Target intelligence / Profile preview

Kirsten rat sarcoma viral oncogene homolog, G12C mutant (KRAS (G12C))

Target
KRAS (G12C)
Molecular classification
Small GTPase, Enzyme (GTPase), Oncoprotein
01

Overview

KRAS (G12C) is a mutant form of the Kirsten rat sarcoma viral oncogene homolog protein, where glycine at position 12 is substituted by cysteine. It is a member of the RAS family of small GTPases, acting as a molecular switch that cycles between inactive GDP-bound and active GTP-bound states to regulate cell proliferation and survival. The G12C mutation leads to impaired GTPase activity, resulting in continuous activation of downstream oncogenic pathways. KRAS G12C is a key driver in various cancers, including non-small cell lung cancer, colorectal cancer, and pancreatic cancer. Recently developed covalent inhibitors, such as sotorasib and adagrasib, target this specific mutant by irreversibly binding to the cysteine residue at position 12, locking the protein in its inactive form and suppressing cancer cell growth. Resistance mechanisms, tumor heterogeneity, and safety concerns such as hepatotoxicity remain major therapeutic challenges[1][2][3].

Other names
KRAS G12CKRAS Gly12CysKRAS p.G12CK-Ras protein, G12C mutant
02

Mechanism of action

Covalent binding to cysteine 12 to lock the KRAS G12C mutant in its inactive GDP-bound state Inhibition of downstream signaling pathways such as MAPK and PI3K

03

Biological functions

Signal transductionCell proliferationRegulation of apoptosisCell growth and differentiation
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Disease associations

CancerOncogenesis
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Safety considerations

Narrow therapeutic window in some casesResistance mutations and tumor adaptationRisk of hepatotoxicity and interstitial lung disease (with sotorasib, adagrasib)
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Interacting drugs

Sotorasib (AMG 510)

2 more in the full profile.

07

Biomarkers

KRAS G12C mutation status (tumor tissue or liquid biopsy genotyping)Circulating tumor DNA (ctDNA) for KRAS G12C

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