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Development and safety of investigational and approved drugs targeting the RAS function regulation in RAS mutant
Jinjin Li1, Wentong Wu1, Jiajia Chen1
1Center for Drug Safety Evaluation and Research of Zhejiang University, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China.
RAS inhibitors fight cancer but cause severe side effects. Understanding and managing these adverse events is crucial for safe and effective clinical use of RAS inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- RAS proteins are key regulators of cellular functions, and their aberrant activation drives cancer development.
- Approved RAS inhibitors show significant antitumor activity but are limited by severe adverse reactions.
- Managing these side effects is essential for optimizing clinical application of RAS inhibitors.
Purpose of the Study:
- To review the evolution of RAS inhibitors in cancer therapy.
- To detail common adverse effects of RAS inhibitors and their mechanisms.
- To explore strategies for mitigating these adverse events and improving clinical safety.
Main Methods:
- Literature review of RAS inhibitors in cancer therapy.
- Analysis of reported adverse effects and their underlying biological mechanisms.
- Synthesis of current and potential management strategies for RAS inhibitor toxicities.
Main Results:
- RAS signaling pathways are critical in various cancers, making RAS inhibitors a target for treatment.
- Common adverse effects of RAS inhibitors include dermatologic, gastrointestinal, and cardiovascular toxicities.
- Understanding the mechanisms of toxicity is key to developing mitigation strategies.
Conclusions:
- Effective management of RAS inhibitor adverse events is necessary for their broader clinical adoption.
- Development of precise management guidelines, intermittent dosing, and novel combination regimens can enhance safety.
- Further research into mechanisms and mitigation strategies will improve the therapeutic index of RAS inhibitors.
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