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Published on: July 17, 2019
Therapeutic targeting of RAS: New hope for drugging the "undruggable"
Imran Khan1, J Matthew Rhett1, John P O'Bryan1
1Department of Cell and Molecular Pharmacology and Experimental Therapeutics, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC 29425, United States of America; Ralph H. Johnson VA Medical Center, Charleston, SC 29401, United States of America.
Abstract:
RAS is the most frequently mutated oncogene in cancer and a critical driver of oncogenesis. Therapeutic targeting of RAS has been a goal of cancer research for more than 30 years due to its essential role in tumor formation and maintenance. Yet the quest to inhibit this challenging foe has been elusive. Although once considered "undruggable", the struggle to directly inhibit RAS has seen recent success with the development of pharmacological agents that specifically target the KRAS(G12C) mutant protein, which include the first direct RAS inhibitor to gain entry to clinical trials. However, the limited applicability of these inhibitors to G12C-mutant tumors demands further efforts to identify more broadly efficacious RAS inhibitors. Understanding allosteric influences on RAS may open new avenues to inhibit RAS. Here, we provide a brief overview of RAS biology and biochemistry, discuss the allosteric regulation of RAS, and summarize the various approaches to develop RAS inhibitors.
Insights
Targeting RAS, a key cancer driver, has been difficult. Recent KRAS(G12C) inhibitors show promise, but broader strategies like understanding allosteric regulation are needed for effective cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- RAS proteins are frequently mutated oncogenes driving cancer.
- Targeting RAS has been a long-standing challenge in cancer research.
- Recent success includes direct inhibitors for KRAS(G12C) mutations.
Purpose of the Study:
- To review RAS biology, biochemistry, and allosteric regulation.
- To summarize current approaches for developing RAS inhibitors.
- To explore new avenues for targeting RAS-driven cancers.
Main Methods:
- Literature review of RAS biology and inhibitor development.
- Analysis of allosteric regulation mechanisms in RAS.
- Synthesis of diverse strategies for RAS-targeted therapies.
Main Results:
- RAS is a critical oncogene with a history of being "undruggable".
- Specific KRAS(G12C) inhibitors represent a breakthrough.
- Broader RAS inhibition strategies are necessary due to limited applicability of current drugs.
Conclusions:
- Understanding RAS allosteric regulation is key to developing new inhibitors.
- Further research is needed to overcome challenges in RAS-targeted cancer therapy.
- Developing broadly efficacious RAS inhibitors remains a critical goal.
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