Immune modulatory effects of oncogenic KRAS in cancer
Shaima'a Hamarsheh1, Olaf Groß2,3, Tilman Brummer4,5,6
1Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Abstract:
Oncogenic KRAS mutations are the most frequent mutations in human cancer, but most difficult to target. While sustained proliferation caused by oncogenic KRAS-downstream signalling is a main driver of carcinogenesis, there is increasing evidence that it also mediates autocrine effects and crosstalk with the tumour microenvironment (TME). Here, we discuss recent reports connecting KRAS mutations with tumour-promoting inflammation and immune modulation caused by KRAS that leads to immune escape in the TME. We discuss the preclinical work on KRAS-induced inflammation and immune modulation in the context of currently ongoing clinical trials targeting cancer entities that carry KRAS mutations and strategies to overcome the oncogene-induced effects on the immune system.
Insights
Oncogenic KRAS mutations drive cancer but also promote inflammation and immune escape within the tumor microenvironment (TME). Targeting KRAS requires overcoming these immune-modulating effects for effective cancer therapy.
Area of Science:
- Oncology
- Cancer Immunology
- Molecular Biology
Background:
- Oncogenic KRAS mutations are prevalent in human cancers and difficult to target.
- KRAS signaling drives tumor proliferation and influences the tumor microenvironment (TME).
- Emerging evidence links KRAS mutations to tumor-promoting inflammation and immune modulation.
Purpose of the Study:
- To review recent findings on KRAS mutations, inflammation, and immune modulation in the TME.
- To discuss preclinical data on KRAS-induced inflammation and immune effects.
- To contextualize these findings within ongoing clinical trials and therapeutic strategies.
Main Methods:
- Literature review of recent reports on KRAS mutations and the TME.
- Analysis of preclinical studies investigating KRAS-induced inflammation and immune modulation.
- Discussion of clinical trials targeting KRAS-mutated cancers.
Main Results:
- KRAS mutations contribute to tumor-promoting inflammation.
- KRAS signaling modulates the immune landscape within the TME, facilitating immune escape.
- Preclinical findings highlight the impact of KRAS on immune cells and pathways.
Conclusions:
- KRAS mutations create an immunosuppressive TME that hinders anti-tumor immunity.
- Understanding KRAS-mediated immune modulation is crucial for developing effective cancer therapies.
- Strategies to overcome KRAS-induced immune suppression are essential for clinical success in KRAS-mutated cancers.
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