Rekowska Anna K, Rola Piotr, Kwiatkowska Agnieszka, Wójcik-Superczyńska Magdalena, Gil Michał, Krawczyk Paweł, Milanowski Janusz
Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, 20-090 Lublin, Poland.
Biomedicines. 2024 Jan 31;12(2):325. doi: 10.3390/biomedicines12020325.
Mutations in the gene are among the most common mutations observed in cancer cells, but they have only recently become an achievable goal for targeted therapies. Two inhibitors, sotorasib and adagrasib, have recently been approved for the treatment of patients with advanced non-small cell lung cancer with the G12C mutation, while studies on their efficacy are still ongoing. In this work, we comprehensively analyzed gene mutations' molecular background, mutation testing, KRAS inhibitors' effectiveness with an emphasis on non-small cell lung cancer, the impact of mutations on immunotherapy outcomes, and drug resistance problems. We also summarized ongoing trials and analyzed emerging perspectives on targeting KRAS in cancer patients.
该基因的突变是癌细胞中最常见的突变之一,但直到最近它们才成为靶向治疗可实现的目标。两种KRAS抑制剂,索托拉西布和阿达格拉西布,最近已被批准用于治疗具有KRAS G12C突变的晚期非小细胞肺癌患者,而关于它们疗效的研究仍在进行中。在这项工作中,我们全面分析了KRAS基因突变的分子背景、突变检测、KRAS抑制剂的有效性(重点是非小细胞肺癌)、KRAS突变对免疫治疗结果的影响以及耐药性问题。我们还总结了正在进行的试验,并分析了针对癌症患者靶向KRAS的新观点。