Af­ter ap­provals for one of can­cer's 'un­drug­gable' tar­gets, re­search in­to new KRAS ther­a­pies booms: #AACR24

For can­cer re­searchers, the po­ten­tial was as ob­vi­ous as the prob­lem.

Mu­ta­tions to the KRAS gene dri­ve near­ly a third of all can­cers. A laun­dry list of code al­ter­ations — mu­ta­tions called G12C, G12D, G12V, G12A, G13C, Q61H, and so on — re­sult­ing in pro­tein build­ing block changes could all be tar­gets to stop ag­gres­sive can­cers if on­ly the right mol­e­cule could be found.

And that was the chal­lenge. Long known as one of bio­phar­ma’s “un­drug­gable” tar­gets, the pro­tein’s smooth and un­usu­al shape meant it lacked the grooves that typ­i­cal­ly act as bind­ing sites for drugs. That was un­til a land­mark 2013 pa­per from Ke­van Shokat’s lab at the Uni­ver­si­ty of Cal­i­for­nia San Fran­cis­co de­scribed a new, hid­den pock­et and small mol­e­cules that used it to in­hib­it the KRAS G12C-mu­tat­ed pro­tein.

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