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GTPase KRas G13D is a specific oncogenic mutant of the Kirsten rat sarcoma virus oncogene (KRAS), a small GTPase that functions as a critical molecular switch in cellular signaling pathways such as MAPK/ERK and PI3K/AKT [1, 15]. The G13D mutation results from a substitution of glycine with aspartic acid at codon 13, which impairs the protein's intrinsic GTPase activity and its interaction with GTPase-activating proteins (GAPs) like NF1, leading to a constitutively active state [1, 2]. This persistent activation drives uncontrolled cell growth, survival, and metastasis, making it a key driver in colorectal, pancreatic, and lung cancers [1, 9]. Historically considered 'undruggable,' KRAS G13D is now a focal point for precision medicine, with novel therapies like the degrader ASP3082 and pan-RAS inhibitors under development [1, 8]. Interestingly, KRAS G13D-mutant colorectal cancers may exhibit unique sensitivity to EGFR inhibitors like cetuximab compared to other KRAS mutants, due to its distinct biochemical interaction with neurofibromin [2, 4, 11].
Inhibition of the KRAS G13D mutant protein through direct binding, targeted degradation (PROTACs), or indirect blockade of upstream activators (SOS1) and downstream signaling effectors (RAF/MEK/ERK) [1, 8, 9, 15]
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