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Targeting the EGFR/RAS/RAF signaling pathway in anticancer research: a recent update on inhibitor design and clinical
Rima Hajjo1,2,3, Dima A Sabbah1, Sanaa K Bardaweel4
1Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.
Introduction:
Recent years have seen significant strides in drug developmenttargeting the EGFR/RAS/RAF signaling pathway which is critical forcell growth and proliferation. Protein-protein interaction networksamong EGFR, RAS, and RAF proteins offer insights for drug discovery. This review discusses the drug design and development efforts ofinhibitors targeting these proteins over the past 3 years, detailingtheir structures, selectivity, efficacy, and combination therapy.Strategies to combat drug resistance and minimize toxicities areexplored, along with future research directions.
Area Covered:
This review encompasses clinical trials and patents on EGFR, KRAS,and BRAF inhibitors from 2020 to 2023, including advancements indesign and synthesis of proteolysis targeting chimeras (PROTACs) forprotein degradation.
Expert Opinion:
To tackle drug resistance, designing allosteric fourth-generationEGFR inhibitors is vital. Covalent, allosteric, or combinationaltherapies, along with PROTAC degraders, are key methods to addressresistance and toxicity in KRAS and BRAF inhibitors.
Insights
This review covers new EGFR, KRAS, and BRAF inhibitors developed between 2020-2023. Strategies like PROTACs and novel inhibitors aim to overcome drug resistance and reduce toxicity in cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The EGFR/RAS/RAF signaling pathway is crucial for cell growth and proliferation.
- Protein-protein interactions within this pathway provide targets for drug discovery.
- Significant advancements in targeting this pathway have been made in recent years.
Purpose of the Study:
- To review drug design and development of inhibitors targeting EGFR, RAS, and RAF proteins.
- To detail structures, selectivity, efficacy, and combination therapies of these inhibitors over the past 3 years.
- To explore strategies for overcoming drug resistance and minimizing toxicities.
Main Methods:
- Review of clinical trials and patents concerning EGFR, KRAS, and BRAF inhibitors from 2020 to 2023.
- Analysis of advancements in the design and synthesis of Proteolysis Targeting Chimeras (PROTACs).
Main Results:
- Development of novel inhibitors targeting EGFR, KRAS, and BRAF.
- Exploration of combination therapies and PROTACs for enhanced efficacy.
- Strategies identified to combat drug resistance and reduce treatment-related toxicities.
Conclusions:
- Allosteric fourth-generation EGFR inhibitors are vital for overcoming resistance.
- Covalent, allosteric, and combination therapies, along with PROTAC degraders, are key for KRAS and BRAF inhibitors.
- Future research directions focus on improved resistance management and toxicity profiles.
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