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Drugging ERK1/2 in Cancer: A Glimpse of Small-Molecule Inhibitors
Zhiqi Peng1,2, Yuqi Fu2, Yanmei Chen1,2
1Department of Urology, Institute of Precision Drug Innovation and Cancer Center, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Abstract:
The extracellular signal-regulated kinases 1 and 2 (ERK1/2) play central roles in the mitogen-activated protein kinase (MAPK) pathway and have emerged as critical regulators of tumorigenesis. Aberrant ERK1/2 signaling is frequently observed in cancers such as melanoma, pancreatic cancer, and colorectal cancer. This review outlines the historical milestones in ERK1/2 research, from their discovery and structural characterization to their identification as oncogenic drivers and therapeutic targets. We detail the ERK1/2 signaling network, highlighting key upstream regulators, including rat sarcoma (RAS), rapidly accelerated fibrosarcoma (RAF), and mitogen-activated protein kinase kinase (MEK), along with downstream substrates that mediate diverse oncogenic processes. Therapeutic approaches aimed at ERK1/2 currently fall into two main classes: small-molecule inhibitors with single-target specificity and those designed to simultaneously act on dual targets, along with combination therapies designed to overcome resistance and improve efficacy. Furthermore, we explore innovative approaches, including proteolysis-targeting chimeras (PROTACs), autophagy-targeting chimeras (AUTACs), and antibody-drug conjugates (ADCs), which offer promising avenues for selectively modulating ERK1/2 activity. By integrating mechanistic insights with clinical development trends, this review underscores the potential of ERK1/2-targeted therapies in precision oncology.
Insights
Extracellular signal-regulated kinases 1 and 2 (ERK1/2) are key in cancer. This review covers ERK1/2 signaling, its role in tumorigenesis, and emerging targeted therapies for precision oncology.
Area of Science:
- Molecular Biology
- Oncology
- Pharmacology
Background:
- Extracellular signal-regulated kinases 1 and 2 (ERK1/2) are central components of the mitogen-activated protein kinase (MAPK) pathway.
- Aberrant ERK1/2 signaling is a hallmark of various cancers, including melanoma, pancreatic, and colorectal cancers, driving tumorigenesis.
Purpose of the Study:
- To provide a comprehensive review of ERK1/2 research, encompassing historical milestones, signaling networks, and therapeutic strategies.
- To explore novel therapeutic modalities for targeting ERK1/2 in precision oncology.
Main Methods:
- Literature review of historical milestones in ERK1/2 research.
- Detailed analysis of the ERK1/2 signaling network, including upstream regulators (RAS, RAF, MEK) and downstream effectors.
- Overview of current and emerging therapeutic approaches targeting ERK1/2.
Main Results:
- ERK1/2 signaling is a critical regulator of tumorigenesis, frequently dysregulated in major cancers.
- Therapeutic strategies include single-target and dual-target small-molecule inhibitors, combination therapies, and innovative approaches like PROTACs, AUTACs, and ADCs.
- These therapies aim to overcome resistance and enhance efficacy in cancer treatment.
Conclusions:
- ERK1/2-targeted therapies hold significant potential in the field of precision oncology.
- Integrating mechanistic understanding with clinical development is crucial for advancing ERK1/2-directed cancer treatments.
- Novel therapeutic modalities offer promising avenues for selective modulation of ERK1/2 activity.
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