Lung cancer is the leading cause of cancer-related mortality in men and wom
en in the United States, in part, because of the poor treatment options ava
ilable. New treatment strategies that specifically target discreet steps in
the molecular and cellular pathogenesis of this disease are under developm
ent. This review highlights many of the basic defects that result in the ce
llular transformation and subsequent progression of lung cancer, and how th
e understanding of those fundamental defects lead to the formulation of rat
ional gene-based or cell-based therapies.