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KRAS G13C is an oncogenic mutant of the Kirsten rat sarcoma virus oncogene homolog (KRAS), a small GTPase that functions as a molecular switch in cellular signal transduction. The mutation involves a single amino acid substitution of glycine with cysteine at position 13, which significantly impairs the protein's ability to hydrolyze GTP to GDP. This biochemical defect locks the KRAS protein in a constitutively active, GTP-bound state, leading to the persistent activation of downstream signaling cascades such as the MAPK/ERK and PI3K/AKT/mTOR pathways. These pathways are critical for regulating cell growth, proliferation, and survival, and their dysregulation drives the development and progression of various malignancies, including non-small cell lung cancer (NSCLC) and colorectal cancer (CRC). Historically considered undruggable, the G13C mutant has recently become a focus of targeted therapy due to the reactive cysteine residue, which can be targeted by covalent small-molecule inhibitors. Emerging therapeutic strategies include allele-specific covalent inhibitors and pan-KRAS inhibitors designed to trap the protein in its inactive state or sterically block effector interactions.
Covalent inhibition of the mutant cysteine residue at position 13, tri-complex formation with cyclophilin A (CypA) to sterically block effector binding, and inactive-state (OFF-state) trapping to prevent nucleotide exchange and downstream signaling.
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