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KRAS is a small GTPase that acts as a molecular switch in cell signaling pathways regulating cell proliferation, differentiation, and survival. The G12C mutation locks KRAS in its active, GTP-bound state, leading to constitutive activation of downstream signaling pathways, particularly the RAF-MEK-ERK and PI3K-AKT-mTOR pathways, driving uncontrolled cellular proliferation and survival. KRAS G12C is a prevalent oncogenic driver in NSCLC, colorectal cancer and pancreatic cancer. Direct inhibitors target the unique cysteine residue introduced by the G12C mutation.
Covalent binding to the cysteine residue introduced by the G12C mutation, locking KRAS in its inactive GDP-bound state.
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