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Mechanisms of resistance to KRASG12C inhibitors in KRASG12C-mutated non-small cell lung cancer.KRASG12C突变的非小细胞肺癌中对KRASG12C抑制剂耐药的机制
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新型RAS抑制剂:癌症治疗中的杂环和螺环化合物

Emerging RAS Inhibitors: Heterocyclic and Spirocyclic Compounds in Cancer Therapeutics.

作者信息

Kargbo Robert B

机构信息

Usona Institute, Fitchburg, Wisconsin 53711-5300, United States.

出版信息

ACS Med Chem Lett. 2025 Jan 29;16(2):216-218. doi: 10.1021/acsmedchemlett.5c00028. eCollection 2025 Feb 13.

DOI:10.1021/acsmedchemlett.5c00028
PMID:39967641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11831559/
Abstract

Researchers have long recognized RAS mutations as one of the most challenging targets in oncology. These genetic alterations are central drivers of tumor progression in cancers such as melanoma, colorectal cancer, and pancreatic adenocarcinoma. The recent advancements described in patent applications WO 2024/243186 A2 and WO 2024/246099 A1 introduce two novel classes of inhibitors: heterocyclic compounds targeting NRAS G12D and spirocyclic derivatives directed at KRAS mutations, including G12C, G12D, and G12 V. These compounds, a fresh and innovative approach, disrupt critical RAS-dependent signaling pathways, offering a pathway to mitigate tumor growth and overcome resistance to standard therapies. This Patent Highlight explores their mechanisms, preclinical successes, and implications for future cancer treatment strategies.

摘要

长期以来,研究人员一直认为RAS突变是肿瘤学中最具挑战性的靶点之一。这些基因改变是黑色素瘤、结直肠癌和胰腺腺癌等癌症肿瘤进展的核心驱动因素。专利申请WO 2024/243186 A2和WO 2024/246099 A1中描述的最新进展引入了两类新型抑制剂:靶向NRAS G12D的杂环化合物和针对KRAS突变(包括G12C、G12D和G12V)的螺环衍生物。这些化合物采用了全新的创新方法,破坏关键的RAS依赖性信号通路,为减轻肿瘤生长和克服对标准疗法的耐药性提供了一条途径。本专利亮点探讨了它们的作用机制、临床前研究成果以及对未来癌症治疗策略的影响。