1. Academic Validation
  2. RAS-targeted therapies: is the undruggable drugged?

RAS-targeted therapies: is the undruggable drugged?

  • Nat Rev Drug Discov. 2020 Aug;19(8):533-552. doi: 10.1038/s41573-020-0068-6.
Amanda R Moore 1 Scott C Rosenberg 1 Frank McCormick 2 Shiva Malek 3
Affiliations

Affiliations

  • 1 Department of Discovery Oncology, Genentech Inc., South San Francisco, CA, USA.
  • 2 Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA, USA.
  • 3 Department of Discovery Oncology, Genentech Inc., South San Francisco, CA, USA. shivam@gene.com.
Abstract

Ras (KRAS, NRAS and HRAS) is the most frequently mutated gene family in cancers, and, consequently, investigators have sought an effective Ras Inhibitor for more than three decades. Even 10 years ago, Ras inhibitors were so elusive that Ras was termed 'undruggable'. Now, with the success of allele-specific covalent inhibitors against the most frequently mutated version of Ras in non-small-cell lung Cancer, KRASG12C, we have the opportunity to evaluate the best therapeutic strategies to treat RAS-driven cancers. Mutation-specific biochemical properties, as well as the tissue of origin, are likely to affect the effectiveness of such treatments. Currently, direct inhibition of mutant Ras through allele-specific inhibitors provides the best therapeutic approach. Therapies that target RAS-activating pathways or Ras effector pathways could be combined with these direct Ras inhibitors, immune checkpoint inhibitors or T cell-targeting approaches to treat RAS-mutant tumours. Here we review recent advances in therapies that target mutant Ras proteins and discuss the future challenges of these therapies, including combination strategies.

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