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Therapeutic strategies to target RAS-mutant cancers
Meagan B Ryan1,2, Ryan B Corcoran3,4
1Massachusetts General Hospital Cancer Center, Boston, MA, USA.
Abstract:
RAS genes are the most commonly mutated oncogenes in cancer, but effective therapeutic strategies to target RAS-mutant cancers have proved elusive. A key aspect of this challenge is the fact that direct inhibition of RAS proteins has proved difficult, leading researchers to test numerous alternative strategies aimed at exploiting RAS-related vulnerabilities or targeting RAS effectors. In the past few years, we have witnessed renewed efforts to target RAS directly, with several promising strategies being tested in clinical trials at different stages of completion. Important advances have also been made in approaches designed to indirectly target RAS by improving inhibition of RAS effectors, exploiting synthetic lethal interactions or metabolic dependencies, using therapeutic combination strategies or harnessing the immune system. In this Review, we describe historical and ongoing efforts to target RAS-mutant cancers and outline the current therapeutic landscape in the collective quest to overcome the effects of this crucial oncogene.
Insights
Targeting RAS-mutant cancers remains challenging due to difficulties in direct inhibition. This review explores historical and current strategies, including direct and indirect approaches, to overcome RAS oncogene effects.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- RAS genes are frequently mutated oncogenes in various cancers.
- Developing effective therapies against RAS-mutant cancers is a significant clinical challenge.
- Directly inhibiting RAS proteins has historically proven difficult.
Purpose of the Study:
- To review historical and ongoing efforts to target RAS-mutant cancers.
- To outline the current therapeutic landscape for RAS-targeted therapies.
- To discuss diverse strategies aimed at overcoming the effects of RAS oncogenes.
Main Methods:
- Review of scientific literature on RAS-targeted cancer therapies.
- Analysis of clinical trial data for emerging RAS-targeting strategies.
- Exploration of direct and indirect therapeutic approaches.
Main Results:
- Direct RAS inhibition strategies are progressing, with several in clinical trials.
- Indirect targeting methods show promise, including effector inhibition and synthetic lethality.
- Combination therapies and immunotherapy represent advanced strategies.
Conclusions:
- Despite challenges, significant progress is being made in targeting RAS-mutant cancers.
- A multifaceted approach combining direct, indirect, and combination strategies is crucial.
- Continued research is vital to overcome the oncogenic effects of RAS.
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