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Published on: January 18, 2017
Farnesyl transferase inhibitors--a novel therapy for breast cancer
1Royal Marsden Hospital and Institute of Cancer Research, Fulham Road, London SW3 6JJ, UK. stephen@icr.ac.uk
Abstract:
Inhibitors of the enzyme farnesyl protein transferase prevent a key step in the post-translational processing of the Ras protein, and were developed initially as a therapeutic strategy to inhibit cell signalling in ras-transformed cells. As more has been learnt about the biological effects of farnesyl transferase inhibitors (FTIs) on cancer cells, it is clear that tumours without oncogenic ras mutations such as breast cancer may also be targets for FTI therapy. This article reviews the rationale for the development of FTIs, focussing on early preclinical data in breast cancer models together with preliminary results from the first phase II study of an FTI in advanced breast cancer.
Insights
Farnesyl transferase inhibitors (FTIs) target Ras protein processing and show promise for treating cancers, including breast cancer, even without specific Ras mutations. Early studies suggest FTIs could be a viable therapeutic strategy for advanced breast cancer.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Farnesyl protein transferase inhibitors (FTIs) were initially developed to block Ras protein signaling in cancer.
- Ras protein post-translational modification is a key step in cell signaling pathways.
Purpose of the Study:
- To review the rationale for FTI development.
- To explore FTIs as a therapeutic strategy for breast cancer, including tumors without Ras mutations.
- To present preclinical data and preliminary Phase II study results in advanced breast cancer.
Main Methods:
- Review of preclinical data in breast cancer models.
- Analysis of preliminary results from a Phase II clinical study of an FTI in advanced breast cancer.
Main Results:
- FTIs impact on cancer cells extends beyond Ras-transformed cells.
- Preclinical data supports FTI efficacy in breast cancer models.
- Phase II study provides preliminary evidence for FTI activity in advanced breast cancer.
Conclusions:
- FTIs represent a potential therapeutic approach for breast cancer, irrespective of Ras mutation status.
- Further investigation into FTIs for breast cancer treatment is warranted based on early findings.
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