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靶向Ras/Raf/MEK/ERK信号通路的抗癌药物的最新进展

Recent developments in anti-cancer agents targeting the Ras/Raf/ MEK/ERK pathway.

作者信息

Wong Kwong-Kwok

机构信息

Department of Gynecologic Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, TX 77030, USA.

出版信息

Recent Pat Anticancer Drug Discov. 2009 Jan;4(1):28-35. doi: 10.2174/157489209787002461.

Abstract

The Ras/Raf/MEK/ERK mitogen-activated protein kinase (MAPK) pathway mediates cellular responses to different growth signals and is frequently deregulated in cancer. There are three Raf kinases-A-Raf, B-Raf, and C-Raf; however, only B-Raf is frequently mutated in various cancers. The most common B-Raf mutation involves a substitution of a glutamic acid residue to a valine moiety at codon 600. Subsequently, the MAPK pathway is constitutively activated, even in the absence of any growth signals. Although early attempts to target Ras have not yielded any viable drug candidates, many novel compounds inhibiting the activities of Raf and MEK have been developed and investigated in clinical trials in recent years. The first MEK inhibitor (CI-1040) lacked efficacy in clinical trials, but its low toxicity has encouraged the search for novel compounds with enhanced target potency to inhibit MAPK activation at low nanomolar concentrations. In this review, we will discuss new patents or patent applications related to inhibitors of the Ras/Raf/MEK/ERK pathway.

摘要

Ras/Raf/MEK/ERK丝裂原活化蛋白激酶(MAPK)通路介导细胞对不同生长信号的反应,且在癌症中常发生失调。有三种Raf激酶——A-Raf、B-Raf和C-Raf;然而,只有B-Raf在各种癌症中频繁发生突变。最常见的B-Raf突变是第600位密码子处的谷氨酸残基被缬氨酸取代。随后,即使在没有任何生长信号的情况下,MAPK通路也会持续激活。尽管早期针对Ras的尝试尚未产生任何可行的候选药物,但近年来已开发出许多抑制Raf和MEK活性的新型化合物,并在临床试验中进行了研究。第一种MEK抑制剂(CI-1040)在临床试验中缺乏疗效,但其低毒性促使人们寻找在低纳摩尔浓度下具有更高靶点效力以抑制MAPK激活的新型化合物。在本综述中,我们将讨论与Ras/Raf/MEK/ERK通路抑制剂相关的新专利或专利申请。

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