[Targeting the RAS signalling pathway in cancer]
Laura Mansi1, Erika Viel, Elsa Curtit
1CHU de Besançon, département d'oncologie médicale, Besançon, France.
Abstract:
RAS proteins are among the first proteins to demonstrate a crucial implication in the cell cycle regulation. The RAS signalling pathway plays a key role in the regulation of cell cycle through the activation of numerous downstream pathways including the RAF/MEK/ERK, PI3K/AKT/mTOR, RAL and PKC pathways. These pathways are involved in gene transcription, regulation of cell survival and angiogenesis. As the RAS signalling pathway was shown to be altered in several cancers, molecularly targeted agents that trigger various components of this pathway have been evaluated in clinical practice. This paper first reviews the regulation processes of the RAS protein in cancer, as well as RAS downstream main signalling pathways. Therapeutic approaches to target RAS or some of its effectors are then detailed. Finally, the ability of RAS mutations to predict response to EGFR-targeting agents is discussed in the context of colorectal and lung cancers.
Insights
RAS proteins regulate cell cycles and are crucial in cancer. This review covers RAS signaling pathways, targeted therapies, and how RAS mutations predict treatment response in cancers like colorectal and lung.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling
Background:
- RAS proteins are key regulators of the cell cycle.
- The RAS signaling pathway influences cell survival and angiogenesis via downstream pathways like RAF/MEK/ERK and PI3K/AKT/mTOR.
- Alterations in the RAS pathway are implicated in various cancers, leading to the development of targeted therapies.
Purpose of the Study:
- To review the regulation of RAS proteins in cancer.
- To detail the main RAS downstream signaling pathways.
- To discuss therapeutic strategies targeting RAS and its effectors, including predictive value of RAS mutations for EGFR-targeted agents.
Main Methods:
- Literature review of RAS protein regulation in cancer.
- Analysis of RAS downstream signaling pathways.
- Discussion of targeted therapeutic approaches and predictive biomarkers.
Main Results:
- The RAS pathway's role in cell cycle, survival, and angiogenesis is multifaceted.
- Numerous targeted agents acting on the RAS pathway components are in clinical use.
- RAS mutations can predict patient response to specific therapies, particularly EGFR inhibitors.
Conclusions:
- Targeting the RAS pathway offers significant therapeutic potential in oncology.
- Understanding RAS signaling is critical for developing effective cancer treatments.
- RAS mutation status is an important biomarker for guiding treatment decisions in certain cancers.
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