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Updated: Nov 16, 2025

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
The importance of Ras in drug resistance in cancer
Fiona M Healy1, Ian A Prior2, David J MacEwan1
1Department of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology (ISMIB), University of Liverpool, Liverpool, UK.
Abstract:
In this review, we analyse the impact of oncogenic Ras mutations in mediating cancer drug resistance and the progress made in the abrogation of this resistance, through pharmacological targeting. At a physiological level, Ras is implicated in many cellular proliferation and survival pathways. However, mutations within this small GTPase can be responsible for the initiation of cancer, therapeutic resistance and failure, and ultimately disease relapse. Often termed "undruggable," Ras is notoriously difficult to target directly, due to its structure and intrinsic activity. Thus, Ras-mediated drug resistance remains a considerable pharmacological problem. However, with advances in both analytical techniques and novel drug classes, the therapeutic landscape against Ras is changing. Allele-specific, direct Ras-targeting agents have reached clinical trials for the first time, indicating there may, at last, be hope of targeting such an elusive but significant protein for better more effective cancer therapy. LINKED ARTICLES: This article is part of a themed issue on New avenues in cancer prevention and treatment (BJP 75th Anniversary). To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v179.12/issuetoc.
Insights
Oncogenic Ras mutations drive cancer drug resistance. New allele-specific therapies offer hope for targeting this previously undruggable protein, improving cancer treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Ras proteins are crucial in cellular proliferation and survival pathways.
- Mutations in Ras are linked to cancer initiation, drug resistance, and relapse.
- Directly targeting Ras has been challenging due to its structure and function, making it 'undruggable'.
Purpose of the Study:
- To review the role of oncogenic Ras mutations in cancer drug resistance.
- To discuss progress in overcoming Ras-mediated resistance through pharmacological targeting.
- To highlight emerging therapeutic strategies for Ras-driven cancers.
Main Methods:
- Literature review analyzing the impact of Ras mutations on drug resistance.
- Examination of pharmacological approaches to abrogate Ras-mediated resistance.
- Discussion of recent advancements in Ras-targeting drug development.
Main Results:
- Ras mutations are a significant factor in cancer therapeutic resistance.
- Despite challenges, novel drug classes and analytical techniques are emerging.
- Direct, allele-specific Ras inhibitors have entered clinical trials.
Conclusions:
- Targeting Ras remains a critical challenge in cancer therapy.
- Advances in drug development offer new hope for treating Ras-driven cancers.
- Emerging direct Ras-targeting agents represent a significant breakthrough.
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