Molecular-genetic mechanisms of the signal cascade RAS-RAF-MEK-ERK associated with the development of the tumor process and the purpose of targeted drugs for colorectal cancer

Colorectal cancer occupies one of the leading positions in the world in the structure of cancer incidence. The vital processes of cancer cells largely depend on the production of growth factors and their receptors. One of these is epidermal growth factor (EGFR), which is a tyrosine kinase receptor f...

Full description

Bibliographic Details
Main Authors: A. N. Toropovsky, O. N. Pavlova, D. A. Viktorov, A. G. Nikitin
Format: Article
Language:Russian
Published: Private institution educational organization of higher education "Medical University "ReaViz" 2021-08-01
Series:Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье
Subjects:
Online Access:https://vestnik.reaviz.ru/jour/article/view/279
_version_ 1797700249902383104
author A. N. Toropovsky
O. N. Pavlova
D. A. Viktorov
A. G. Nikitin
author_facet A. N. Toropovsky
O. N. Pavlova
D. A. Viktorov
A. G. Nikitin
author_sort A. N. Toropovsky
collection DOAJ
description Colorectal cancer occupies one of the leading positions in the world in the structure of cancer incidence. The vital processes of cancer cells largely depend on the production of growth factors and their receptors. One of these is epidermal growth factor (EGFR), which is a tyrosine kinase receptor for cell membranes. Normally, binding of EGFR ligands and transforming growth factor alpha (TGFα) induces receptor activation, which triggers ERK and PI3K signaling pathways that control cell proliferation, migration, invasion, and many other processes. It was found that in 80% of cases, colorectal cancer occurs as a result of EGFR overexpression, which leads to increased growth and division of tumor cells due to hyperactivation of the RAS-RAF-MEKERK signaling cascade. The RAS-RAF-MEK-ERK cascade is a pathway that regulates cell proliferation, cell cycle, and cell migration. In the development of human cancer, mutations of the RAS/RAF family are most often the cause of dysregulation of signal transduction through this pathway. According to current data, about a third of all malignant neoplasms are associated with mutations in the genes of the RAS family, which include HRAS, KRAS, NRAS, RRAS, and other homologous proteins. Proteins of the RAS family are involved in the activation of tyrosine kinase signaling pathways, which leads to gene mutations. This process determines proliferative activity, ability to differentiate, metastasis, avoidance of apoptosis, induction of angiogenesis. Permanent RAS activation leads to malignant cell degeneration. Thus, the expression and mutation of the EGFR gene are associated with various variants of tumor progression and poor prognosis in malignant neoplasms of various localizations. Over the past decades, significant advances have been made in the treatment of metastatic colorectal cancer. However, the expansion of the spectrum of effective anticancer drugs also creates a number of difficulties in choosing the optimal drug therapy regimens in patients with metastases of colorectal cancer.
first_indexed 2024-03-12T04:19:54Z
format Article
id doaj.art-5d7a90abe3784ca1bff0a29d952ae40b
institution Directory Open Access Journal
issn 2226-762X
2782-1579
language Russian
last_indexed 2024-03-12T04:19:54Z
publishDate 2021-08-01
publisher Private institution educational organization of higher education "Medical University "ReaViz"
record_format Article
series Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье
spelling doaj.art-5d7a90abe3784ca1bff0a29d952ae40b2023-09-03T10:34:12ZrusPrivate institution educational organization of higher education "Medical University "ReaViz"Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье2226-762X2782-15792021-08-0104253510.20340/vmi-rvz.2021.4.MORPH.3227Molecular-genetic mechanisms of the signal cascade RAS-RAF-MEK-ERK associated with the development of the tumor process and the purpose of targeted drugs for colorectal cancerA. N. Toropovsky0O. N. Pavlova1D. A. Viktorov2A. G. Nikitin3Инновационная компания ООО «ТестГен»Самарский государственный медицинский университет; Медицинский университет «Реавиз»Инновационная компания ООО «ТестГен»Инновационная компания ООО «ТестГен»Colorectal cancer occupies one of the leading positions in the world in the structure of cancer incidence. The vital processes of cancer cells largely depend on the production of growth factors and their receptors. One of these is epidermal growth factor (EGFR), which is a tyrosine kinase receptor for cell membranes. Normally, binding of EGFR ligands and transforming growth factor alpha (TGFα) induces receptor activation, which triggers ERK and PI3K signaling pathways that control cell proliferation, migration, invasion, and many other processes. It was found that in 80% of cases, colorectal cancer occurs as a result of EGFR overexpression, which leads to increased growth and division of tumor cells due to hyperactivation of the RAS-RAF-MEKERK signaling cascade. The RAS-RAF-MEK-ERK cascade is a pathway that regulates cell proliferation, cell cycle, and cell migration. In the development of human cancer, mutations of the RAS/RAF family are most often the cause of dysregulation of signal transduction through this pathway. According to current data, about a third of all malignant neoplasms are associated with mutations in the genes of the RAS family, which include HRAS, KRAS, NRAS, RRAS, and other homologous proteins. Proteins of the RAS family are involved in the activation of tyrosine kinase signaling pathways, which leads to gene mutations. This process determines proliferative activity, ability to differentiate, metastasis, avoidance of apoptosis, induction of angiogenesis. Permanent RAS activation leads to malignant cell degeneration. Thus, the expression and mutation of the EGFR gene are associated with various variants of tumor progression and poor prognosis in malignant neoplasms of various localizations. Over the past decades, significant advances have been made in the treatment of metastatic colorectal cancer. However, the expansion of the spectrum of effective anticancer drugs also creates a number of difficulties in choosing the optimal drug therapy regimens in patients with metastases of colorectal cancer.https://vestnik.reaviz.ru/jour/article/view/279колоректальный ракрак толстой и прямой кишкиметастазированный колоректальный ракegfrhraskrasnrasrrasras-raf-mek-erk сигнальный каскад
spellingShingle A. N. Toropovsky
O. N. Pavlova
D. A. Viktorov
A. G. Nikitin
Molecular-genetic mechanisms of the signal cascade RAS-RAF-MEK-ERK associated with the development of the tumor process and the purpose of targeted drugs for colorectal cancer
Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье
колоректальный рак
рак толстой и прямой кишки
метастазированный колоректальный рак
egfr
hras
kras
nras
rras
ras-raf-mek-erk сигнальный каскад
title Molecular-genetic mechanisms of the signal cascade RAS-RAF-MEK-ERK associated with the development of the tumor process and the purpose of targeted drugs for colorectal cancer
title_full Molecular-genetic mechanisms of the signal cascade RAS-RAF-MEK-ERK associated with the development of the tumor process and the purpose of targeted drugs for colorectal cancer
title_fullStr Molecular-genetic mechanisms of the signal cascade RAS-RAF-MEK-ERK associated with the development of the tumor process and the purpose of targeted drugs for colorectal cancer
title_full_unstemmed Molecular-genetic mechanisms of the signal cascade RAS-RAF-MEK-ERK associated with the development of the tumor process and the purpose of targeted drugs for colorectal cancer
title_short Molecular-genetic mechanisms of the signal cascade RAS-RAF-MEK-ERK associated with the development of the tumor process and the purpose of targeted drugs for colorectal cancer
title_sort molecular genetic mechanisms of the signal cascade ras raf mek erk associated with the development of the tumor process and the purpose of targeted drugs for colorectal cancer
topic колоректальный рак
рак толстой и прямой кишки
метастазированный колоректальный рак
egfr
hras
kras
nras
rras
ras-raf-mek-erk сигнальный каскад
url https://vestnik.reaviz.ru/jour/article/view/279
work_keys_str_mv AT antoropovsky moleculargeneticmechanismsofthesignalcascaderasrafmekerkassociatedwiththedevelopmentofthetumorprocessandthepurposeoftargeteddrugsforcolorectalcancer
AT onpavlova moleculargeneticmechanismsofthesignalcascaderasrafmekerkassociatedwiththedevelopmentofthetumorprocessandthepurposeoftargeteddrugsforcolorectalcancer
AT daviktorov moleculargeneticmechanismsofthesignalcascaderasrafmekerkassociatedwiththedevelopmentofthetumorprocessandthepurposeoftargeteddrugsforcolorectalcancer
AT agnikitin moleculargeneticmechanismsofthesignalcascaderasrafmekerkassociatedwiththedevelopmentofthetumorprocessandthepurposeoftargeteddrugsforcolorectalcancer