Guangdong Key Laboratory for Translational Cancer Research of Chinese Medicine, Joint Laboratory for Translational Cancer Research of Chinese Medicine of the Ministry of Education of the People's Republic of China, International Institute for Translational Chinese Medicine, School of Pharmaceutical Science, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Guangdong Key Laboratory for Translational Cancer Research of Chinese Medicine, Joint Laboratory for Translational Cancer Research of Chinese Medicine of the Ministry of Education of the People's Republic of China, International Institute for Translational Chinese Medicine, School of Pharmaceutical Science, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China; Guangdong-Hong Kong-Macau Joint Lab on Chinese Medicine and Immune Disease Research, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Biomed Pharmacother. 2021 Aug;140:111717. doi: 10.1016/j.biopha.2021.111717. Epub 2021 May 24.
KRAS (kirsten rat sarcoma viral oncogene) is a member of the RAS family. KRAS mutations are one of most dominant mutations in colorectal cancer (CRC). The impact of KRAS mutations on the prognosis and survival of CRC patients drives many research studies to explore potential therapeutics or target therapy for the KRAS mutant CRC. This review summarizes the current understanding of the pathological consequences of the KRAS mutations in the development of CRC; and the impact of the mutations on the response and the sensitivity to the current front-line chemotherapy. The current therapeutic strategies for treating KRAS mutant CRC, the difficulties and challenges will also be discussed.
KRAS(kirsten 鼠肉瘤病毒致癌基因)是 RAS 家族的一员。KRAS 突变是结直肠癌(CRC)中最主要的突变之一。KRAS 突变对 CRC 患者的预后和生存的影响促使许多研究探索针对 KRAS 突变型 CRC 的潜在治疗方法或靶向治疗。本文综述了目前对 KRAS 突变在 CRC 发展过程中引起的病理后果的认识;以及突变对目前一线化疗的反应和敏感性的影响。还将讨论治疗 KRAS 突变型 CRC 的当前治疗策略、困难和挑战。