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KRAS G12C mRNA is the messenger RNA transcript that encodes the G12C mutant version of the Kirsten rat sarcoma viral oncogene homolog (KRAS) protein. This transcript contains a specific G-to-T transversion at codon 12, which leads to the production of a mutant GTPase that remains in a constitutively active state, driving oncogenic signaling pathways such as MAPK/ERK and PI3K/AKT (UniProt P01116; PubMed 31663529). While small molecule inhibitors like sotorasib target the protein product, the mRNA itself is a therapeutic target for nucleic acid-based therapies including antisense oligonucleotides (ASOs) and small interfering RNAs (siRNAs). These modalities, such as the pan-KRAS ASO AZD4785 or the siRNA LY3537031, aim to reduce the levels of the oncogenic transcript, thereby preventing the synthesis of the KRAS protein and inhibiting tumor growth (PubMed 30530703; NCT04956640). Additionally, synthetic KRAS G12C mRNA is used in cancer vaccines, such as mRNA-5671, to stimulate the immune system to recognize and attack cells expressing the mutant neoantigen (NCT03948191). Targeting the mRNA offers a potential advantage in overcoming resistance to protein-targeted therapies by depleting the source of the oncogenic driver. Overall, KRAS G12C mRNA represents a critical node for precision oncology interventions aimed at the transcriptomic level.
Antisense-mediated degradation (RNase H-dependent), RNA interference (RNAi) via the RNA-induced silencing complex (RISC), and mRNA-based vaccination for antigen presentation.
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