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1 ALK receptor tyrosine kinase has been shown to be a ther
2 ALK was first identified in a subset of T-cell lymphomas
3 ALK(F1174L) induces NEFM, RET, and VACHT and results in
4 ALK, ROS1 and RET gene fusions are important predictive
5 ALK-rearranged non-small-cell lung cancer (NSCLC) is sen
7 as reported in 15 (79% [95% CI 54-94]) of 19 ALK inhibitor-naive patients and in 49 (65% [54-76]) of
8 rating keratoplasty (date range, 1992-2013), ALK (date range, 2002-2013), and Descemet's stripping au
9 ell lung cancer line (H3122) to a panel of 4 ALK TKIs, and performed a collateral sensitivity analysi
12 as reported in 60 (72% [95% CI 61-82]) of 83 ALK inhibitor-naive patients and 92 (56% [49-64]) of 163
15 circulating tumor cells (CTC) with aberrant ALK-FISH patterns [ALK-rearrangement, ALK-copy number ga
18 xpectedly, long-term expression of activated ALK(F1174L) leads to cell-cycle arrest and promotes diff
19 Alectinib--a highly selective, CNS-active, ALK inhibitor-showed promising clinical activity in criz
20 lation study, eligible patients had advanced ALK-positive or ROS1-positive NSCLC and were older than
21 racranial activity in patients with advanced ALK-positive or ROS1-positive NSCLC, most of whom had CN
23 agent chemotherapy in patients with advanced ALK-rearranged non-small-cell lung cancer who had previo
27 ted bypass signaling has been reported after ALK and ROS1 blockade, our results extended this effect
28 tor with potent preclinical activity against ALK mutants resistant to crizotinib and other ALK inhibi
31 To address this, we evolved resistance in an ALK rearranged non-small cell lung cancer line (H3122) t
33 bly, TGF-beta2 controls furin activity in an ALK-5-dependent manner involving the ERK/MAPK pathway.
35 equencing of the resistant tumor revealed an ALK L1198F mutation in addition to the C1156Y mutation.
36 d that gene mutations for EGFR (P = .02) and ALK (P < .001) were associated with cancer diagnosis at
37 tin/DNA damage regulator mutations (21%) and ALK translocation (2%) distinguish additional cases.
39 he DS-GPA index plus 2 new factors: EGFR and ALK alterations in patients with adenocarcinoma (mutatio
41 dulated the response to BRAF, MEK, EGFR, and ALK inhibition in BRAF-, NRAS-, KRAS-, EGFR-, and ALK-mu
44 le-associated protein-like 4 (EML4) gene and ALK lead to an inversion of genetic material that forms
47 trate that concurrent inhibition of MDM2 and ALK was able to overcome ceritinib resistance conferred
48 gh rates of response seen in EGFR mutant and ALK-translocated lung cancers treated with epidermal gro
49 LC (excluding sensitizing EGFR mutations and ALK gene fusions) refractory to more than one prior ther
52 ighly active in both ALK inhibitor-naive and ALK inhibitor-pretreated patients who had progressed aft
54 ritinib in both ALK inhibitor-pretreated and ALK inhibitor-naive patients with ALK-rearranged NSCLC.
55 ilure of first line ALK TKI therapy, another ALK TKI is administered, though collateral sensitivity i
56 nd therapeutic effectiveness of FDA-approved ALK inhibitors indicated that EML4-ALK is a driving fact
57 egions and clinically relevant genes such as ALK, CSF1R, and CD274/PD-L1 The over 1,000 genetic alter
58 pies, towards oncogenic driver genes such as ALK-EML4, to overcome the inevitable resistance that dev
59 ell lines with wild type ALK (WT) as well as ALK activating mutations (F1174L and D1091N) by blocking
60 d 2 (entrectinib), a potent orally available ALK inhibitor active on ALK-dependent cell lines, effici
61 novel ALK fusions in a neuroblastoma (BEND5-ALK) and an astrocytoma (PPP1CB-ALK), novel BRAF fusions
62 b has been shown to be highly active in both ALK inhibitor-naive and ALK inhibitor-pretreated patient
63 ess whole-body activity of ceritinib in both ALK inhibitor-pretreated and ALK inhibitor-naive patient
66 olled patients in phase 2 into five cohorts: ALK inhibitor-naive ALK-rearranged NSCLC (cohort 1), cri
68 Rac1 have nonredundant roles in controlling ALK-rearranged lymphoma survival and morphology but are
73 reflex molecular profile, includingKRAS,EGFR,ALK,BRAF,HER2,RET,MET, andROS, did not reveal an actiona
74 arcinoma (without positive markers, eg, EGFR/ALK /ROS1), if the patient has high programmed death lig
78 d the known fusion oncogenes, BCR-ABL1, EML4-ALK, and ETV6-NTRK3, as well as 20 previously uncharacte
81 that forms the non-natural gene fusion EML4-ALK encoding a constitutively active tyrosine kinase tha
82 nical study showed that NSCLC harboring EML4-ALK rearrangements displayed higher glucose metabolism c
84 tein-like 4-anaplastic lymphoma kinase (EML4-ALK) fusion protein is found in approximately 3-7% of no
88 urrent work, we presented evidence that EML4-ALK is coupled to overexpression of hexokinase II (HK2),
89 We also resolve the structure of the EML4-ALK gene fusion in the NCI-H2228 cancer cell line using
95 he discovery of the clinical stage, dual FAK/ALK inhibitor 27b, including details surrounding SAR, in
97 activity of crizotinib (Xalkori), the first ALK inhibitor approved in 2011, the emergence of resista
99 t extravasation of neutrophils deficient for ALK-5 or TGF-betaRII was strongly increased in the inter
100 he clinical application of targeting JAK for ALK- ALCL, we treated ALK- cell lines of various histolo
101 y a differentiated phenotype but differ from ALK-expressing neurons by the upregulation of SKP2, CCNA
103 al of 90 patients with brain metastases from ALK-rearranged NSCLC were identified from six institutio
105 ns [ALK-rearrangement, ALK-copy number gain (ALK-CNG)] monitored on crizotinib could predict progress
106 tumor did not respond to a second-generation ALK inhibitor, but it did respond to lorlatinib (PF-0646
107 available TKIs, including second-generation ALK TKIs, and is being investigated in a phase 3 randomi
110 TP53 wild-type neuroblastoma cells harboring ALK amplification or mutations in vitro, and resulted in
111 non-small cell lung cancer (NSCLC) harboring ALK rearrangements, demonstrates striking efficacy again
117 ovo in neuroblastoma (NB) and is acquired in ALK translocation-driven cancers, lending impetus to the
119 discover biomarkers and/or genes involved in ALK-negative ALCL pathogenesis, we applied the cancer ou
120 acquired resistance to TAE684 and LDK378 in ALK(F1174L)-driven human NB cells that is linked to over
121 survival was 18.4 months (95% CI 11.1-NE) in ALK inhibitor-naive patients and 6.9 months (5.6-8.7) in
122 0 months (95% CI 11.3-non-estimable [NE]) in ALK inhibitor-naive patients and 8.3 months (6.8-9.7) in
123 elevant example of this phenomenon occurs in ALK-positive non-small cell lung cancer, where targeted
124 wever, their role and possible redundancy in ALK-driven lymphoma development in vivo are still undete
125 udy shows how the evolution of resistance in ALK-positive lung cancer is a dynamic process through ti
127 de of clinical response are unpredictable in ALK-rearranged non-small cell lung cancer (NSCLC) patien
128 age and had advanced malignancies, including ALK-rearranged NSCLC, and disease that was refractory to
129 sensitive to ALK tyrosine kinase inhibitors (ALK inhibitors) such as crizotinib, but resistance invar
130 nd 14 patients with metastatic or inoperable ALK-positive IMT received crizotinib orally twice daily.
131 Brigatinib (AP26113) is an investigational ALK inhibitor with potent preclinical activity against A
132 udy in untreated patients with stage IIIB/IV ALK-rearranged non-squamous NSCLC was done in 134 centre
133 s aged 18 years or older with stage IIIB-IV, ALK-positive NSCLC who had progressed after crizotinib.
134 of broad inhibition of activin-like kinase (ALK) receptors 4/5/7 recognizing TGF-beta, activin, grow
135 angements in the anaplastic lymphoma kinase (ALK) gene associated with ALK-positive non-small-cell lu
136 positive for an anaplastic lymphoma kinase (ALK) gene rearrangement using fluorescence in situ hybri
138 rally related to anaplastic lymphoma kinase (ALK) inhibitor 1 were optimized for metabolic stability.
139 next-generation anaplastic lymphoma kinase (ALK) inhibitor, which has shown robust anti-tumour effic
144 d with activated anaplastic lymphoma kinase (ALK) is sufficient to induce neuroblastoma (NB) in mouse
148 cally related to anaplastic lymphoma kinase (ALK), and is undergoing Phase I/II clinical trial invest
149 al activation of anaplastic lymphoma kinase (ALK), which promotes progression to NB, but the role of
151 o had metastatic anaplastic lymphoma kinase (ALK)-rearranged lung cancer, resistance to crizotinib de
152 s with untreated anaplastic lymphoma kinase (ALK)-rearranged non-small-cell lung cancer (NSCLC) is no
153 st patients with anaplastic lymphoma kinase (ALK)-rearranged or ROS proto-oncogene 1 (ROS1)-rearrange
155 zotinib (inhibitors of IGF-1R, Src and c-Met/ALK, respectively) led to synergistic effects in some of
156 ombinatorial therapeutic efficacy of the MET/ALK inhibitor crizotinib, with either a pan-class I PI3K
157 astic large cell lymphoma (ALCL) morphology (ALK+ ALCL), the vast majority of which harbor the well-c
158 assays and demonstrated efficacy in multiple ALK+ xenografts in mice, including Karpas-299 (anaplasti
160 lular and molecular effects elicited by MYCN/ALK cooperation, we used cultures of chick sympathetic n
164 neuroblast proliferation downstream of MYCN/ALK, which may represent an early step toward tumorigene
167 ase 2 into five cohorts: ALK inhibitor-naive ALK-rearranged NSCLC (cohort 1), crizotinib-treated ALK-
168 displayed low nanomolar IC50s against native ALK and all tested clinically relevant ALK mutants in bo
171 tablet (MK-8237; Merck & Co, Kenilworth, NJ/ALK-Abello, Horsholm, Denmark) has demonstrated benefici
180 Many genes and proteins modulated by NPM-ALK are also involved in evasion of antitumor immune res
181 el actin signaling pathways regulated by NPM-ALK, a comprehensive phosphoproteome analysis of ALCL ce
186 that in ALK-rearranged ALCL cell lines, NPM-ALK was distributed in equal amounts between the cytopla
187 hese findings indicate that an excess of NPM-ALK activation and signaling induces apoptosis via oncog
191 ical studies indicate that inhibition of NPM-ALK induces long-lasting complete remissions in a large
192 Overexpression or relocalization of NPM-ALK to the cytoplasm by NPM genetic knockout or knockdow
200 trategy to enhance the antitumor activity of ALK inhibitor monotherapy in human neuroblastoma cell li
201 fails to effectively inhibit the activity of ALK when activating mutations are present within its kin
206 ot survival, whereas long-term expression of ALK(F1174L) elicits cell-cycle exit, differentiation, an
207 for tumor cell survival in diverse forms of ALK- ALCL, even in the presence of JAK1/STAT3 mutations.
209 erein, we report that combined inhibition of ALK and MDM2 induced a complementary set of anti-prolife
211 ly deleted Cdc42 or Rac1 in a mouse model of ALK-rearranged ALCL to show that either Cdc42 or Rac1 de
212 cant association between baseline numbers of ALK-rearranged or ALK-CNG CTCs and PFS was observed.
213 its promoter region, and the distal part of ALK, including the coding sequence for the entire kinase
216 ined by mutually exclusive rearrangements of ALK, DUSP22/IRF4, and TP63 Genetic alterations affecting
218 t of an EMT phenotype underlie resistance of ALK(F1174L)-driven NB cells to TAE684 and its derivative
221 conclusion, we identified a new subclass of ALK-negative ALCL characterized by aberrant expression o
222 sults show that WASp is a novel substrate of ALK and has a critical role in regulating invasiveness a
223 Residual tumor burden following treatment of ALK or ROS1(+) lung cancer patients with oncogene-target
224 d is in clinical trials for the treatment of ALK positive or ROS1 positive NSCLC (i.e. specific subse
226 ent orally available ALK inhibitor active on ALK-dependent cell lines, efficiently penetrant the bloo
228 on-squamous NSCLC without targetable EGFR or ALK genetic aberrations were randomly assigned (1:1) in
229 ublet therapy or 3 or more months of EGFR or ALK inhibitors for patients with EGFR mutations or ALK r
230 al Application: Patients with EGFR-mutant or ALK-positive non-small-cell lung cancer with brain metas
238 cells (CTC) with aberrant ALK-FISH patterns [ALK-rearrangement, ALK-copy number gain (ALK-CNG)] monit
239 ighly potent, selective, and brain-penetrant ALK and ROS1 TKI with preclinical activity against most
240 nificant clinical benefit from a more potent ALK inhibitor after failure of crizotinib, and establish
242 stoma (BEND5-ALK) and an astrocytoma (PPP1CB-ALK), novel BRAF fusions in an astrocytoma (BCAS1-BRAF)
245 errant ALK-FISH patterns [ALK-rearrangement, ALK-copy number gain (ALK-CNG)] monitored on crizotinib
247 study, 26 patients with relapsed/refractory ALK-positive ALCL and 14 patients with metastatic or ino
248 ative ALK and all tested clinically relevant ALK mutants in both enzyme-based biochemical and cell-ba
250 trial in patients with crizotinib-resistant ALK-rearranged NSCLC is prospectively assessing the safe
251 ylaminopyrimidine-based potent and selective ALK inhibitors culminating in identification of the inve
252 rity of hereditary neuroblastoma and somatic ALK activating mutations are also frequently observed in
255 utations (F1174L and D1091N) by blocking the ALK-mediated PI3K/AKT/mTOR pathway and ultimately induce
258 of 5a led to significant differences in the ALK potency and altered the protein structure of ALK.
261 arch for a recently validated isoform of the ALK gene and characterized the potential functional impl
267 an NPM-ALK-amplified cell lines resistant to ALK tyrosine kinase inhibitors (TKIs) underwent apoptosi
268 all-cell lung cancer (NSCLC) is sensitive to ALK tyrosine kinase inhibitors (ALK inhibitors) such as
269 rranged NSCLC (cohort 1), crizotinib-treated ALK-rearranged NSCLC (cohort 2), EGFR(T790M)-positive NS
270 , and crizotinib-naive or crizotinib-treated ALK-rearranged NSCLC with active, measurable, intracrani
271 n of targeting JAK for ALK- ALCL, we treated ALK- cell lines of various histological origins with JAK
272 roliferation of NB cell lines with wild type ALK (WT) as well as ALK activating mutations (F1174L and
274 ing keratoplasty (PK) (adjusted HR, 1.12 vs. ALK and 1.10 vs. EK; P < 0.001), postoperative lens stat
276 dose of lorlatinib, including 41 (77%) with ALK-positive and 12 (23%) with ROS1-positive NSCLC; one
278 ate analysis, the dynamic change of CTC with ALK-CNG was the strongest factor associated with PFS (HR
279 e dynamic change in the numbers of CTCs with ALK-CNG may be a predictive biomarker for crizotinib eff
282 tion between the decrease in CTC number with ALK-CNG on crizotinib and a longer PFS (likelihood ratio
283 le patients were aged 18 years or older with ALK-rearranged locally advanced or metastatic cancer tha
285 efficacy of ALK inhibitors in patients with ALK-mutant neuroblastoma is limited, highlighting the ne
286 ld be a suitable treatment for patients with ALK-positive disease who have progressed on crizotinib.
287 vity and was well tolerated in patients with ALK-positive NSCLC who had progressed on crizotinib.
288 ctive therapeutic strategy for patients with ALK-positive NSCLC who have become resistant to currentl
289 y and efficacy of alectinib in patients with ALK-positive NSCLC who progressed on previous crizotinib
290 naive and crizotinib-resistant patients with ALK-rearranged (ALK-positive) non-small-cell lung cancer
291 ors and determine outcomes for patients with ALK-rearranged non-small-cell lung cancer (NSCLC) and br
293 o assess ceritinib activity in patients with ALK-rearranged NSCLC and brain or leptomeningeal metasta
294 updated analysis includes all patients with ALK-rearranged NSCLC given oral ceritinib at the recomme
295 All eight crizotinib-naive patients with ALK-rearranged NSCLC had a confirmed objective response
296 or treatment with ceritinib in patients with ALK-rearranged NSCLC who have received crizotinib, or as
299 cruited patients aged at least 18 years with ALK-rearranged stage IIIB or IV non-small-cell lung canc
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