alterations are being recognized, together with dysregulation of the cell cycle. These are described in two articles by Dr. Gazzeri’s group and colleagues (Van Den Broeck et al.; Eymin and Gazzeri). Knowledge of the functional role of these recurrent genetic and epigenitic changes should lead to the development of novel therapeutics, which is discussed by Drs. Varella Garcia and Gazzeri.

Poor prognosis generally implies invasion and metastasis. The role of integrins in cell adhesion, migration, proliferation, lung cancer cell survival, activation of growth factors and trafficking of their cognate receptors is described by Dr. Caccavari et al. Integrin activation is triggered by extracellular guidances cues, chemokines and growth factors. Nasarre et al. review the repertoire of guidance molecules involved in lung cancer. Although initially described in the nervous system to control axon outgrowth, these molecules are now well recognized as contributors to tumor growth, angiogenesis and metastasis as well regulators of the tumor microenvironment. MET, the receptor for hepatocyte growth factor (HGF), is often upregulated in lung tumors and its tyrosine kinase signaling pathway is involved in cell adhesion, growth and motility. Drs. Lawrence and Salgia describe MET signaling in lung cancer and corresponding therapeutic approaches.

Another form of lung cancer, malignant pleural mesothelioma (MPM), is associated with exposure to asbestos. This disease, described by Dr. Grégoire, has a very poor prognosis although immunotherapy strategies may prove useful.

Together, these reviews provide a current view of many aspects of lung cancer biology and new potential therapeutic targets.

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Articles from Cell Adhesion & Migration are provided here courtesy of Taylor & Francis