The integration of proteogenomics in cancer research has unveiled a plethora of therapeutic targets across various malignancies. A study by Savage et al. analyzed data from the Clinical Proteomic Tumor Analysis Consortium (CPTAC) involving 1,043 patients across ten cancer types, identifying 2,863 druggable proteins. This pan-cancer analysis highlighted significant biological factors influencing mRNA-protein correlation, emphasizing the need for a deeper understanding of the proteomic landscape in cancer therapy (ref: Savage doi.org/10.1016/j.cell.2024.05.039/). In a related study, Derosa et al. developed a novel scoring system based on the ecological topology of gut microbiota, termed TOPOSCORE, which was validated in cohorts of non-small cell lung cancer (NSCLC) and genitourinary cancer patients. This scoring system demonstrated a correlation between gut microbiota composition and patient responses to immune checkpoint inhibitors, suggesting that microbiota profiling could enhance personalized cancer treatment strategies (ref: Derosa doi.org/10.1016/j.cell.2024.05.029/). Furthermore, Melani et al. explored combination targeted therapies in relapsed diffuse large B-cell lymphoma (DLBCL), revealing that targeting multiple oncogenic pathways could improve patient outcomes, particularly in germinal-center B-cell and non-GCB subtypes (ref: Melani doi.org/10.1056/NEJMoa2401532/). Zhou et al. introduced HRS-4642, a selective inhibitor for the KRAS G12D mutation, demonstrating potent anti-tumor efficacy in both in vitro and in vivo models, thus providing a promising avenue for treating this challenging oncogenic mutation (ref: Zhou doi.org/10.1016/j.ccell.2024.06.001/). Additionally, Bojmar et al. conducted a multi-parametric analysis of pre-metastatic liver biopsies from pancreatic cancer patients, identifying biomarkers that could predict metastatic outcomes, thereby enhancing risk stratification and therapeutic decision-making (ref: Bojmar doi.org/10.1038/s41591-024-03075-7/). Lastly, Ramberger et al. provided insights into the proteogenomic landscape of multiple myeloma, emphasizing the need for improved prognostic tools and novel therapeutic approaches in this incurable malignancy (ref: Ramberger doi.org/10.1038/s43018-024-00784-3/).