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Kirsten rat sarcoma viral oncogene homolog GTPase, G12D mutant (KRAS G12D)

Target
KRAS G12D
Molecular classification
Small GTPase (Enzyme), Oncogene, Signal transduction protein
01

Overview

KRAS G12D refers to a specific *point mutation* in the KRAS gene, which substitutes glycine for aspartate at codon 12 (G12D) in the small GTPase protein. KRAS is a key regulator of cell signaling pathways controlling proliferation and survival. The G12D mutation impairs GTP hydrolysis, locking KRAS in a constitutively active, GTP-bound state that drives oncogenic signaling through pathways such as MAPK and PI3K, leading to uncontrolled cell growth and tumorigenesis[1][5][9]. KRAS G12D mutations are highly prevalent in pancreatic, colorectal, and lung cancers, and confer aggressive disease, metabolic reprogramming, and immune evasion[4][6]. Therapeutically, KRAS G12D is a validated but historically "undruggable" target; recent advances include both small molecule inhibitors (e.g., MRTX1133) and engineered protein inhibitors (e.g., monobodies) that specifically engage the unique switch II pocket of the mutant protein[9].

Other names
KRAS G12D mutantKRAS Gly12AspKRAS codon 12 aspartateKRAS-G12DKRAS (G12D)G12D KRAS
02

Mechanism of action

- Small molecule inhibition of GTPase activity - Allosteric inhibition at switch II pocket - Disruption of effector binding and downstream signaling - Engineered protein inhibition (e.g., monobodies blocking active conformation)[9]

03

Biological functions

Signal transductionCell proliferationCell survivalCancer cell metabolismImmune evasion
04

Disease associations

CancerPancreatic ductal adenocarcinomaNon-small cell lung cancerColorectal cancer
05

Safety considerations

On-target toxicity related to normal KRAS signaling in non-tumor tissuesPotential development of therapeutic resistanceTumor heterogeneity and compensatory pathway activation
06

Interacting drugs

MRTX1133

4 more in the full profile.

07

Biomarkers

KRAS G12D mutation (detected by sequencing in tumor tissue or cfDNA)Downstream pathway activation (e.g., phosphorylated AKT/ERK)Immune biomarkers (e.g., PD-L1, CXCL10, CXCL11 expression changes)[6]

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