Targeting the undruggable oncogenic KRAS: the dawn of hope
Hande Asimgil1,2, Utku Ertetik2, Nedim Can Çevik2
1Department of Surgery, Klinikum rechts der Isar, Technical University of Munich, School of Medicine, Munich, Germany.
Abstract:
KRAS mutations are the drivers of various cancers, including non-small cell lung cancer, colon cancer, and pancreatic cancer. Over the last 30 years, immense efforts have been made to inhibit KRAS mutants and oncogenic KRAS signaling using inhibitors. Recently, specific targeting of KRAS mutants with small molecules revived the hopes for successful therapies for lung, pancreatic, and colorectal cancer patients. Moreover, advances in gene editing, protein engineering, and drug delivery formulations have revolutionized cancer therapy regimens. New therapies aim to improve immune surveillance and enhance antitumor immunity by precisely targeting cancer cells harboring oncogenic KRAS. Here, we review recent KRAS-targeting strategies, their therapeutic potential, and remaining challenges to overcome. We also highlight the potential synergistic effects of various combinatorial therapies in preclinical and clinical trials.
Insights
Targeting KRAS mutations, drivers of lung, pancreatic, and colon cancers, with new small molecules and advanced therapies offers renewed hope. Research reviews KRAS-targeting strategies, their potential, and challenges for improved cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- KRAS mutations are key drivers in non-small cell lung cancer, colon cancer, and pancreatic cancer.
- Despite 30 years of research, inhibiting KRAS mutants and signaling pathways remains a significant challenge in cancer therapy.
Purpose of the Study:
- To review recent strategies for targeting KRAS mutations in cancer.
- To discuss the therapeutic potential and challenges of these novel KRAS-targeting approaches.
- To explore the synergistic effects of combinatorial therapies involving KRAS inhibition.
Main Methods:
- Literature review of recent advancements in KRAS-targeting strategies.
- Analysis of small molecule inhibitors specifically targeting KRAS mutants.
- Examination of emerging technologies like gene editing and protein engineering in cancer therapy.
- Assessment of preclinical and clinical trial data on combinatorial therapies.
Main Results:
- Specific small molecule inhibitors targeting KRAS mutants have shown promise for lung, pancreatic, and colorectal cancers.
- Advances in gene editing, protein engineering, and drug delivery are revolutionizing cancer treatment regimens.
- New therapies focus on enhancing immune surveillance and antitumor immunity against KRAS-driven cancers.
- Combinatorial therapies demonstrate potential synergistic effects in preclinical and clinical settings.
Conclusions:
- Targeting KRAS mutations with novel small molecules and advanced therapeutic strategies offers significant hope for patients with KRAS-driven cancers.
- Overcoming remaining challenges and exploring synergistic effects of combinatorial therapies are crucial for advancing KRAS-targeted cancer treatment.
- Precision medicine approaches, including gene editing and immune enhancement, are transforming the landscape of oncological therapies.
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