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KRAS protein G12D mutant (KRAS(G12D))

Target
KRAS(G12D)
Molecular classification
Enzyme (small GTPase), Signal transducer, Oncoprotein
01

Overview

KRAS protein G12D mutant (KRAS(G12D)) is a constitutively active mutant form of the small GTPase KRAS, resulting from substitution of glycine (G) at position 12 with aspartic acid (D)[1][4][6]. This mutation impairs the intrinsic and GAP-stimulated GTPase activity of KRAS, locking it in a GTP-bound (active) state. As a central node in the RAS/MAPK pathway, mutant KRAS persistently activates downstream proliferative and survival signaling pathways, irrespective of upstream regulatory input. KRAS(G12D) is one of the most common oncogenic KRAS mutations, especially in pancreatic ductal adenocarcinoma, colorectal cancer, and non-small cell lung cancer. Efforts to drug KRAS(G12D) have focused on molecules that bind to a mutant-enlarged switch-II pocket or interact with Asp12, forming the basis of highly specific inhibitors and biologics currently in preclinical and clinical development. Resistance, specificity for the mutant over wild-type, and the need for precise patient selection are key therapeutic challenges[1][3][4][6].

Other names
KRAS G12DKRAS glycine-12-aspartate mutantK-Ras mutant G12DKirsten rat sarcoma viral oncogene homolog G12D mutant
02

Mechanism of action

Small molecules and polypeptides: bind to the switch-II pocket or nearby regions, exploiting the structural difference conferred by the G12D mutation to selectively inhibit KRAS(G12D) signaling; often form direct contacts or salt bridges with Asp12[1][6] Intracellular biologics (monobodies): block KRAS(G12D) interaction with effectors (e.g., RAF, PI3K) and inhibit downstream signaling[1]

03

Biological functions

Signal transductionRegulation of cell proliferationRegulation of cell survivalRegulation of cell differentiationRegulation of cell cycleOncogenesis (cancer initiation and maintenance)[4][6]
04

Disease associations

Cancer (notably pancreatic, colorectal, and non-small cell lung cancers)[1][6]Other (significant driver mutation in multiple tumor types)
05

Safety considerations

Potential toxicity due to inhibition of wild-type KRAS in normal cellsTumor heterogeneity and resistance mechanismsHistorically viewed as "undruggable" due to lack of suitable pockets for small molecules, though this is evolving[6]Essential function of KRAS in normal tissue development and maintenance increases risk of adverse on-target effects
06

Interacting drugs

MRTX1133

3 more in the full profile.

07

Biomarkers

Presence of KRAS(G12D) mutation (detected by sequencing; used for patient selection in clinical trials)[1][6]

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