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Published on: September 30, 2016
Therapeutic modulation of k-ras signaling in colorectal cancer
Lisanne L Krens1, Jara M Baas, Hans Gelderblom
1Department of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
Abstract:
KRAS has an important role in colorectal carcinogenesis and mutant KRAS leads to a permanently activated k-ras protein. To exert its biological activity, k-ras requires post-translational modification by prenylation. K-ras modulation has become a promising concept for new therapies, mostly by interference with the mevalonate pathway and subsequently by the prenylation of k-ras. Clinical data of agents interfering with the mevalonate pathway and the prenylation of ras are summarized and suggest that these agents might be effective when administered in combination with anticancer drugs that target k-ras. Here, we discuss the novel concept that modulation of k-ras might potentiate EGFR therapy by altering the KRAS phenotype.
Insights
Mutant KRAS drives colorectal cancer. Inhibiting k-ras prenylation via the mevalonate pathway may enhance anti-cancer drugs and potentiate EGFR therapy by altering KRAS phenotype.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- KRAS mutations are key drivers in colorectal cancer development.
- Activated k-ras protein requires prenylation for its biological activity.
- K-ras modulation is a potential therapeutic strategy.
Purpose of the Study:
- To summarize clinical data on agents targeting the mevalonate pathway and k-ras prenylation.
- To explore the concept of modulating k-ras to enhance EGFR therapy.
Main Methods:
- Review of clinical data for agents interfering with the mevalonate pathway.
- Discussion of the mechanism of k-ras prenylation.
- Analysis of potential therapeutic combinations.
Main Results:
- Agents targeting the mevalonate pathway may be effective in combination with k-ras-targeting anticancer drugs.
- Modulation of k-ras could potentially enhance EGFR therapy.
Conclusions:
- Targeting k-ras prenylation is a promising therapeutic avenue.
- Combination therapies involving mevalonate pathway inhibitors and k-ras-targeting drugs warrant further investigation.
- Modulating k-ras may offer a novel strategy to improve EGFR-based cancer treatments.
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