Shanghai Frontiers Science Center for Chinese Medicine Chemical Biology, Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Department of Pharmacology, School of Pharmacy, Fudan University, Shanghai, China.
Med Res Rev. 2024 Mar;44(2):812-832. doi: 10.1002/med.21993. Epub 2023 Nov 27.
As a widely considerable target in chemical biology and pharmacological research, rat sarcoma (RAS) gene mutations play a critical driving factor in several fatal cancers. Despite the great progress of RAS subtype-specific inhibitors, rapid acquired drug resistance could limit their further clinical applications. Proteolysis targeting chimera (PROTAC) has emerged as a powerful tool to handle "undruggable" targets and exhibited significant therapeutic benefit for the combat of drug resistance. Owing to unique molecular mechanism and binding kinetics, PROTAC is expected to become a feasible strategy to break the bottleneck of classical RAS inhibitors. This review aims to discuss the current advances of RAS inhibitors and especially focus on PROTAC strategy targeting RAS mutations and their downstream effectors for relevant cancer treatment.
作为化学生物学和药理学研究中一个备受关注的靶点,鼠肉瘤(RAS)基因突变在几种致命癌症中起着关键的驱动因素。尽管针对 RAS 亚型特异性抑制剂已经取得了很大的进展,但快速获得的药物耐药性可能限制了它们的进一步临床应用。蛋白水解靶向嵌合体(PROTAC)作为一种强大的工具,可以处理“不可成药”的靶点,并为耐药性的治疗带来显著的治疗效果。由于独特的分子机制和结合动力学,PROTAC 有望成为打破经典 RAS 抑制剂瓶颈的可行策略。本文旨在讨论 RAS 抑制剂的最新进展,特别是重点介绍针对 RAS 突变及其下游效应物的 PROTAC 策略,以用于相关癌症的治疗。