Targeting the KRAS variant for treatment of non-small cell lung cancer: potential therapeutic applications
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Published on: July 21, 2018
Biagio Ricciuti1, Giulia Costanza Leonardi1, Giulio Metro1
1a Medical Oncology , Santa Maria della Misericordia Hospital, Azienda Ospedaliera di Perugia , Perugia , Italy.
Abstract:
Lung cancer is the leading cause of cancer deaths worldwide, with non-small cell lung cancer (NSCLC) accounting for 80% of all lung cancers. Kirsten rat sarcoma viral oncogene homolog (KRAS) is one of the deadliest cancer-related proteins and plays a pivotal role in the most aggressive and lethal human cancers, including lung adenocarcinoma where it represents one of the most frequently mutated oncogene. Although therapeutic progresses have made an impact over the last decade, median survival for patients with advanced lung cancer remains disappointing, with a 5-year worldwide survival rate of <15%. For more than 20 years it has been recognized that constitutively active signaling downstream of KRAS is a fundamental driver of lung tumorigenesis. However, years of pursuit have failed to yield a drug that can safely curb KRAS activity; up to now no approved therapies exist for KRAS-mutant NSCLC. The aim of this review is to discuss the current knowledge of KRAS-mutated NSCLC, touching upon KRAS clinical relevance as a prognostic and predictive biomarker, with an emphasis on novel therapeutic approaches for the treatment of KRAS-variant NSCLC.
Insights
Lung cancer, particularly non-small cell lung cancer (NSCLC), is a major global health issue. This review focuses on KRAS-mutated NSCLC, highlighting its role as a biomarker and exploring new therapeutic strategies for this challenging cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Non-small cell lung cancer (NSCLC) is the leading cause of cancer mortality globally, comprising 80% of all lung cancers.
- Kirsten rat sarcoma viral oncogene homolog (KRAS) mutations are prevalent in aggressive lung adenocarcinomas, driving tumorigenesis.
- Despite advances, median survival for advanced lung cancer remains poor (<15% 5-year survival), with no approved therapies for KRAS-mutant NSCLC.
Purpose of the Study:
- To review current knowledge on KRAS-mutated NSCLC.
- To discuss the clinical significance of KRAS as a prognostic and predictive biomarker.
- To emphasize emerging therapeutic strategies for KRAS-variant NSCLC.
Main Methods:
- Literature review of scientific articles and clinical trial data.
- Analysis of KRAS mutation prevalence and clinical impact in NSCLC.
- Synthesis of information on novel therapeutic targets and agents.
Main Results:
- KRAS is a critical oncogene in lung adenocarcinoma, frequently mutated and associated with poor prognosis.
- KRAS mutations serve as important biomarkers for patient stratification and treatment selection.
- Several novel therapeutic approaches targeting KRAS pathways are under investigation.
Conclusions:
- KRAS-mutated NSCLC presents a significant therapeutic challenge due to the lack of targeted drugs.
- Understanding KRAS biology and its role as a biomarker is crucial for developing effective treatments.
- Ongoing research into novel therapies offers hope for improved outcomes in patients with KRAS-mutant NSCLC.
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