Targeting KRAS: from metabolic regulation to cancer treatment

Yanyan Shi1, Huiling Zheng2, Tianzhen Wang3,4

  • 1Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, 100191, China.

Molecular Cancer
|January 11, 2025
PubMed

Insights

Targeting metabolic alterations in Kirsten rat sarcoma viral oncogene homolog (KRAS)-driven cancers shows promise. This review details KRAS-regulated metabolic reprogramming and advances in targeted therapies for KRAS-mutant cancers.

Area of Science:

  • Oncology
  • Cancer Metabolism
  • Molecular Biology

Background:

  • The Kirsten rat sarcoma viral oncogene homolog (KRAS) protein is a key driver in oncogenesis, cancer progression, and metastasis.
  • Metabolic alterations are crucial in KRAS-driven cancers, offering therapeutic targets.
  • Acquired treatment resistance necessitates novel therapeutic strategies, including KRAS inhibitors.

Purpose of the Study:

  • To review metabolic reprogramming (glucose, glutamine, lipids) regulated by oncogenic KRAS.
  • To highlight the relationship between KRAS-driven metabolic changes and targeted therapy advancements.
  • To summarize KRAS inhibitor discovery and treatment strategies for specific cancers.

Main Methods:

  • Literature review of metabolic reprogramming in KRAS-driven cancers.
  • Analysis of recent insights into KRAS mutant-driven metabolic mechanisms.
  • Focus on advances in KRAS inhibitor discovery and clinical trials.

Main Results:

  • Oncogenic KRAS extensively reprograms glucose, glutamine, and lipid metabolism.
  • KRAS mutations are intricately linked to specific metabolic vulnerabilities.
  • Significant progress has been made in developing KRAS inhibitors and targeted therapies.

Conclusions:

  • Understanding KRAS-mediated metabolic reprogramming is vital for effective cancer treatment.
  • Targeted therapies, including KRAS inhibitors, show potential in treating KRAS-mutant cancers.
  • Further research into metabolic mechanisms and therapeutic strategies is crucial for overcoming treatment resistance.

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