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Published on: February 6, 2019
Ras as a target in cancer therapy
Rachel S Midgley1, David J Kerr
1CRC Institute for Cancer Studies, University of Birmingham, Birmingham, B15 2TT, Edgbaston, UK. Midgleyrs@cancer.bham.ac.uk
Abstract:
Ras proteins are guanine nucleotide-binding proteins that are central to the control of normal and transformed cell growth and that are mutated in approximately 30% of human cancers. Binding of ligands to various growth factor receptors activates Ras and subsequently a plethora of downstream effectors including the Raf-1/mitogen-activated protein kinase pathway. For effective ras functioning and for transformation, Ras proteins must undergo post-translational modifications that facilitate their attachment to the plasma membrane. Farnesylation, catalysed by farnesyl protein transferase (FPT), is the first and the most important of these modifications; inhibition of which ablates ras activity, resulting in significant anti-proliferative effect in vitro and in human cancer xenograft models. FPT inhibitors are being assessed in a range of phase I and phase II trials, which incorporate both pharmacokinetic and dynamic end-points. In addition, ras mutations can also generate neo-epitopes for cytotoxic and helper T-cell recognition, rendering ras-mutated tumours a potential target for immunotherapy. Though their clinical evaluation is still in infancy, these two modes of ras targeting represent rational therapeutic strategies that can undergo mechanistic evaluation in the clinic.
Insights
Targeting Ras proteins, crucial in cancer cell growth, via farnesyl transferase inhibitors or immunotherapy shows promise. Inhibiting farnesylation halts Ras activity, reducing tumor growth, while mutations offer immunotherapy targets.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Ras proteins are key regulators of cell growth and are frequently mutated in human cancers.
- Ras activation initiates downstream signaling pathways, including the Raf-1/mitogen-activated protein kinase pathway.
- Post-translational modifications, such as farnesylation, are essential for Ras protein function and membrane localization.
Purpose of the Study:
- To explore therapeutic strategies targeting Ras proteins in cancer.
- To evaluate the efficacy of farnesyl protein transferase (FPT) inhibitors.
- To investigate the potential of immunotherapy for Ras-mutated tumors.
Main Methods:
- Inhibition of farnesyl protein transferase (FPT) to block Ras post-translational modification.
- Assessment of anti-proliferative effects in vitro and in human cancer xenograft models.
- Evaluation of Ras mutations as neo-epitopes for T-cell recognition in immunotherapy.
Main Results:
- Farnesylation inhibition effectively ablates Ras activity, leading to significant anti-proliferative effects.
- FPT inhibitors are undergoing clinical trials (Phase I and II) with pharmacokinetic and dynamic assessments.
- Ras mutations can create neo-epitopes, making Ras-mutated tumors potential targets for immunotherapy.
Conclusions:
- Targeting Ras post-translational modification via FPT inhibitors is a rational therapeutic strategy.
- Immunotherapy targeting Ras mutations presents a novel approach for cancer treatment.
- Both FPT inhibition and immunotherapy warrant further clinical evaluation for Ras-driven cancers.
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