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Updated: Sep 18, 2025

Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Recent advance of KRAS-G12C inhibitors for cancer therapy
Mengqi Li1, Huan Wang2, Fei Wang3
1Department of Hematology, Shengjing Hospital of China Medical University, Shenyang, China.
Abstract:
The RAS gene family encodes key oncoproteins that play a central role in cellular signal transduction and tumorigenesis. KRAS exhibits the highest mutation frequency in human cancers, accounting for approximately 80 % of RAS-driven malignancies, with the glycine-to-cysteine substitution at codon 12 (G12C) being one of the most prevalent oncogenic variants. RAS proteins regulate downstream signaling pathways by modulating transcription and translation processes, while at the cellular level, they promote malignant phenotypes such as uncontrolled proliferation and metastasis, making them critical therapeutic targets. In 2021, the FDA approved AMG510 (Sotorasib), the first covalent inhibitor targeting the KRAS-G12C mutation. Nevertheless, emerging resistance mechanisms necessitate continuous medicinal chemistry innovations. Currently, many highly KRAS-G12C inhibitors have been approved or are undergoing various clinical stages. This review provides an overview of contemporary medicinal chemistry approaches in KRAS-G12C inhibitor development. The collective insights from this analysis, combined with existing literature, provide valuable frameworks for designing novel KRAS-G12C targeted therapeutics.
Insights
KRAS G12C inhibitors are crucial cancer therapeutics. This review explores medicinal chemistry strategies for developing novel KRAS G12C inhibitors to overcome resistance and improve cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Medicinal Chemistry
Background:
- The RAS gene family, particularly KRAS, is central to cellular signaling and cancer development.
- KRAS mutations, especially G12C, are prevalent in human cancers, driving uncontrolled proliferation and metastasis.
- Targeting KRAS oncoproteins is a key strategy in cancer therapy.
Purpose of the Study:
- To provide an overview of current medicinal chemistry approaches for developing KRAS G12C inhibitors.
- To highlight innovations in KRAS G12C inhibitor design.
- To offer frameworks for future therapeutic development against KRAS G12C.
Main Methods:
- Review of contemporary medicinal chemistry literature.
- Analysis of drug development strategies for KRAS G12C inhibitors.
- Synthesis of insights from existing research and clinical data.
Main Results:
- The development of KRAS G12C inhibitors, such as Sotorasib (AMG510), has shown promise.
- Emerging resistance mechanisms necessitate ongoing medicinal chemistry efforts.
- Numerous KRAS G12C inhibitors are in various stages of clinical development.
Conclusions:
- Medicinal chemistry plays a vital role in advancing KRAS G12C targeted therapies.
- Understanding resistance mechanisms is key to designing next-generation inhibitors.
- This review provides valuable insights for developing novel therapeutics against KRAS G12C-driven cancers.
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