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Kirsten rat sarcoma viral oncogene homolog G12C messenger RNA (KRAS G12C mRNA) (KRAS G12C mRNA)

Target
KRAS G12C mRNA
Molecular classification
Nucleic acid, Messenger RNA
01

Overview

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.

Other names
KRAS G12C transcriptKirsten rat sarcoma 2 viral oncogene homolog G12C mRNAc-K-ras G12C mRNAKRAS*G12C mRNA
02

Mechanism of action

Antisense-mediated degradation (RNase H-dependent), RNA interference (RNAi) via the RNA-induced silencing complex (RISC), and mRNA-based vaccination for antigen presentation.

03

Biological functions

Protein synthesis templateSignal transduction regulation
04

Disease associations

Non-small cell lung cancerColorectal cancerPancreatic cancer
05

Safety considerations

Off-target silencing of wild-type KRAS transcriptsChallenges in systemic delivery to solid tumor tissuesInduction of innate immune responses by the RNA or lipid nanoparticle vehiclePotential hepatotoxicity associated with oligonucleotide accumulation
06

Interacting drugs

mRNA-5671 (V941)

2 more in the full profile.

07

Biomarkers

KRAS G12C mutation statusKRAS mRNA expression levels

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