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ROS-1

ROS-1 occur in 1% NSCLC

Similar to ALK rearrangements more

common: never/light smokers and Adeno

Kinase Domaine of ALK and ROS1 share

77% amino acid identity within ATP binding

sites (main change Val to Leu codon 1180

ALK and codon 2010 ROS)

Those fact give more direct contact with

Crizotinib and then more tightly binds to

ROS1 (0.4 nM to 4.4 nM of ALK)

In ROS1 cell lines Crizotinib blocked cell

viability