# Multi-omics integration in deciphering non-small cell lung cancer drug resistance: current status, challenges, and future prospects

**Authors:** Jidong Miao, Wenqiang Guan, Jing Wang, Huiying Gong, Qian Xie, Yang Gao

PMC · DOI: 10.1186/s41065-025-00570-w · Hereditas · 2026-02-02

## TL;DR

This paper reviews how combining different types of biological data helps understand and overcome drug resistance in non-small cell lung cancer.

## Contribution

The paper highlights novel strategies using multi-omics integration to identify drug resistance mechanisms and potential therapeutic targets in NSCLC.

## Key findings

- Multi-omics integration reveals molecular networks and key biomarkers of drug resistance in NSCLC.
- Small-molecule inhibitors and combination therapies guided by multi-omics data can reverse resistance.
- Future efforts should focus on AI-driven analysis and personalized medicine based on multi-omics data.

## Abstract

Lung cancer is the leading cause of cancer-related deaths globally. Non-small cell lung cancer (NSCLC) accounts for approximately 85% of all lung cancer cases, and drug resistance severely undermines treatment efficacy. This review summarizes recent advances in elucidating NSCLC drug-resistance mechanisms using multi-omics integration. Multi-omics integration systematically reveals the molecular networks of drug resistance, identifies key biomarkers and targets, and facilitates the screening of high-priority candidates for drug development through experimental validation. Small-molecule inhibitors targeting drug-resistant proteins and multi-omics-guided combination therapies offer strategies to reverse resistance. Future directions involve developing simultaneous multi-omics detection technologies, leveraging artificial intelligence for intelligent data analysis, establishing standardized frameworks for data sharing, and implementing personalized medicine based on multi-omics to improve patient prognosis.

## Linked entities

- **Diseases:** non-small cell lung cancer (MONDO:0005233), lung cancer (MONDO:0005138)

## Full-text entities

- **Genes:** EGFR (epidermal growth factor receptor) [NCBI Gene 1956] {aka ERBB, ERBB1, ERRP, HER1, NISBD2, NNCIS}, ABCB1 (ATP binding cassette subfamily B member 1) [NCBI Gene 5243] {aka ABC20, CD243, CLCS, ENPAT, GP170, MDR1}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, KRAS (KRAS proto-oncogene, GTPase) [NCBI Gene 3845] {aka 'C-K-RAS, C-K-RAS, CFC2, K-RAS2A, K-RAS2B, K-RAS4A}, PPARGC1A (PPARG coactivator 1 alpha) [NCBI Gene 397013] {aka PGC1, PGC1A, PPARGC-1, PPARGC1}, EPHB2 (EPH receptor B2) [NCBI Gene 2048] {aka BDPLT22, CAPB, DRT, EK5, EPHT3, ERK}, AXL (AXL receptor tyrosine kinase) [NCBI Gene 558] {aka ARK, AXL3, JTK11, Tyro7, UFO}, FOXO1 (forkhead box O1) [NCBI Gene 2308] {aka FKH1, FKHR, FOXO1A}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, TYMS (thymidylate synthetase) [NCBI Gene 7298] {aka DKCD, HST422, TMS, TS}, ARG1 (arginase 1) [NCBI Gene 383], ALK (ALK receptor tyrosine kinase) [NCBI Gene 238] {aka ALK1, CD246, NBLST3}, GSTK1 (glutathione S-transferase kappa 1) [NCBI Gene 373156] {aka GST, GST 13-13, GST13, GST13-13, GSTK1-1, hGSTK1}, CXCL10 (C-X-C motif chemokine ligand 10) [NCBI Gene 3627] {aka C7, IFI10, INP10, IP-10, SCYB10, crg-2}, ATM (ATM serine/threonine kinase) [NCBI Gene 472] {aka AT1, ATA, ATC, ATD, ATDC, ATE}, ELAVL1 (ELAV like RNA binding protein 1) [NCBI Gene 1994] {aka ELAV1, HUR, Hua, MelG}, RASSF1 (Ras association domain family member 1) [NCBI Gene 11186] {aka 123F2, NORE2A, RASSF1A, RDA32, REH3P21}, HK2 (hexokinase 2) [NCBI Gene 3099] {aka HKII, HXK2}, GDF15 (growth differentiation factor 15) [NCBI Gene 9518] {aka GDF-15, HG, MIC-1, MIC1, NAG-1, PDF}, PGP (phosphoglycolate phosphatase) [NCBI Gene 283871] {aka AUM, G3PP, PGPase}, CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, ERCC1 (ERCC excision repair 1, endonuclease non-catalytic subunit) [NCBI Gene 100286808], SLTM (SAFB like transcription modulator) [NCBI Gene 79811] {aka Met}, ABCC1 (ATP binding cassette subfamily C member 1 (ABCC1 blood group)) [NCBI Gene 4363] {aka ABC29, ABCC, DFNA77, GS-X, MRP, MRP1}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, SELENOP (selenoprotein P) [NCBI Gene 6414] {aka SELP, SEPP, SEPP1, SeP}, FASN (fatty acid synthase) [NCBI Gene 397561], TFRC (transferrin receptor) [NCBI Gene 7037] {aka CD71, IMD46, T9, TFR, TFR1, TR}, SLC7A11 (solute carrier family 7 member 11) [NCBI Gene 23657] {aka CCBR1, xCT}, ATR (ATR checkpoint kinase) [NCBI Gene 545] {aka FCTCS, FRP1, MEC1, SCKL, SCKL1}, SNCA (synuclein alpha) [NCBI Gene 6622] {aka NACP, PARK1, PARK4, PD1}, ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, MYCN (MYCN proto-oncogene, bHLH transcription factor) [NCBI Gene 4613] {aka FGLDS1, MODED, MPAPA, MYCNsORF, MYCNsPEP, N-myc}, CCL23 (C-C motif chemokine ligand 23) [NCBI Gene 6368] {aka CK-BETA-8, CKb8, Ckb-8, Ckb-8-1, MIP-3, MIP3}, PTEN (phosphatase and tensin homolog) [NCBI Gene 5728] {aka 10q23del, BZS, CWS1, DEC, GLM2, MHAM}, CD28 (CD28 molecule) [NCBI Gene 940] {aka IMD123, Tp44}, PKM (pyruvate kinase M1/2) [NCBI Gene 5315] {aka CTHBP, HEL-S-30, OIP3, PK3, PKM2, TCB}, BCL2 (BCL2 apoptosis regulator) [NCBI Gene 596] {aka Bcl-2, PPP1R50}, BRAF (B-Raf proto-oncogene, serine/threonine kinase) [NCBI Gene 673] {aka B-RAF1, B-raf, BRAF-1, BRAF1, NS7, RAFB1}, SLC19A1 (solute carrier family 19 member 1) [NCBI Gene 6573] {aka CHMD, FOLT, IFC-1, IFC1, IMD114, MEGAF}, MIR34A (microRNA 34a) [NCBI Gene 407040] {aka MIRN34A, miRNA34A, mir-34, mir-34a}, GPX4 (glutathione peroxidase 4) [NCBI Gene 2879] {aka GPx-4, GSHPx-4, MCSP, PHGPx, SMDS, snGPx}, USP7 (ubiquitin specific peptidase 7) [NCBI Gene 7874] {aka C16DELp13.2, DEL16P13.2, HAFOUS, HAUSP, TEF1}
- **Diseases:** multidrug (MESH:D018088), tumorigenesis (MESH:D063646), lung adenocarcinoma (MESH:D000077192), metastasis (MESH:D009362), fibrosis (MESH:D005355), Cancer (MESH:D009369), Lung cancer (MESH:D008175), hypoxic (MESH:D002534), toxicities (MESH:D064420), SCLC (MESH:D055752), NSCLC (MESH:D002289)
- **Chemicals:** afatinib (MESH:D000077716), dacomitinib (MESH:C525726), pemetrexed (MESH:D000068437), acetyl-CoA (MESH:D000105), carboplatin (MESH:D016190), Osimertinib (MESH:C000596361), gefitinib (MESH:D000077156), icotinib (MESH:C531470), nucleotide (MESH:D009711), docetaxel (MESH:D000077143), furmonertinib (MESH:C000705711), cisplatin (MESH:D002945), YK-029A (-), glutamine (MESH:D005973), almonertinib (MESH:C000718108), lactate (MESH:D019344), alectinib (MESH:C582670), paclitaxel (MESH:D017239), crizotinib (MESH:D000077547), alpha-ketoglutarate (MESH:D007656), TCA (MESH:D014238), lipid (MESH:D008055), glutamate (MESH:D018698), verapamil (MESH:D014700), trastuzumab (MESH:D000068878), Platinum (MESH:D010984), taxane (MESH:C080625), erlotinib (MESH:D000069347)
- **Species:** Homo sapiens (human, species) [taxon 9606], Mus musculus (house mouse, species) [taxon 10090]
- **Mutations:** AUC of 0, L1196M, T790 M, G12C, C797S

## Full text

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## References

16 references — full list in the complete paper: https://tomesphere.com/paper/PMC12862923/full.md

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Source: https://tomesphere.com/paper/PMC12862923