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KRASQ61H Preferentially Signals through MAPK in a RAF Dimer-Dependent Manner in Non–Small Cell Lung Cancer
Open accessAbstract
Assembly of RAS molecules into complexes at the cell membrane is critical for RAS signaling. We previously showed that oncogenic KRAS codon 61 mutations increase its affinity for RAF, raising the possibility that KRASQ61H, the most common KRAS mutation at codon 61, upregulates RAS signaling through mechanisms at the level of RAS assemblies. We show here that KRASQ61H exhibits preferential binding to RAF relative to PI3K in cells, leading to enhanced MAPK signaling in in vitro models and human NSCLC tumors. X-ray crystallography of KRASQ61H:GTP revealed that a hyperdynamic switch 2 allows for a more stable interaction with switch 1, suggesting that enhanced RAF activity arises from a combination of absent intrinsic GTP hydrolysis activity and increased affinity for RAF. Disruption of KRASQ61H assemblies by the RAS oligomer–disrupting D154Q mutation impaired RAF dimerization and altered MAPK signaling but had little effect on PI3K signaling. However, KRASQ61H oligomers but not KRASG12D oligomers were disrupted by RAF mutations that disrupt RAF–RAF interactions. KRASQ61H cells show enhanced sensitivity to RAF and MEK inhibitors individually, whereas combined treatment elicited synergistic growth inhibition. Furthermore, KRASQ61H tumors in mice exhibited high vulnerability to MEK inhibitor, consistent with cooperativity between KRASQ61H and RAF oligomerization and dependence on MAPK signaling. These findings support the notion that KRASQ61H and functionally similar mutations may serve as predictive biomarkers for targeted therapies against the MAPK pathway. Significance: These findings show that oncogenic KRASQ61H forms a cooperative RAS–RAF ternary complex, which renders RAS-driven tumors vulnerable to MEKi and RAFi, thus establishing a framework for evaluating RAS biomarker-driven targeted therapies.
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“The implication of these unusual variants is that specific KRAS variants can have tissue-specific oncogenic effects and exhibit allele-specific therapeutic vulnerabilities in downstream effector pathways.”
From Expanding the Reach of Precision Oncology by Drugging All KRAS Mutants (2022) · cites this paper as [89]
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“While A146T and Q61H mutations in KRAS remain sensitive to pan-KRAS inhibitors and degraders targeting the “OFF” form of KRAS, this appears not the case for the KRAS G12R mutant which could require KRAS “ON” drugs.”
From Expanding the Reach of Precision Oncology by Drugging All KRAS Mutants (2022) · cites this paper as [89]
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Metadata
- Authors
- Zhou, Z.-W., Ambrogio, C., Bera, A. K., Li, Q., Li, X.-X., Li, L., Son, J., Gondi, S., Li, J., Campbell, E., Jin, H., Okoro, J. J., Xu, C.-X., Janne, P. A., & Westover, K. D.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- Dana-Farber Cancer Institute (US)
- Army Medical University (CN)
- Brigham Young University (US)
- ORCID
- Venue
- Cancer Research
- Published
- 2020-09-01
- Volume
- 80
- Issue
- 17
- Pages
- 3719-3731
- ISSN
- 0008-5472 (ISSN-L)
- 1538-7445
- OpenAlex
- W3038485915
- Cited by
- 60
- References
- 51
- Citations by year
- 2026: 5 · 2025: 13 · 2024: 11 · 2023: 9 · 2022: 9 · 2021: 12 · 2020: 1
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer Research (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
- Funders
- V Foundation (DOD W81XWH-16-1-0106, CPRIT RP170373)
- Cancer Society Lung Cancer Dream Team Translational Research Grant (SU2C-AACR-DT17-15)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Melanoma and MAPK Pathways
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Tyrosine Phosphatases
- Keywords
- Ras-Raf interaction, RAF dimerization, MAPK signaling, PI3K signaling, MEK inhibitors, RAF inhibitors, combination therapy synergy, predictive biomarkers, non-small cell lung cancer, targeted therapy
- MeSH terms
- Animals, Carcinoma, Non-Small-Cell Lung, Female, Humans, Lung Neoplasms, Mutation, Proto-Oncogene Proteins p21(ras), MAP Kinase Signaling System, raf Kinases, Mice, HEK293 Cells, Heterografts
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