Dept. of Biochemistry and Molecular Biology, Jahangirnagar University, Dhaka, Bangladesh.
Dept. of Pharmacology and Toxicology, University of Otago, Dunedin, New Zealand.
Curr Med Chem. 2021;28(39):8098-8115. doi: 10.2174/0929867328666210301105856.
Approximately 85% of all lungs cancer cases are classified as non-small cell lung cancer (NSCLC). Kirsten rat sarcoma (KRAS) viral oncogene homolog mutations frequently occur in NSCLC patients resulting in a decreased overall survival. Additionally, currently used chemotherapeutic drugs lack selectivity,and patients experience side effects. Therefore, potent therapeutic agents are urgently needed for these patients. Plant- based compounds could be a potential option to treat KRAS-mutated NSCLC. These compounds are reported to be effective against the KRAS-linked up-stream and downstream signaling pathways that are directly or indirectly linked with cell proliferation, division, and apoptosis. Additionally, plant phytochemicals also suppressed different cell cycle phases of KRAS-mutant NSCLC cells. Furthermore, phytochemicals have a wider therapeutic index compared to chemotherapeutic drugs. Therefore, phytochemicals could benefit NSCLC patients as sole agents or as a combination therapy with approved chemotherapies. The current review aims to summarize the potential benefit of natural compounds in KRAS-mutant NSCLC.
约 85%的肺癌病例被归类为非小细胞肺癌 (NSCLC)。KRAS 病毒癌基因同源突变经常发生在 NSCLC 患者中,导致总生存期缩短。此外,目前使用的化疗药物缺乏选择性,患者会出现副作用。因此,这些患者迫切需要有效的治疗药物。基于植物的化合物可能是治疗 KRAS 突变型 NSCLC 的一个潜在选择。这些化合物被报道对 KRAS 相关的上游和下游信号通路有效,这些信号通路直接或间接地与细胞增殖、分裂和凋亡有关。此外,植物中的植物化学物质还抑制了 KRAS 突变型 NSCLC 细胞的不同细胞周期阶段。此外,植物化学物质的治疗指数比化疗药物更广。因此,植物化学物质可以作为单一药物或与已批准的化疗药物联合治疗 NSCLC 患者。本综述旨在总结天然化合物在 KRAS 突变型 NSCLC 中的潜在益处。