创新链/学科链/研发链/产业链

新药研发前沿动态 / 医药领域趋势进展

李慧丽, 姜飞, 任继威, 陆涛, 陈亚东. KRAS及其抑制剂的研究进展[J]. 药学进展, 2020, 44(1): 43-55.
引用本文: 李慧丽, 姜飞, 任继威, 陆涛, 陈亚东. KRAS及其抑制剂的研究进展[J]. 药学进展, 2020, 44(1): 43-55.
LI Huili, JIANG Fei, REN Jiwei, LU Tao, CHEN Yadong. Research Advances on KRAS and Its Inhibitors[J]. Progress in Pharmaceutical Sciences, 2020, 44(1): 43-55.
Citation: LI Huili, JIANG Fei, REN Jiwei, LU Tao, CHEN Yadong. Research Advances on KRAS and Its Inhibitors[J]. Progress in Pharmaceutical Sciences, 2020, 44(1): 43-55.

KRAS及其抑制剂的研究进展

Research Advances on KRAS and Its Inhibitors

  • 摘要: RAS是人类癌症中最常发生突变的致癌基因,而KRAS则是RAS家族中最常发生突变的亚型,其中多数为12位密码子的突变。突变之后的KRAS使细胞的生长、增殖不受控制,进而导致癌症的发生与发展。尽管经过了30多年的努力,但直接靶向KRAS活性位点的药物开发均以失败告终。由于KRAS与GTP的亲和力极强,同时细胞中GTP浓度较高,以至于使KRAS成为“不可成药”靶点。近期,针对突变的KRAS G12C特异性共价抑制剂在临床试验中取得了突破性进展,为KRAS抑制剂的可成药性提供了临床证据。综述KRAS的结构功能及其小分子抑制剂的设计和临床研究概况,着重介绍具有代表意义的KRAS G12C抑制剂和其作为抗肿瘤药物的最新研发进展,为以KRAS为靶点的药物开发提供研究思路。

     

    Abstract: KRAS is the most frequent mutation subtype of the RAS family, which is the most frequently mutated oncogene in human cancer. Most of the mutations are at codon 12. KRAS causes uncontrolled cell growth after mutation, which in turn leads to the development and progression of cancer diseases. However, despite more than 30 years of effort, the drug discovery targeting RAS constantly fails due to its strong affinity with GTP and picomolar affinity towards guanosine substrates, rendering RAS undruggable. Recently, G12C-specific covalent inhibitors against mutations have made breakthroughs in clinical trials, providing clinical evidence for RAS drug-solvable targets. This review summarizes the structure and function of KRAS and design and clinical research of its small molecule inhibitors, with a focus on the study of recent advances on representative KRAS G12C inhibitors as a new approach to the development of antitumor drugs.

     

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