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Oncogenic RAS mutants (GTP-bound) in complex with Cyclophilin A (RAS(ON):CypA tri-complex)

Target
RAS(ON):CypA tri-complex
Molecular classification
Small GTPase, Immunophilin, Peptidyl-prolyl cis-trans isomerase, Protein-protein interaction complex
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Overview

The Oncogenic RAS mutants via CypA-mediated tri-complex refers to a therapeutic target comprising the active, GTP-bound state of mutated RAS proteins (KRAS, NRAS, or HRAS) in a ternary complex with the chaperone protein Cyclophilin A (CypA) and a small-molecule inhibitor [Revolution Medicines, 2023]. RAS mutations are among the most frequent drivers of human malignancy, particularly in pancreatic, colorectal, and lung cancers, where they promote constitutive signaling for cell growth and survival [Nature, 2023]. This target is unique because it utilizes a molecular glue mechanism, where the drug first binds to the abundant intracellular protein CypA [Science, 2023]. The resulting drug-CypA binary complex then recognizes and binds to the active ON state of the RAS mutant, which has historically been difficult to target due to its smooth surface and lack of deep binding pockets [Cancer Discovery, 2024]. By forming this tri-complex, the drug sterically blocks the interaction between RAS and its downstream effectors, such as RAF, effectively shutting down the MAPK/ERK signaling pathway [PubMed: 37558881]. This approach allows for the inhibition of a broad spectrum of RAS mutations, including G12D, G12V, and G13D, which are not addressed by first-generation covalent inhibitors [Revolution Medicines, 2024]. Clinical development of drugs targeting this complex, such as RMC-6236, has shown promising activity across multiple RAS-mutated tumor types [ASCO, 2023]. Therapeutic challenges include maintaining selectivity over wild-type RAS to minimize systemic toxicity and managing side effects like gastrointestinal distress and skin reactions [Journal of Clinical Oncology, 2024].

Other names
RAS(ON) tri-complexTri-complex RAS inhibitorsCypA-mediated RAS complexActive-state RAS molecular glue complexRAS-GTP:Cyclophilin A complex
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Mechanism of action

Molecular glue / Tri-complex formation: The drug binds to the endogenous chaperone protein Cyclophilin A (CypA), and the resulting binary complex then binds to the active, GTP-bound state of oncogenic RAS (RAS-ON). This formation creates a steric shield that prevents RAS from interacting with its downstream effectors, such as RAF, thereby inhibiting oncogenic signaling.

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Biological functions

Signal transductionCell proliferationCell survivalGTP hydrolysisMAPK/ERK pathway signalingPI3K/AKT pathway signaling
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Disease associations

CancerPancreatic ductal adenocarcinomaColorectal cancerNon-small cell lung cancerEndometrial cancerCholangiocarcinoma
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Safety considerations

Potential inhibition of wild-type RAS signaling in healthy tissuesGastrointestinal toxicities (nausea, vomiting, diarrhea)Dermatological toxicities (rash, acneiform dermatitis)StomatitisFatiguePotential interference with physiological Cyclophilin A functions
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Interacting drugs

RMC-6236

5 more in the full profile.

07

Biomarkers

KRAS G12D mutationKRAS G12V mutationKRAS G12C mutationKRAS G13D mutationKRAS Q61X mutationNRAS mutationHRAS mutationRAS-GTP levels

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