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Current Advances and Trends in KRAS Targeted Therapies for Colorectal Cancer
Michelle Yee Mun Teo1, Jung Yin Fong1, Wan Ming Lim1
1Department of Biotechnology, Faculty of Applied Sciences, UCSI University, Kuala Lumpur, Malaysia.
Abstract:
Kirsten Rat Sarcoma (KRAS) gene somatic point mutations is one of the most prominently mutated proto-oncogenes known to date, and accounts for approximately 60% of all colorectal cancer cases. One of the most exciting drug development areas against colorectal cancer is the targeting of undruggable kinases and kinase-substrate molecules, although whether and how they can be integrated with other therapies remains a question. Current clinical trial data have provided supporting evidence on the use of combination treatment involving MEK inhibitors and either one of the PI3K inhibitors for patients with metastatic colorectal cancer to avoid the development of resistance and provide effective therapeutic outcome rather than using a single agent alone. Many clinical trials are also ongoing to evaluate different combinations of these pathway inhibitors in combination with immunotherapy for patients with colorectal cancer whose current palliative treatment options are limited. Nevertheless, continued assessment of these targeted cancer therapies will eventually allow patients with colorectal cancer to be treated using a personalized medicine approach. In this review, the most recent scientific approaches and clinical trials targeting KRAS mutations directly or indirectly for the management of colorectal cancer are discussed.
Insights
Targeting Kirsten Rat Sarcoma (KRAS) mutations with combination therapies, including MEK and PI3K inhibitors, shows promise for metastatic colorectal cancer. Ongoing trials explore these combinations with immunotherapy for better patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Kirsten Rat Sarcoma (KRAS) gene mutations are prevalent in colorectal cancer (CRC), occurring in approximately 60% of cases.
- Targeting previously 'undruggable' kinases and their substrates presents a novel therapeutic avenue for CRC.
- Development of resistance to single-agent therapies necessitates exploration of combination treatments.
Purpose of the Study:
- To review current scientific approaches and clinical trials targeting KRAS mutations in colorectal cancer.
- To discuss the integration of targeted therapies with other treatment modalities.
- To highlight the potential for personalized medicine in CRC management.
Main Methods:
- Review of recent scientific literature and ongoing clinical trials.
- Analysis of combination treatment strategies involving MEK and PI3K inhibitors.
- Evaluation of immunotherapy combinations for KRAS-mutated CRC.
Main Results:
- Clinical trial data support combination therapy with MEK and PI3K inhibitors for metastatic CRC.
- Combination treatments aim to overcome resistance and improve therapeutic outcomes compared to single agents.
- Ongoing trials are investigating the efficacy of pathway inhibitors combined with immunotherapy.
Conclusions:
- Targeted therapies and combination strategies are advancing the personalized medicine approach for colorectal cancer.
- Further assessment of these targeted therapies is crucial for optimizing CRC treatment.
- Direct and indirect targeting of KRAS mutations offers new hope for CRC patients.
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