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Small Cell Lung Cancer Entering the Sphere of Personalized Treatment

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 May 2025 | Viewed by 2214

Special Issue Editors


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Guest Editor
Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, Jaczewskiego Street 8, 20-954 Lublin, Poland
Interests: cancer; lung cancer; DNA; RNA; miRNA; epigenetics; NGS; molecular testing
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Pneumonology, Oncology and Allergology, Medical University in Lublin, 20-950 Lublin, Poland
Interests: lung cancer; oncology; NSCLC; non-small cell lung cancer; SCLC; small cell lung cancer; molecularly targeted therapy; immunotherapy; artificial intelligence

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Guest Editor
Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, 20-950 Lublin, Poland
Interests: lung cancer; oncology; NSCLC; non-small cell lung cancer; SCLC; small cell lung cancer; molecularly targeted therapy; immunotherapy

Special Issue Information

Dear Colleagues,

Small cell lung cancer (SCLC) is a subtype of lung cancer, which is the most malignant, rapidly progressive and poorly prognostic cancer of the thoracic region. Overall survival is short, and therapeutic options are few. Until recently, the only systemic treatment was chemotherapy, which can cause serious adverse effects and has limited efficacy.

Recently, it became possible to use immune checkpoint inhibitors (ICIs) in combination with chemotherapy in therapy of SCLC patients. This is a big progress in the treatment of small cell lung cancer, where until now not much has been done in terms of modern therapies. Almost in parallel, we have scientific reports regarding broad-spectrum genomic and transcriptomic analysis in SCLC. There have been tremendous molecular advances in SCLC, which may provide the basis for designing and implementing targeted therapies, both with monoclonal antibodies and small-molecule therapies.

We greatly encourage scientific discussion on this very timely, extremely all-important and necessary topic.

Dr. Anna Grenda
Dr. Michał Szczyrek
Dr. Izabela Chmielewska
Guest Editors

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Keywords

  • small cell lung cancer
  • SCLC
  • pathological subtypes
  • molecular subtypes
  • DNA
  • RNA
  • NGS
  • next-generation sequencing transcriptome
  • mutations
  • molecular analysis

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Published Papers (1 paper)

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Review

15 pages, 1009 KiB  
Review
Transitioning to a Personalized Approach in Molecularly Subtyped Small-Cell Lung Cancer (SCLC)
by Anna Grenda, Paweł Krawczyk, Adrian Obara, Łukasz Gajek, Aleksandra Łomża-Łaba and Janusz Milanowski
Int. J. Mol. Sci. 2024, 25(8), 4208; https://doi.org/10.3390/ijms25084208 - 10 Apr 2024
Cited by 2 | Viewed by 1896
Abstract
Lung cancer has become a major public health concern, standing as the leading cause of cancer-related deaths worldwide. Among its subtypes, small-cell lung cancer (SCLC) is characterized by aggressive and rapid growth, poor differentiation, and neuroendocrine features. Typically, SCLC is diagnosed at an [...] Read more.
Lung cancer has become a major public health concern, standing as the leading cause of cancer-related deaths worldwide. Among its subtypes, small-cell lung cancer (SCLC) is characterized by aggressive and rapid growth, poor differentiation, and neuroendocrine features. Typically, SCLC is diagnosed at an advanced stage (extensive disease, ED-SCLC), with distant metastases, and is strongly associated with tobacco smoking and has a poor prognosis. Recent clinical trials, such as CASPIAN and IMpower133, have demonstrated promising outcomes with the incorporation of immune checkpoint inhibitors in first-line chemotherapy, leading to prolonged progression-free survival and overall survival in patients with ED-SCLC compared to standard chemotherapy. Other studies have emphasized the potential for future development of molecularly targeted therapies in SCLC patients, including inhibitors of IGF-1R, DLL3, BCL-2, MYC, or PARP. The molecular subdivision of SCLC based on transcriptomic and immunohistochemical analyses represents a significant advancement in both diagnostic and clinical approaches in SCLC patients. Specific molecular pathways are activated within distinct transcriptome subtypes of SCLC, offering the potential for personalized treatment strategies, such as targeted therapies and immunotherapies. Such tailored approaches hold promise for significantly improving outcomes in SCLC patients. Full article
(This article belongs to the Special Issue Small Cell Lung Cancer Entering the Sphere of Personalized Treatment)
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