Department of Medical Oncology and Cancer Biology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.
Expert Rev Anticancer Ther. 2014 Aug;14(8):869-71. doi: 10.1586/14737140.2014.928596. Epub 2014 Jun 13.
KRAS is one of the most commonly mutated oncogenes in human tumors, and is typically associated with aggressive disease. Despite intensive study and years of effort, KRAS has remained refractory to targeted inhibition. Given the challenge of inhibiting KRAS directly, current approaches to KRAS targeted therapy have involved the disruption of downstream signaling pathways. However, combinations of drugs that target RAF/MEK and PI3K/AKT signaling have failed to live up to expectations in the clinic. Here we summarize the evidence that the cytokine signaling circuitry of KRAS-driven tumors represents an equally tractable drug target. Indeed, the incorporation of novel therapeutics that disrupts these cytokine signaling networks may hold the key to overcoming this seemingly impenetrable treatment barrier.
KRAS 是人类肿瘤中最常见的突变致癌基因之一,通常与侵袭性疾病相关。尽管进行了深入研究和多年的努力,KRAS 仍然对靶向抑制具有抗性。鉴于直接抑制 KRAS 的挑战性,目前针对 KRAS 的靶向治疗方法涉及破坏下游信号通路。然而,靶向 RAF/MEK 和 PI3K/AKT 信号的药物组合在临床上并未达到预期效果。在这里,我们总结了证据表明,KRAS 驱动的肿瘤细胞因子信号通路代表了同样可行的药物靶点。事实上,纳入破坏这些细胞因子信号网络的新型治疗药物可能是克服这种看似难以逾越的治疗障碍的关键。