Defeat mutant KRAS with synthetic lethality

Xiufeng Pang1, Mingyao Liu1,2

  • 1a Shanghai Key Laboratory of Regulatory Biology, Institute of Biomedical Sciences and School of Life Sciences, East China Normal University , Shanghai , China.

Small Gtpases
|July 28, 2016
PubMed

Insights

Targeting Ras proteins, crucial in cancer, is challenging. Researchers found that combining Plk1 and ROCK inhibitors effectively inhibits KRAS-mutant cancers and improves survival in preclinical models.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genetics

Background:

  • Ras proteins are key regulators of fundamental cellular functions.
  • Mutated RAS genes are prevalent in human cancers, posing significant therapeutic challenges.
  • Targeting Ras signaling remains a critical goal in cancer research, often referred to as "the Everest of oncogenes".

Purpose of the Study:

  • To explore novel therapeutic strategies for KRAS-mutant cancers.
  • To investigate the potential of targeting synthetic lethal interactors of mutant Ras.
  • To evaluate the efficacy of combined inhibition of polo-like kinase 1 (Plk1) and RhoA/Rho kinase (ROCK) in preclinical cancer models.

Main Methods:

  • Employed a synthetic lethal drug screen combined with a panel of clinical agents.
  • Utilized a combinatorial strategy to identify vulnerabilities in KRAS-mutant cancers.
  • Tested the combined regimen of BI-2536 (Plk1 inhibitor) and fasudil (ROCK inhibitor) in patient-derived lung cancer xenografts and LSL-KRASG12D mice.

Main Results:

  • Discovered that KRAS-mutant cancers are sensitive to the combined inhibition of Plk1 and ROCK.
  • The combination of BI-2536 and fasudil significantly inhibited patient-derived lung cancer xenografts.
  • The combined regimen prolonged survival in LSL-KRASG12D mice, demonstrating therapeutic potential.

Conclusions:

  • Combined inhibition of Plk1 and ROCK represents a promising synthetic lethal strategy for KRAS-mutant cancers.
  • This approach offers a new avenue for targeting previously undruggable Ras proteins.
  • Further development of this combinatorial therapy holds potential for improving outcomes in patients with KRAS-mutant cancers.