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Updated: Aug 4, 2025

Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
Targeting RAS-RAF-MEK-ERK signaling pathway in human cancer: Current status in clinical trials
Yanlin Song1, Zhenfei Bi1, Yu Liu1
1Laboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy and Cancer Center, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China.
Abstract:
Molecular target inhibitors have been regularly approved by Food and Drug Administration (FDA) for tumor treatment, and most of them intervene in tumor cell proliferation and metabolism. The RAS-RAF-MEK-ERK pathway is a conserved signaling pathway that plays vital roles in cell proliferation, survival, and differentiation. The aberrant activation of the RAS-RAF-MEK-ERK signaling pathway induces tumors. About 33% of tumors harbor RAS mutations, while 8% of tumors are driven by RAF mutations. Great efforts have been dedicated to targeting the signaling pathway for cancer treatment in the past decades. In this review, we summarized the development of inhibitors targeting the RAS-RAF-MEK-ERK pathway with an emphasis on those used in clinical treatment. Moreover, we discussed the potential combinations of inhibitors that target the RAS-RAF-MEK-ERK signaling pathway and other signaling pathways. The inhibitors targeting the RAS-RAF-MEK-ERK pathway have essentially modified the therapeutic strategy against various cancers and deserve more attention in the current cancer research and treatment.
Insights
Targeting the RAS-RAF-MEK-ERK pathway with molecular inhibitors has transformed cancer treatment. This review highlights clinical inhibitors and discusses combinations for enhanced tumor therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The RAS-RAF-MEK-ERK pathway is crucial for cell growth and survival.
- Aberrant activation of this pathway drives tumor formation, with RAS and RAF mutations common in many cancers.
- Molecular target inhibitors are FDA-approved for cancer therapy, often affecting cell proliferation and metabolism.
Purpose of the Study:
- To review the development of inhibitors targeting the RAS-RAF-MEK-ERK pathway.
- To focus on inhibitors currently used in clinical cancer treatment.
- To explore potential combination therapies involving this pathway.
Main Methods:
- Literature review of inhibitors targeting the RAS-RAF-MEK-ERK pathway.
- Analysis of clinical applications and development of these inhibitors.
- Discussion of synergistic effects with other signaling pathway inhibitors.
Main Results:
- Significant progress has been made in developing inhibitors for the RAS-RAF-MEK-ERK pathway.
- Several inhibitors targeting this pathway are approved for clinical use.
- Combination strategies show promise for overcoming resistance and improving efficacy.
Conclusions:
- Inhibitors of the RAS-RAF-MEK-ERK pathway have significantly advanced cancer treatment strategies.
- Further research into combination therapies is warranted to maximize therapeutic potential.
- These targeted therapies are critical for ongoing cancer research and patient care.
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