Small molecular inhibitors for KRAS-mutant cancers

نویسندگان

چکیده

Three rat sarcoma (RAS) gene isoforms, KRAS, NRAS, and HRAS, constitute the most mutated family of small GTPases in cancer. While development targeted immunotherapies has led to a substantial improvement overall survival patients with non-KRAS-mutant cancer, RAS-mutant cancers have an poorer prognosis owing high aggressiveness tumors. KRAS mutations are strongly implicated lung, pancreatic, colorectal cancers. However, RAS exhibit diverse patterns substitutions, positions different types Despite being considered “undruggable”, recent advances use allele-specific covalent inhibitors against common mutant form non-small-cell lung cancer effective pharmacological interventions Sotorasib (AMG510) been approved by FDA as second-line treatment for KRAS-G12C NSCLC who received at least one prior systemic therapy. Other on way block KRAS-mutant In this review, we summarize progress promise small-molecule clinical trials, including direct pan-RAS inhibitors, effector signaling, immune checkpoint or combinations improve tumors mutations.

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ژورنال

عنوان ژورنال: Frontiers in Immunology

سال: 2023

ISSN: ['1664-3224']

DOI: https://doi.org/10.3389/fimmu.2023.1223433