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RAS-Cyclophilin A tri-complex (RAS:CypA) (RAS:CypA)

Target
RAS:CypA
Molecular classification
Small GTPase, Immunophilin, Protein-protein interaction complex
01

Overview

The RAS-Cyclophilin A (RAS:CypA) tri-complex is a therapeutic target assembly formed by a molecular glue drug, a RAS family small GTPase, and the intracellular chaperone protein Cyclophilin A (PPIA) [1]. In this pharmacological model, a small molecule inhibitor first binds to Cyclophilin A to form a binary complex, which then selectively binds to the active, GTP-bound state of RAS (RAS(ON)) [2]. This formation creates a ternary tri-complex that sterically hinders the interaction between RAS and its downstream effectors, such as RAF kinases, PI3K, and RAL-GDS [3]. By blocking these interactions, the tri-complex effectively shuts down oncogenic signaling pathways like MAPK and PI3K/AKT that drive cell proliferation and survival in cancer [4]. This approach is particularly innovative as it allows for the targeting of various RAS mutations (e.g., G12D, G12V, G13D) and isoforms (KRAS, NRAS, HRAS) that were previously considered undruggable in their active states [5]. Clinical-stage compounds like RMC-6236 and RMC-6291 are currently being evaluated for their ability to stabilize this tri-complex in patients with KRAS-mutant solid tumors [6]. References: [1] Revolution Medicines (2024); [2] Schulze et al., Nature (2023); [3] Nichols et al., Cancer Discovery (2022); [4] Kim et al., J. Med. Chem. (2020); [5] Hallin et al., Nature Medicine (2022); [6] ClinicalTrials.gov (2024).

Other names
RAS(ON) tri-complexKRAS:CypA complexCyclophilin A-RAS complexPPIA-RAS complexRAS-PPIA tri-complex
02

Mechanism of action

Tri-complex (molecular glue) inhibition of the active, GTP-bound state of RAS (RAS(ON))

03

Biological functions

Signal transductionCell proliferationCell survival
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Disease associations

CancerPancreatic cancerColorectal cancerNon-small cell lung cancer
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Safety considerations

Inhibition of wild-type RAS signalingPotential for resistance via RAS pocket mutationsOff-target effects on other immunophilins
06

Interacting drugs

RMC-6236

4 more in the full profile.

07

Biomarkers

KRAS G12C mutationKRAS G12D mutationKRAS G12V mutationKRAS G13D mutationNRAS mutationHRAS mutation

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