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阻断癌变的心跳:KRAS 综述。

Stopping the beating heart of cancer: KRAS reviewed.

机构信息

Discovery Research, Boehringer Ingelheim Regional Center Vienna GmbH & Co KG, 1120, Vienna, Austria.

Discovery Research, Boehringer Ingelheim Regional Center Vienna GmbH & Co KG, 1120, Vienna, Austria.

出版信息

Curr Opin Struct Biol. 2021 Dec;71:136-147. doi: 10.1016/j.sbi.2021.06.013. Epub 2021 Jul 22.

Abstract

It has taken four decades of research to see the first major breakthrough for KRAS-driven cancers. In particular, the last decade has seen a paradigm shift with the discovery of druggable pockets on KRAS and clinical efficacy with covalent KRAS inhibitors, culminating in the first approval of sotorasib monotherapy as second-line treatment in KRAS-driven non-small-cell lung cancer. Nevertheless, 85% of all KRAS-mutated cancers still lack novel agents. In this review, we will outline the structure, function, and post-translational modifications of KRAS and highlight the various approaches being adopted to drug KRAS, ranging from selective to pan concepts. The range of molecular modalities being explored, including PROTACs and glues, will also be described. Finally, an outlook toward the next wave of KRAS drugs and the challenges of resistance will be given.

摘要

经过四十年的研究,我们终于迎来了 KRAS 驱动型癌症的首个重大突破。特别是在过去的十年中,随着 KRAS 上可成药口袋的发现和共价 KRAS 抑制剂的临床疗效,我们见证了这一范式转变,最终首个 KRAS 抑制剂 sotorasib 被批准作为 KRAS 驱动的非小细胞肺癌二线治疗药物。尽管如此,仍有 85%的所有 KRAS 突变型癌症缺乏新的治疗药物。在这篇综述中,我们将概述 KRAS 的结构、功能和翻译后修饰,并重点介绍目前正在采用的各种靶向 KRAS 的方法,包括选择性和泛型方法。我们还将描述正在探索的各种分子模式,包括 PROTACs 和胶束。最后,我们将展望下一波 KRAS 药物以及耐药性的挑战。

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