2021
DOI: 10.3389/fmolb.2021.625979
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The Multi-Level Mechanism of Action of a Pan-Ras Inhibitor Explains its Antiproliferative Activity on Cetuximab-Resistant Cancer Cells

Abstract: Ras oncoproteins play a crucial role in the onset, maintenance, and progression of the most common and deadly human cancers. Despite extensive research efforts, only a few mutant-specific Ras inhibitors have been reported. We show that cmp4–previously identified as a water-soluble Ras inhibitor– targets multiple steps in the activation and downstream signaling of different Ras mutants and isoforms. Binding of this pan-Ras inhibitor to an extended Switch II pocket on HRas and KRas proteins induces a conformatio… Show more

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Cited by 9 publications
(7 citation statements)
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“…According to a mathematical model of the RAS activation cycle, cmp4 when combined with cetuximab reduces the proliferation of cetuximab-resistant cancer cell lines. However, the affinity of cmp4 for RAS is unsatisfactory, and this limits its application as an ideal clinical drug ( 58 ).…”
Section: Evidence For Pan-ras Inhibitors In Ras-mutant Cancersmentioning
confidence: 99%
“…According to a mathematical model of the RAS activation cycle, cmp4 when combined with cetuximab reduces the proliferation of cetuximab-resistant cancer cell lines. However, the affinity of cmp4 for RAS is unsatisfactory, and this limits its application as an ideal clinical drug ( 58 ).…”
Section: Evidence For Pan-ras Inhibitors In Ras-mutant Cancersmentioning
confidence: 99%
“…Although many effective treatments are available (192,193), there is also a very high percentage of patients who after a few months of treatment manifest resistance and tumor relapse (194) due to on-target mechanisms dependent on the coexistence of cell populations with different sensitivities to the drug (present before the treatment or acquired by selective pressure) (195) and/or offtarget mechanisms depending on the oncogenic activation of other genes and proteins (196,197). Other examples of drug resistance due to heterogeneity can be found in the study of Blaquier et al (198) and in other studies (192,194,199).…”
Section: Tumor Heterogeneity Drug Resistance and Clinical Outcomesmentioning
confidence: 99%
“…7 The development of cmp4-based drugs (pan-Ras inhibitors) is promising for combination therapies and cetuximab in reducing tumor cell proliferation. 8 Our previous study explored the importance of K-Ras binding site water molecules and dynamical changes of K-Ras mutant structures compared to the native model. 9,10 Another study focused on developing an engineered chimeric toxin, a pan-Ras biologic inhibitor for use in cancer therapy.…”
Section: Introductionmentioning
confidence: 99%
“…For example, patients with K‐Ras mutations responded poorly to the anti‐EGFR drugs panitumumab and cetuximab 7 . The development of cmp4‐based drugs (pan‐Ras inhibitors) is promising for combination therapies and cetuximab in reducing tumor cell proliferation 8 . Our previous study explored the importance of K‐Ras binding site water molecules and dynamical changes of K‐Ras mutant structures compared to the native model 9,10 .…”
Section: Introductionmentioning
confidence: 99%