Target intelligence / Profile preview

KRAS proto-oncogene, GTPase (KRAS)

Target
KRAS
Molecular classification
Enzyme (GTPase), Proto-oncogene, Small GTPase (Ras family)
01

Overview

KRAS proto-oncogene, GTPase (KRAS) is a gene encoding a small GTPase enzyme that participates in the RAS/MAPK signaling pathway, acting as a molecular on/off switch to relay signals from cell surface receptors to the nucleus and control vital cellular processes such as proliferation, differentiation, and apoptosis. Upon mutation, KRAS often becomes constitutively active, driving uncontrolled cell growth and tumorigenesis, making it a central and challenging target for cancer therapy. KRAS mutations are especially prevalent in pancreatic, colorectal, and lung cancers, often serve as resistance markers to various therapies, and can be specifically targeted by a new generation of drugs in certain mutant contexts.

Other names
Kirsten rat sarcoma viral oncogene homologc-K-rasc-K-ras2 proteincellular c-Ki-ras2 proto-oncogeneK-ras p21 proteinKI-RASKRAS1PR310 c-K-ras oncogeneRASK2RASK_HUMANtransforming protein p21v-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog
02

Mechanism of action

Covalent binding of KRAS G12C by small molecules to inhibit the GTPase activity. Inhibition of downstream RAS/MAPK pathway signaling. Prevention of KRAS mutant protein activation, blocking uncontrolled cell proliferation. Indirect resistance to anti-EGFR monoclonal antibodies (panitumumab, cetuximab) in mutated cancers.

03

Biological functions

Signal transductionCell proliferationCell differentiationApoptosisRegulation of cell cycle
04

Disease associations

Cancer (including colorectal, pancreatic, lung, ovarian, gastric, uterine)Cardiofaciocutaneous syndromeNoonan syndromeCholangiocarcinomaCore binding factor acute myeloid leukemiaEpidermal nevusAutoimmune lymphoproliferative syndrome
05

Safety considerations

Limited efficacy in patients with KRAS mutations for some therapies (e.g., anti-EGFR)Development of acquired resistance (emergence of new mutations)Toxicity and off-target effects of KRAS inhibitors (potential, not well defined yet for newer agents)Uncontrolled inhibition may affect normal cell growth and differentiation due to KRAS’s ubiquitous signaling role
06

Interacting drugs

Sotorasib (KRAS G12C inhibitor)

8 more in the full profile.

07

Biomarkers

KRAS mutation status (especially G12C, G12D, codon 12/13 variants)—used to select/monitor anticancer therapies, predict resistance to EGFR inhibitorsFDA-cleared therascreen KRAS test (for patient selection in metastatic colorectal cancer)

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