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After Decades of Failure, ‘Undruggable’ Cancers Begin to Give Way
New drugs are taking on the slippery molecular switches that fuel deadly cancers—and AI is speeding up the hunt.
For decades, a handful of molecular switches has haunted the nightmares of cancer researchers. The switches trigger runaway tumor growth and cause the disease to spread across the body in multiple cancers. In theory, this makes them perfect treatment targets. Blocking even one could lead to drugs that are effective against a variety of cancers.
But despite considerable efforts, these switches—all of which are proteins—have escaped our most advanced cancer treatments, earning them the term “undruggable.” This is largely due to a shared trait: They all have smooth surfaces, making it difficult for drugs to interact with them.
But maybe not for much longer.
Researchers recently reported promising results for a new medication targeting a family of undruggable proteins in a clinical trial for advanced pancreatic cancer. The drug, daraxonrasib, nearly doubled survival time compared to chemotherapy, with fewer side effects. It’s not a total cure. But the treatment gives patients precious time, adding roughly 13 months after diagnosis. Patients also reported less pain and better quality of life.
Daraxonrasib is the latest in a new generation of drugs aimed at undruggable proteins. And AI-based tools are now poised to further accelerate progress in the field.
RAS AttackThe RAS family was the first group of oncogenes—or genes that drive cancer—ever discovered. The genes became a major focus in 1982 when several teams independently showed the mutation of a single DNA letter could transform RAS genes into a potent cancer trigger.
The proteins RAS genes encode are like spring-loaded molecular switches that relay signals from a cell’s surroundings. When proteins called growth factors latch onto a cell, RAS switches flip on to promote cell growth and survival, while built-in safeguards quickly turn them off again.
Cancerous mutations break this cycle. The switches get stuck in the “on” position, continuously instructing cells to grow and divide. This is, of course, a hallmark of cancer.
An ideal drug would simply switch RAS off. But most drugs are like rock climbers. They need grooves, pockets, or bumps on a protein to grab onto. Similar to a smooth rock face, RAS offers few such features. Making matters worse, different mutations subtly reshape the protein, so it’s tough to build a one-size-fits-all inhibitor.
The first RAS drug wasn’t approved in the US until 2021, nearly four decades after discovering the genes’ role in cancer. Even then, the drug targeted just one family member of three, limiting its reach to a relatively small group of patients. Many eventually developed resistance.
That’s why daraxonrasib turned heads. Developed by Revolution Medicines in Redwood City, California, the drugs switches off all three RAS family members. Rather than trying to grip the slippery proteins directly, it binds to a partner molecule that helps RAS proteins fold into their final 3D shapes. In this way, the drug hitches a ride on active RAS and shuts the proteins down.
The workaround paid off. The new study enrolled 500 people worldwide with advanced pancreatic cancer. All participants had already tried cancer therapies with limited success. On average, patients receiving daraxonrasib lived 13.2 months and spent most of that time with limited pain. The most common discomfort was a rash. Those receiving chemotherapy fared worse, living roughly 6.6 months and experienced more severe side effects.
The results don’t rival the dramatic success of CAR T cell therapies in blood cancer. In CAR T, caregivers engineer a patient’s own immune cells to recognize and attack tumors, sometimes producing long-lasting remission after a single infusion.
But the findings have energized the field. If approved, a daily daraxonrasib pill would likely be far more affordable and easier to administer than a personalized cell therapy. And because RAS mutations fuel many solid cancers—which CAR T still struggles to control—the drug could offer a new defense against deadly cancers that are largely beyond cell therapy’s reach. Combining daraxonrasib with earlier-generation RAS inhibitors may further boost its effects.
The Genome GuardianDaraxonrasib didn’t appear overnight. Scientists used a crystallized snapshot of its target protein as a molecular blueprint. Years of medicinal chemistry followed, with scientists repeatedly tweaking candidate compounds to boost potency, improve selectivity, and minimize toxicity.
AI could dramatically accelerate similar efforts against other undruggable cancer targets. Among the most coveted is p53, often called the “guardian of the genome” for its dizzying array of roles. The protein orchestrates the activity of over 300 genes involved in DNA repair, metabolism, cell death, and inflammation, making it one of the cell’s most important defense systems.
Since its discovery in 1979, p53 has been both a holy grail and a headache for cancer researchers. Mutations in the gene are common in multiple cancers. But like RAS, the protein is flat and smooth. Some mutations destabilize its structure; others turn it into misfolded clumps. A universal p53 drug has remained elusive.
Some researchers are trying to restore the protein. In a small trial earlier this year, they tested a drug that restabilizes a common mutant form of p53. Within 21 days, tumors shrank roughly 20 percent in patients with ovarian, breast, and several other solid cancers.
Other researchers aim to selectively kill cells carrying the mutation. Using AI, a team at Baylor College of Medicine screened nearly 10 million compounds that cause mutated p53 cells to self-destruct, while sparing healthy cells. The search uncovered 83 chemically distinct candidates. One called H3 dramatically suppressed tumor growth in mice.
“These results highlight the potential use of AI-powered drug screening to investigate individual p53 mutants in the future,” they wrote. Although the approach is early-stage and only focused on one mutation, the team is hopeful it can be extended to other cancerous mutations.
Most WantedMYC is another formerly undruggable protein that could now be vulnerable. Roughly 70 percent of cancers have abnormal MYC activity. Normally, the protein is a master regulator of growth, directing cells to manufacture proteins, replicate DNA, absorb nutrients, and divide when needed.
Cancer finds many ways to hijack the system and keep cells in a state of runaway growth. MYC gene mutations aren’t just single-letter swaps. Sometimes the gene duplicates or is rearranged across the genome, churning out excessive amounts of the protein it encodes. This genetic diversity makes approaches using gene therapy difficult. And again, like RAS, the MYC protein’s smooth, featureless surface lacks stable anchors for drugs.
An emerging strategy is to disrupt MYC’s interaction with other proteins that it needs to function. A designer protein blocking MYC activity, for example, recently showed promise in a small trial against solid cancers. Other teams are using AI to identify drugs that limit MYC’s ability to fix damaged DNA in tumors, kneecapping their ability to divide. Meanwhile, biotechnology companies are deploying AI to map out MYC’s structure and molecular interactions in search of new ways to shut the protein down.
Daraxonrasib’s success shows that undruggable proteins aren’t untouchable. There’s a lot more work ahead to prove other similar drugs can work too. But scientists are increasingly leaning into AI during all stages of drug development to speed up the process. Maybe, one day, “undruggable” will disappear from our vocabulary altogether.
The post After Decades of Failure, ‘Undruggable’ Cancers Begin to Give Way appeared first on SingularityHub.
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Apple Silicon boosts the TCO benefit of Macs — report
Apple Silicon Macs fail at less than half the rate of Intel Macs, dramatically reducing the platform’s already industry-leading total cost of ownership (TCO), according to data revealed by London, UK-based Apple reseller Hoxton Macs.
While it’s true the data is based on a relatively small sample group, it does seem to reflect what the industry in general sees.
Apple’s chip design transforms Mac reliabilityThe success of Apple Silicon hardware is attributed to its simpler design, which integrates multiple components into a single chip, reducing the number of potential failure points. Additionally, Apple Silicon Macs run cooler, leading to less wear and tear on components such as batteries and USB-C ports, the report says. Across the wider laptop market, most studies show hardware faults affect one in five non-Apple machines over their first three years in use.
This builds on Apple’s enduring record for making good hardware as independent reliability surveys consistently rank the company as the most reliable laptop brand. To some extent, the data reflects the anecdotal experience most Mac users have — their computers seem to last much longer than other systems do, which helps them retain value on the second-user market.
Apple already had a good story to tell in terms of tech support before it introduced Apple Silicon machines. More than a decade ago, Fletcher Previn, then vice president of Workplace-as-a-Service at IBM, told the Jamf Nation User Conference that just 5% of IBM’s Mac-using employees needed to call the help desk; in contrast, an astonishing 40% of PC-using staff had to do so. That difference is significant because it translates into serious differences in cost; each tech support call made by those working on your ailing PC fleet has a price.
That TCO difference prompted Previn to say, “I can confidently say every Mac that we buy is making and saving IBM money.” Years later, as CIO at Cisco, he said the company’s tens of thousands of Mac users experienced five times fewer cyberthreats and nine times fewer virus issues than PCs, and that Cisco needed 33% fewer engineers to manage the Macs.
Those impressive real-world data points reflected Macs in the pre-Apple Silicon world. Those Intel Macs already worked better for longer and required less tech support. This month’s Hoxton Macs data, while based on a much smaller sample group, suggests that this particular advantage has grown even greater now. And it’s not just down to the silicon.
Fewer parts, less heat, fewer failuresApple has designed its processors to deliver excellent performance per watt. Because these are SoCs (System on Chips) the power requirement to drive all the system components is that much lower, and it means whole categories of component failure are removed. The design also means they use less energy and generate less heat to run, dramatically reducing thermal wear and tear.
“Fewer parts, less heat, simpler construction: the result is a machine with markedly fewer ways to break,” Hoxton Mac said in an extensive article explaining its data.
>Failure rates are consequential to everyone. Even a small failure rate means some people will end up with Macs that have hardware issues, which is always a problem for those affected. But the low fail rate should be reassuring to the millions of people switching to Apple’s href="https://www.computerworld.com/article/4180406/after-a-quick-1-1m-sales-macbook-neo-set-to-reshape-the-pc-industry.html">even cooler-running MacBook Neos>.
Those users might now justifiably look forward to lower running costs from their new computers, combined with good resale rates once they’re ready to upgrade. It doesn’t hurt Apple’s platform loyalty either — making it even more likely those millions of users will stay with the Mac rather than going back to where they were before.
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