University of Milano-Bicocca, Department of Biotechnology and Biosciences, Milano, Italy.
Expert Opin Ther Pat. 2012 Nov;22(11):1263-87. doi: 10.1517/13543776.2012.728586. Epub 2012 Sep 26.
Ras proteins are small GTPases molecular switches that cycle through two alternative conformational states, a GDP-bound inactive state and a GTP-bound active state. In the active state, Ras proteins interact with and modulate the activity of several downstream effectors regulating key cellular processes including proliferation, differentiation, survival, senescence, migration and metabolism. Activating mutations of RAS genes and of genes encoding Ras signaling members have a great incidence in proliferative disorders, such as cancer, immune and inflammatory diseases and developmental syndromes. Therefore, Ras and Ras signaling represent important clinical targets for the design and development of pharmaceutically active agents, including anticancer agents.
The authors summarize methods available to down-regulate the Ras pathway and review recent patents covering Ras signaling modulators, as well as methods designed to kill specifically cancer cells bearing activated RAS oncogene.
Targeted therapy approach based on direct targeting of molecules specifically altered in Ras-dependent diseases is pursued with molecules that down-regulate expression or inhibit the biological function of mutant Ras or Ras signaling members. The low success rate in a clinical setting of molecules targeting activated members of the Ras pathway may require development of novel approaches, including combined and synthetic lethal therapies.
Ras 蛋白是小分子 GTP 酶分子开关,可循环通过两种替代构象状态,即 GDP 结合的非活性状态和 GTP 结合的活性状态。在活性状态下,Ras 蛋白与几种下游效应物相互作用并调节其活性,这些效应物调节包括增殖、分化、存活、衰老、迁移和代谢在内的关键细胞过程。RAS 基因和编码 Ras 信号成员的基因的激活突变在增殖性疾病中具有很高的发生率,如癌症、免疫和炎症性疾病以及发育综合征。因此,Ras 和 Ras 信号代表了设计和开发药物活性物质(包括抗癌药物)的重要临床靶点。
作者总结了下调 Ras 途径的可用方法,并回顾了最近涵盖 Ras 信号调节剂的专利,以及专门针对携带激活 Ras 致癌基因的癌细胞的杀伤方法。
基于对 Ras 依赖性疾病中特定改变的分子进行直接靶向的靶向治疗方法是通过下调表达或抑制突变 Ras 或 Ras 信号成员的生物学功能的分子来进行的。针对 Ras 通路激活成员的分子在临床环境中的低成功率可能需要开发新的方法,包括联合和合成致死疗法。