Target intelligence / Profile preview

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

Target
KRAS mutant mRNA
Molecular classification
Other (RNA transcript derived from oncogene), Oncogenic messenger RNA
01

Overview

KRAS mutant mRNA refers to messenger RNAs transcribed from mutated alleles of the KRAS gene, an oncogene encoding a small GTPase involved in regulating cell division and signal transduction. Activating mutations (e.g., G12C, G12D, G12V) in the KRAS gene lead to constitutively active KRAS protein, resulting in persistent activation of downstream pathways such as RAF-MEK-ERK and PI3K-AKT-mTOR, driving uncontrolled cellular proliferation, survival, and malignant transformation. KRAS mutations are especially prevalent in pancreatic, colorectal, and lung cancers, making these mutant transcripts crucial diagnostic and therapeutic biomarkers. Drugs targeting the mutant KRAS protein are in clinical use, while direct RNA-targeted therapies are in development. Therapeutic challenges include drug resistance, the biochemical diversity of KRAS mutations, and the difficulty in selectively targeting mRNA without impacting wild-type KRAS function.

Other names
KRAS mutant transcriptKRAS mutant messenger RNAmutant KRAS mRNAmutant KRAS transcript
02

Mechanism of action

Therapeutic strategies targeting KRAS mutant mRNA primarily involve RNA interference (siRNA/ASO-mediated degradation of mutant KRAS mRNA, preventing mutant protein expression). Indirectly, drugs like sotorasib and adagrasib exert their effect via covalent inhibition of the mutant KRAS protein, which is the downstream product of the KRAS mutant mRNA.

03

Biological functions

Cell proliferationSignal transductionCell cycle regulationApoptosis suppression
04

Disease associations

Cancer (pancreatic ductal adenocarcinoma, lung adenocarcinoma, colorectal cancer, etc.)Developmental syndromes (in germline mutations; e.g., Noonan syndrome, cardiofaciocutaneous syndrome)
05

Safety considerations

Targeting mutant KRAS mRNA/protein can lead to "on-target toxicity" if wild-type function is disrupted in non-tumor tissuesDrug resistance due to secondary mutations, pathway reactivation or bypass signalingImmune-related adverse events (especially with therapies modulating mRNA or protein degradation)
06

Interacting drugs

Sotorasib

2 more in the full profile.

07

Biomarkers

KRAS mutations (e.g., G12C, G12D, G12V) detected in tumor DNA or mRNAmRNA expression signatures (used for stratifying and monitoring response to inhibition of mutant KRAS pathway)

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