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The Ras protein family, comprising KRAS, HRAS, and NRAS, consists of small GTPases that act as critical molecular switches in cellular signaling pathways, including the MAPK/ERK and PI3K/AKT/mTOR cascades [1, 2]. These proteins cycle between an active GTP-bound state and an inactive GDP-bound state to regulate fundamental processes such as cell growth, differentiation, and survival [1, 4]. Mutations in Ras genes are found in approximately 30% of all human cancers, with KRAS being the most frequently mutated isoform, particularly in pancreatic, colorectal, and lung adenocarcinomas [2, 4]. Oncogenic mutations typically impair the intrinsic GTPase activity or GAP-mediated GTP hydrolysis, leading to constitutive activation and uncontrolled cell proliferation [1, 2]. While long considered 'undruggable,' the development of allele-specific covalent inhibitors like sotorasib and adagrasib has successfully targeted the KRAS G12C mutation by binding to a cryptic pocket in the inactive state [3, 4]. Furthermore, therapeutic strategies such as oncolytic viruses (e.g., Pelareorep) exploit the specific signaling environment of Ras-activated tumor cells to achieve selective viral replication and cell death [5].
Drugs targeting Ras proteins primarily function through allele-specific covalent inhibition (e.g., sotorasib targeting KRAS G12C), which locks the protein in its inactive GDP-bound state and prevents downstream signaling through the MAPK and PI3K pathways [3, 4]. Other approaches include oncolytic viruses like pelareorep, which selectively replicate in and lyse cells with activated Ras signaling by exploiting the impaired antiviral response in these cells [5]. Additionally, farnesyltransferase inhibitors like tipifarnib prevent the post-translational modification required for Ras membrane localization and activity [4].
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