Massachusetts College of Pharmacy and Health Sciences University, Boston, MA, USA.
Massachusetts College of Pharmacy and Health Sciences University, Boston, MA, USA.
Eur J Med Chem. 2021 Feb 5;211:113006. doi: 10.1016/j.ejmech.2020.113006. Epub 2020 Nov 17.
KRAS genes are the most commonly mutated oncogenes in cancer. Unfortunately, effective therapeutic strategies for targeting KRAS mutant cancers have proven to be difficult to obtain. A key reason for this setback is due to the lack of success direct KRAS mutant inhibitors have received. Researchers have turned their efforts away from targeting the KRAS nucleotide-binding site directly and towards targeting other areas of the MAPK signaling pathway to block KRAS function. Researchers found that inhibiting enzymes and protein-protein interactions involved in the MAPK signaling pathway inhibit the activation of KRAS mutant therefore can lead to a potential therapeutic for KRAS mutated cancers. Throughout the past two decades, various indirect inhibitors have been designed and tested. EGFR and MEK inhibitors have presented with less success; however, significant advances have been made when targeting the plasma membrane localization process and the allosteric site of KRAS mutant. Farnesyltransferase and allosteric inhibitors have both advanced to human clinical trials. This comprehensive review presents the most recent developments of direct and indirect KRAS mutant inhibitors. This review summarizes published data on the inhibitory and anti-cancer activity of compounds that target KRAS activation as well as highlights the most promising strategies for targeting KRAS mutant cancers.
KRAS 基因是癌症中最常见的突变致癌基因。不幸的是,针对 KRAS 突变癌症的有效治疗策略一直难以实现。造成这种挫折的一个关键原因是缺乏直接针对 KRAS 突变抑制剂的成功。研究人员已经不再将精力直接集中在靶向 KRAS 核苷酸结合位点上,而是转向针对 MAPK 信号通路的其他区域,以阻断 KRAS 功能。研究人员发现,抑制 MAPK 信号通路中涉及的酶和蛋白-蛋白相互作用可以抑制 KRAS 突变的激活,从而为 KRAS 突变癌症提供潜在的治疗方法。在过去的二十年中,已经设计和测试了各种间接抑制剂。EGFR 和 MEK 抑制剂的效果较差;然而,当靶向 KRAS 突变的质膜定位过程和别构位点时,取得了重大进展。法尼基转移酶和别构抑制剂都已进入人体临床试验。这篇综述全面介绍了直接和间接 KRAS 突变抑制剂的最新进展。该综述总结了靶向 KRAS 激活的化合物的抑制和抗癌活性的已发表数据,并强调了针对 KRAS 突变癌症的最有前途的策略。