Target intelligence / Profile preview

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

Target
KRAS G12C
Molecular classification
GTPase, Oncogene, Signaling protein
01

Overview

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.

Other names
KRASKRAS G12Cv-Ki-ras2 Kirsten rat sarcoma viral oncogene homologKRAS proto-oncogene, GTPase
02

Mechanism of action

Covalent binding to the cysteine residue introduced by the G12C mutation, locking KRAS in its inactive GDP-bound state.

03

Biological functions

Signal transductionCell proliferationCell differentiationCell survivalRegulation of cell growth
04

Disease associations

CancerNon-small cell lung cancer (NSCLC)Colorectal cancerPancreatic ductal adenocarcinoma
05

Safety considerations

Resistance to targeted therapies can developOff-target effects of KRAS inhibitorsPotential for drug-drug interactionsLimited efficacy in some cancer types
06

Interacting drugs

Sotorasib

1 more in the full profile.

07

Biomarkers

KRAS G12C mutationPresence or absence of co-occurring genetic alterations (e.g., EGFR)Allelic imbalances affecting wild-type versus mutant allele expression levels

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