Mutated RAS: Targeting the "Untargetable" with T Cells

被引:30
作者
Chatani, Praveen D. [1 ]
Yang, James C. [1 ]
机构
[1] NCI, Surg Branch, NIH, Bldg 10, Bethesda, MD 20892 USA
关键词
TUMOR-INFILTRATING LYMPHOCYTES; METASTATIC MELANOMA; K-RAS; CANCER-IMMUNOTHERAPY; PEPTIDE VACCINATION; COLORECTAL-CANCER; ADOPTIVE TRANSFER; CTLA-4; BLOCKADE; MUTANT KRAS; CODON; 12;
D O I
10.1158/1078-0432.CCR-19-2138
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The RAS family of proteins is at the apex of several pathways implicated in a multitude of epithelial cancers but has remained stubbornly resistant to the wave of targeted small molecules and antibodies that have revolutionized clinical oncology. KRAS, the most commonly mutated of the isoforms, represents an attractive target for treatment, given its ubiquity, central role as a driver mutation, and association with poor prognosis. This review is a comprehensive summary of the existing approaches to targeting KRAS spanning small-molecule inhibitors, cancer vaccines, and with a focus on trials in adoptive cell therapy. Here we explain how the limitations of existing drugs and nonspecific immune-based therapies are circumvented with techniques in modern immunotherapy. The successes outlined represent the most promising path to finally targeting the prototypical "undruggable" RAS oncogene family.
引用
收藏
页码:537 / 544
页数:8
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