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.
Abstract:
The Kirsten rat sarcoma viral oncogene homolog (KRAS) protein plays a key pathogenic role in oncogenesis, cancer progression, and metastasis. Numerous studies have explored the role of metabolic alterations in KRAS-driven cancers, providing a scientific rationale for targeting metabolism in cancer treatment. The development of KRAS-specific inhibitors has also garnered considerable attention, partly due to the challenge of acquired treatment resistance. Here, we review the metabolic reprogramming of glucose, glutamine, and lipids regulated by oncogenic KRAS, with an emphasis on recent insights into the relationship between changes in metabolic mechanisms driven by KRAS mutant and related advances in targeted therapy. We also focus on advances in KRAS inhibitor discovery and related treatment strategies in colorectal, pancreatic, and non-small cell lung cancer, including current clinical trials. Therefore, this review provides an overview of the current understanding of metabolic mechanisms associated with KRAS mutation and related therapeutic strategies, aiming to facilitate the understanding of current challenges in KRAS-driven cancer and to support the investigation of therapeutic strategies.
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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