Table 1: Mutated genes that cause lung cancer and best therapy for each mutated gene.

GENE MUTATED

LUNG CANCER CAUSED BY THIS MUTATION

BEST THERAPY

 

p53 genes

Half of lung cancer cases (microcellular lung cancer (70%) and adenoid lung cancer (33%)

Auranofin

EGFR mutation

10-15% of lung cancer generally appears in adenocarcinoma

Osimertinib and if resistance is developed use dabrafenib and trametinib

KRAS mutation

adenocarcinoma

trametinib/FGFR inhibitor

ALK mutation

5% percent of patients have NSCLC commonly adenocarcinoma

Lorlatinib (best results)

Alectinib (safest profile)

BRAF mutation

4% of NSCLC usually adenocarcinoma

Trametinib in combination with dabrafenib (BRAF inhibitor)

ROS1 oncogenic fusion

1%–2% of NSCLC and 4% of lung adenocarcinoma

Crizotinib

HER2 mutation

1–2% of lung adenocarcinomas

trastuzumab deruxtecan

Rearranged during transfection (RET) mutation

1%–2% of NSCLC patients are usually associated with female young Asian non-smokers patients

Pralsetinib and Selpercatinib

MET mutation

adenocarcinoma and squamous NSCLC and about 5% of lung cancer

Capmatinib

AKT1 mutation

0.69% of all squamous cell lung carcinoma

pan-AKT inhibitor AZD5363

FGFR1 amplification

20% of squamous cell cancers

combination therapy of FGFR/PLK1 inhibitors