Study identifies resistance mechanisms to RAS-targeting molecular glue inhibitors in cancer
This study analyzed paired baseline and end-of-treatment samples from 40 patients treated with the RAS inhibitor daraxonrasib, identifying recurrent alterations in 18 cases that drive resistance to tri-complex inhibitors (TCIs). These molecular glues bind active RAS and recruit cyclophilin A to block oncogenic signaling, but acquired mutations disrupt the synthetic complex formation. The findings reveal distinct resistance mechanisms converging on complex disruption, offering insights for improved drug design and rational combination therapies in RAS mutant cancers.
Key quotes
Tri-complex inhibitors (TCIs) are molecular glues that bind the active, guanosine triphosphate (GTP)-bound state of RAS and recruit cyclophilin A (CYPA) to form a synthetic complex that blocks oncogenic signaling.
Here, we analyzed paired baseline and end-of-treatment samples from 40 patients treated with the RAS inhibitor daraxonrasib and identified recurrent alterations in 18 cases.
Structural and functional analyses revealed that acquired mutations confer resistance through distinct alterations that converge on disrupting synthetic complex formation, exposing strategies for improved drug design and rational combination therapy.
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