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Non-small Cell Lung Cancer: From Molecular Mechanisms to Therapeutic Strategies

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Oncology".

Deadline for manuscript submissions: 20 July 2025 | Viewed by 3959

Special Issue Editor


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Guest Editor
Section of Oncology, Department of Medicine, University of Verona Hospital Trust, 37134 Verona, Italy
Interests: NSCLC; immunotherapy

Special Issue Information

Dear Colleagues,

In the modern era, the treatment landscape for non-small cell lung cancer (NSCLC) has undergone a significant transformation due to the introduction of Immune checkpoint inhibitors (ICIs), either alone or in combination with chemotherapy, and targeted therapies (TT) both in early and advanced stages. Additionally, novel treatment options, such as antibody–drug conjugates (ADCs), offer new possibilities in the fight against lung cancer. Precision oncology plays a critical role in guiding treatment decisions, not only based on the molecular profile of the tumor at baseline but also considering molecular/histological changes at disease progression. Extensive efforts have been made in recent decades to evaluate the efficacy and safety of current treatment strategies, particularly ICIs, in "special populations" such as elderly patients, those with poor ECOG performance status, and those with comorbidities like chronic viral infections.

This Special Issue aims to gather original and review articles that focus on assessing the efficacy and safety of current and novel therapies in both oncogene-addicted and non-oncogene-addicted NSCLC, as well as the evaluation of potential predictive and prognostic molecular biomarkers. We encourage authors to submit original or review articles that investigate the role of novel treatments in "special populations" affected by NSCLC in order to enhance our understanding of their impact in these patient subgroups.

Dr. Lorenzo Belluomini
Guest Editor

Manuscript Submission Information

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Keywords

  • NSCLC
  • predictive and prognostic biomarkers
  • immunotherapy
  • targeted therapy
  • special populations

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Published Papers (2 papers)

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Research

15 pages, 2017 KiB  
Article
Oncogenic KRASG12D Transfer from Platelet-like Particles Enhances Proliferation and Survival in Non-Small Cell Lung Cancer Cells
by Jorge Ceron-Hernandez, Gonzalo Martinez-Navajas, Jose Manuel Sanchez-Manas, María Pilar Molina, Jiajun Xie, Inés Aznar-Peralta, Abel Garcia-Diaz, Sonia Perales, Carolina Torres, Maria J. Serrano and Pedro J. Real
Int. J. Mol. Sci. 2025, 26(7), 3264; https://doi.org/10.3390/ijms26073264 - 1 Apr 2025
Viewed by 475
Abstract
In the tumor context, platelets play a significant role in primary tumor progression, dissemination and metastasis. Analysis of this interaction in various cancers, such as non-small cell lung cancer (NSCLC), demonstrate that platelets can both transfer and receive biomolecules (e.g. RNA and proteins) [...] Read more.
In the tumor context, platelets play a significant role in primary tumor progression, dissemination and metastasis. Analysis of this interaction in various cancers, such as non-small cell lung cancer (NSCLC), demonstrate that platelets can both transfer and receive biomolecules (e.g. RNA and proteins) to and from the tumor at different stages, becoming tumor-educated platelets. To investigate how platelets are able to transfer oncogenic material, we developed in vitro platelet-like particles (PLPs), from a differentiated MEG-01 cell line, that stably carry RNA and protein of the KRASG12D oncogene in fusion with GFP. We co-cultured these PLPs with NSCLC H1975 tumor cells to assess their ability to transfer this material. We observed that the generated platelets were capable of stably expressing the oncogene and transferring both its RNA and protein forms to tumor cells using qPCR and imaging techniques. Additionally, we found that coculturing PLPs loaded with GFP-KRASG12D with tumor cells increased their proliferative capacity at specific PLP concentrations. In conclusion, our study successfully engineered an MEG-01 cell line to produce PLPs carrying oncogenic GFP-KRASG12D simulating the tumor microenvironment, demonstrating the efficient transfer of this oncogene to tumor cells and its significant impact on enhancing proliferation. Full article
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21 pages, 16306 KiB  
Article
Human Non-Small Cell Lung Cancer-Chicken Embryo Chorioallantoic Membrane Tumor Models for Experimental Cancer Treatments
by Jing Li, Tereza Brachtlova, Ida H. van der Meulen-Muileman, Stijn Kleerebezem, Chang Liu, Peiyu Li and Victor W. van Beusechem
Int. J. Mol. Sci. 2023, 24(20), 15425; https://doi.org/10.3390/ijms242015425 - 21 Oct 2023
Cited by 2 | Viewed by 2561
Abstract
To promote the preclinical development of new treatments for non-small cell lung cancer (NSCLC), we established NSCLC xenograft tumor assays on the chorioallantoic membrane (CAM) of chicken embryos. Five NSCLC cell lines were compared for tumor take rate, tumor growth, and embryo survival. [...] Read more.
To promote the preclinical development of new treatments for non-small cell lung cancer (NSCLC), we established NSCLC xenograft tumor assays on the chorioallantoic membrane (CAM) of chicken embryos. Five NSCLC cell lines were compared for tumor take rate, tumor growth, and embryo survival. Two of these, A549 and H460 CAM tumors, were histologically characterized and tested for susceptibility to systemic chemotherapy and gene delivery using viral vectors. All cell lines were efficiently engrafted with minimal effect on embryo survival. The A549 cells formed slowly growing tumors, with a relatively uniform distribution of cancer cells and stroma cells, while the H460 cells formed large tumors containing mostly proliferating cancer cells in a bed of vascularized connective tissue. Tumor growth was inhibited via systemic treatment with Pemetrexed and Cisplatin, a chemotherapy combination that is often used to treat patients with advanced NSCLC. Lentiviral and adenoviral vectors expressing firefly luciferase transduced NSCLC tumors in vivo. The adenovirus vector yielded more than 100-fold higher luminescence intensities after a single administration than could be achieved with multiple lentiviral vector deliveries. The adenovirus vector also transduced CAM tissue and organs of developing embryos. Adenovirus delivery to tumors was 100–10,000-fold more efficient than to embryo organs. In conclusion, established human NSCLC-CAM tumor models provide convenient in vivo assays to rapidly evaluate new cancer therapies, particularly cancer gene therapies. Full article
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