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Targeting Extracellular Signal-Regulated Protein Kinase 1/2 (ERK1/2) in Cancer: An Update on Pharmacological
Leilei Fu1, Siwei Chen1, Gu He2
1Sichuan Engineering Research Center for Biomimetic Synthesis of Natural Drugs, School of Life Science and Engineering, Southwest Jiaotong University, Chengdu 610031, China.
Abstract:
Extracellular signal-regulated protein kinase 1/2 (ERK1/2), the only known substrate of MEK1/2, is located downstream of the RAS-RAF-MEK-ERK (MAPK) pathway and is associated with the abnormal activation and poor prognosis of cancer. To date, several small-molecule inhibitors of RAS, RAF, and MEK have been reported to make rapid advances in cancer therapy; however, acquired resistance still occurs, thereby weakening the therapeutic efficacy of these inhibitors. Recently, selective inhibition of ERK1/2 has been regarded as a potential cancer therapeutic strategy that can not only effectively block the MAPK pathway but also overcome drug resistance caused by upstream mutations in RAS, RAF, and MEK. Herein, we summarize the oncogenic roles, key signaling network, and the single- and dual-target inhibitors of ERK1/2 in preclinical and clinical trials. Together, these inspiring findings shed new light on the discovery of more small-molecule inhibitors of ERK1/2 as candidate drugs to improve cancer therapeutics.
Insights
Selective inhibition of Extracellular signal-regulated protein kinase 1/2 (ERK1/2) offers a promising cancer therapy strategy. Targeting ERK1/2 can overcome resistance to upstream inhibitors and improve therapeutic efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The RAS-RAF-MEK-ERK (MAPK) pathway is crucial in cancer, with abnormal activation linked to poor prognosis.
- Existing inhibitors targeting RAS, RAF, and MEK show promise but face acquired resistance, limiting efficacy.
- Mutations in upstream components like RAS, RAF, and MEK can lead to resistance against current therapies.
Purpose of the Study:
- To review the oncogenic roles of ERK1/2 in cancer.
- To summarize the signaling network involving ERK1/2.
- To discuss single- and dual-target ERK1/2 inhibitors in preclinical and clinical development.
Main Methods:
- Literature review of oncogenic roles of ERK1/2.
- Analysis of the MAPK signaling pathway network.
- Compilation of data on ERK1/2 inhibitors from preclinical and clinical trials.
Main Results:
- ERK1/2, the sole substrate of MEK1/2, plays a significant role in cancer progression.
- Selective ERK1/2 inhibition presents a strategy to bypass upstream resistance mechanisms.
- Various single- and dual-target ERK1/2 inhibitors are under investigation.
Conclusions:
- Targeting ERK1/2 directly is a viable strategy to overcome acquired resistance in cancer therapy.
- Further development of ERK1/2 inhibitors holds potential for improved cancer therapeutics.
- Selective ERK1/2 inhibition offers a new avenue for effective cancer treatment.
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