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[Development of farsenyl transferase inhibitors as anticancer agents]
Ph Cestac1, S Doisneau-Sixou, G Favre
1Inserm U563, Département innovation thérapeutique et oncologie moléculaire, F31052 Toulouse, France.
Abstract:
Ras proteins belong to the monomeric GTPases familly. They control cell growth, differentiation, proliferation, and survival. Ras mutations are frequently found in human cancers and play a fundamental role in tumorigenesis. Ras requires localization to the plasma membrane to exert its oncogenic effects. This subcelllular localization is dependent of protein farnesylation which is a post translational modification catalysed by the farnesyl transferase enzyme. Farnesyl transferase Inhibitors (FTI) were then designed ten to twelve years ago to inhibit ras processing and consequently the growth of ras mutated tumor. Preclinical data show that FTIs inhibit cell proliferation and survival in vitro and in vivo of a wide range of cancer cell lines, many of which contain wild type ras suggesting that mutated Ras is not the only target of the FTIs effects. Four FTIs went then through clinical trials and three of then are still developed in the clinic. Phase I et II clinical trials confirmed a relevant antitumor activity and a low toxicity. Phase III clinical trials are currently undergoing for both solid and hematologic tumors. The expected results should allow to define the position of FTIs as anticancer drugs, particularly in combination with conventional chemotherapy, hormone therapy, radiotherapy or any other new targeted compound.
Insights
Farnesyl transferase inhibitors (FTIs) target Ras protein processing, crucial for cancer cell growth. Clinical trials show FTIs possess significant antitumor activity and low toxicity, positioning them as promising cancer therapeutics.
Area of Science:
- Molecular Biology
- Oncology
- Biochemistry
Context:
- Ras proteins, key regulators of cell signaling, are frequently mutated in human cancers.
- Ras oncogenic activity depends on plasma membrane localization, mediated by farnesylation.
- Farnesyl transferase inhibitors (FTIs) were developed to block Ras processing and tumor growth.
Purpose:
- To investigate the therapeutic potential of Farnesyl transferase Inhibitors (FTIs) in cancer treatment.
- To evaluate the efficacy and safety of FTIs in preclinical and clinical settings.
- To determine the role of FTIs in targeting Ras-driven tumorigenesis.
Summary:
- Ras proteins are monomeric GTPases controlling cell growth and survival; mutations drive tumorigenesis.
- Protein farnesylation, catalyzed by farnesyl transferase, is essential for Ras membrane localization and oncogenic function.
- FTIs inhibit Ras processing, showing preclinical efficacy against diverse cancer cell lines, including those with wild-type Ras.
- Phase I/II clinical trials demonstrate significant antitumor activity and low toxicity for FTIs.
- Ongoing Phase III trials will define FTIs' role in treating solid and hematologic tumors, potentially in combination therapies.
Impact:
- FTIs exhibit broad-spectrum anticancer activity, impacting both mutated and wild-type Ras pathways.
- Clinical development of FTIs shows promise for a new class of anticancer drugs.
- FTIs may enhance conventional cancer therapies, offering new combination treatment strategies.
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