Oncotarget cover image

Oncotarget

A Rare Genetic Shift That Helped Lung Cancer Evade Treatment

Mar 11, 2025
Dr. Wade T. Iams, a researcher from the Vanderbilt Ingram Cancer Society Center, dives into the complexities of lung cancer treatment. He discusses a groundbreaking case where a patient developed resistance to lorlatinib due to a rare genetic alteration, RUFY1-RET. This revelation emphasizes the critical role of advanced genetic testing and the necessity for personalized cancer treatments. As cancer evolves, understanding resistance mechanisms becomes vital for effective precision oncology.
06:06

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • The identification of the RUFY1-RET rearrangement reveals a significant mechanism by which lung cancer can develop resistance to targeted therapies like lorlatinib.
  • The case underscores the critical need for advanced genetic testing in personalized cancer treatment, as standard methods may overlook crucial mutations.

Deep dives

Mechanism of Resistance in Lung Cancer Treatment

A rare genetic alteration called the RU-F1 rearrangement was identified as a mechanism allowing lung cancer to develop resistance to lorlatinib, a targeted therapy for non-small cell lung cancer (NSCLC). This case involved a 42-year-old patient with advanced NSCLC, initially responding well to treatments like intrectinib and lorlatinib before his cancer began to progress. Through RNA next-generation sequencing, clinicians discovered a previously unknown RUFY1-RET fusion mutation, marking the first documented instance of a RET fusion contributing to resistance against ROS1 inhibitors. This finding emphasizes the necessity of advanced genetic testing for personalized cancer treatment, as standard DNA testing failed to detect this critical mutation.

Get the Snipd
podcast app

Unlock the knowledge in podcasts with the podcast player of the future.
App store bannerPlay store banner

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode

Save any
moment

Hear something you like? Tap your headphones to save it with AI-generated key takeaways

Share
& Export

Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode