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The RAS pathway proteins are a family of small GTPases that act as central molecular switches in the control of cell proliferation, differentiation, and survival[1][2][4]. The three main RAS isoforms (KRAS, NRAS, HRAS) cycle between inactive GDP-bound and active GTP-bound states, relaying growth signals from cell surface receptors to multiple downstream effector pathways, most notably the RAF-MEK-ERK (MAPK) and PI3K-AKT pathways[3][4]. Activating mutations in RAS genes are among the most common oncogenic events in human cancer, making these proteins major therapeutic targets; however, direct targeting has only recently become feasible with the advent of mutant-specific covalent inhibitors (e.g., sotorasib for KRAS G12C)[2][4][6]. Indirect approaches targeting downstream effectors remain an important strategy. RAS signaling is also implicated in developmental syndromes and certain inflammatory and degenerative diseases[1]. The complexity and redundancy of RAS pathway signaling, together with normal tissue dependence, present ongoing challenges for therapeutic targeting.
Covalent inhibition of mutant KRAS G12C (e.g., sotorasib, adagrasib); Inhibition of downstream signaling pathways (RAF, MEK, PI3K, mTOR); Disruption of nucleotide exchange or effector interactions (experimental); RNA interference (siRNA for KRAS knockdown); Allosteric inhibition (emerging research)
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