Targeting KRASG12C in colorectal cancer: the beginning of a new era

被引:28
作者
Ciardiello, D. [1 ,2 ,4 ]
Maiorano, B. A. [1 ,3 ]
Martinelli, E. [2 ]
机构
[1] IRCCS Fdn Casa Sollievo Sofferenza, Oncol Unit, San Giovanni Rotondo, Italy
[2] Luigi Vanvitelli Univ Campania, Dept Precis Med, Med Oncol Unit, Naples, Italy
[3] Univ Cattolica Sacro Cuore, Dept Translat Med & Surg, Rome, Italy
[4] IRCCS Fdn Casa Sollievo Sofferenza, Oncol Unit, I-71013 San Giovanni Rotondo, Italy
关键词
CRC; KRASG12C; target therapies; precision medicine; INHIBITOR; TRIAL;
D O I
10.1016/j.esmoop.2022.100745
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
RAS mutation is considered one of the most relevant oncogenic drivers in human cancers. Unfortunately, for more than three decades, RAS has been considered an undruggable target. Recently, the discovery of selective and potent KRASG12C inhibitors represented a light at the end of the tunnel. Indeed, sotorasib and adagrasib proved clinical activity in patients with refractory metastatic colorectal cancer harboring KRASG12C mutation; however, responses are lower than expected, suggesting the presence of intrinsic resistance. Consequently, novel combinatory strategies to disrupt the RAS signaling pathways are under clinical investigation. This review aims to discuss the current knowledge and novel routes of KRASG12C inhibition in metastatic colorectal cancer.
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页数:7
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