The role of wild-type RAS in oncogenic RAS transformation
Open accessAbstract
The RAS family of oncogenes (HRAS, NRAS, and KRAS) are among the most frequently mutated protein families in cancers. RAS-mutated tumors were originally thought to proliferate independently of upstream signaling inputs, but we now know that non-mutated wild-type (WT) RAS proteins play an important role in modulating downstream effector signaling and driving therapeutic resistance in RAS-mutated cancers. This modulation is complex as different WT RAS family members have opposing functions. The protein product of the WT RAS allele of the same isoform as mutated RAS is often tumor-suppressive and lost during tumor progression. In contrast, RTK-dependent activation of the WT RAS proteins from the two non-mutated WT RAS family members is tumor-promoting. Further, rebound activation of RTK–WT RAS signaling underlies therapeutic resistance to targeted therapeutics in RAS-mutated cancers. The contributions of WT RAS to proliferation and transformation in RAS-mutated cancer cells places renewed interest in upstream signaling molecules, including the phosphatase/adaptor SHP2 and the RasGEFs SOS1 and SOS2, as potential therapeutic targets in RAS-mutated cancers.
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The rationale for SHP2 and SOS1 inhibitors as pan-KRAS inhibitors is that several KRAS oncoproteins, including G12C, cycle between inactive and active states and rely on upstream activation and nucleotide exchange for full transforming potential.
“The rationale for pursuing SHP2 and SOS1 inhibitors as pan-KRAS inhibitors is grounded in the evidence that several (K)RAS oncoproteins, including KRASG12C, still cycle between an inactive and active state and rely on upstream activation and nucleotide exchange to exhibit their full transforming potential (9–13, 33, 34).”
From Expanding the Reach of Precision Oncology by Drugging All <i>KRAS</i> Mutants (2022) · cites this paper as [34]
Pan-KRAS inhibitors and degraders could be prime choice for cancers driven by wild-type KRAS, such as KRAS wild-type amplified or NF1 loss, and Neurofibromatosis type 1.
“Pan-KRAS inhibitors and degraders could also become the prime choice for cancers driven by wild-type KRAS, such as KRAS wild-type amplified or cancers driven by loss of the NF1 tumor suppressor, as well as Neurofibromatosis type 1 or its associated malignancies (34, 62, 63).”
From Expanding the Reach of Precision Oncology by Drugging All <i>KRAS</i> Mutants (2022) · cites this paper as [34]
Several drugs targeting KRAS indirectly are currently in development by interfering with nucleotide exchange and KRAS activation via SHP2 or SOS1 inhibition.
“Several drugs targeting KRAS indirectly are currently in development by interfering with nucleotide exchange and KRAS activation via SHP2 or SOS1 inhibition [54,55,56,57,58].”
From KRAS, a New Target for Precision Medicine in Colorectal Cancer? (2024) · cites this paper as [55]
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“Specifically, HRAS, NRAS, and KRAS show inverse abilities to activate PI3K/AKT signaling and RAF/MEK/ERK signaling: mutant HRAS is a potent activator of PI3K but a relatively poor activator of RAF; conversely, KRAS potently activates RAF but poorly activates PI3K [78,83,84], and NRAS shows intermediate activation of b…”
BackgroundInhibition of RAS function through targeting an allosteric regulatory site
Spencer-Smith, R., Koide, A., Zhou, Y., Eguchi, R. R., Sha, F., Gajwani, P., Santana, D., Gupta, A., Jacobs, M., Herrero-Garcia, E., et al. (2017) · Nature Chemical Biology · doi:10.1038/nchembio.2231 · Cited by 283 · cited 1× · see citing works
“These data corroborated findings that mutant KRAS may act as a dimer, requiring both monomers to be activated to achieve full downstream effector engagement [46,47].”
BackgroundLipid-Sorting Specificity Encoded in K-Ras Membrane Anchor Regulates Signal Output
Zhou, Y., Prakash, P., Hong, L., Cho, K., Gorfe, A. A., & Hancock, J. F. (2016) · Cell · doi:10.1016/j.cell.2016.11.059 · Cited by 283 · cited 1× · see citing works
“While the precise mechanism for differential PI3K activation between HRAS and KRAS remains unclear, a major contributor seems to be the polybasic stretch in the hypervariable region (HVR) of KRAS; mutating basic residues in the KRAS (4B) HVR inhibits RAF/MEK/ERK signaling but enhances PI3K/AKT phosphorylation [89].”
BackgroundFunctional Specificity of Ras Isoforms: So Similar but So Different
Castellano, E., & Santos, E. (2011) · Genes & Cancer · doi:10.1177/1947601911408081 · Cited by 273 · cited 1× · see citing works
“This differential effector activation by RAS isoforms leads to the proposed model that WT RAS contributes to cancer by signaling to effectors that the mutant RAS isoform cannot activate effectively [90].”
BackgroundKRAS Dimerization Impacts MEK Inhibitor Sensitivity and Oncogenic Activity of Mutant KRAS
Ambrogio, C., Köhler, J., Zhou, Z.-W., Wang, H., Paranal, R., Li, J., Capelletti, M., Caffarra, C., Li, S., Lv, Q., et al. (2018) · Cell · doi:10.1016/j.cell.2017.12.020 · Cited by 270 · cited 1× · see citing works
“[29] used both mice and RASless MEFs containing floxed WT Kras, and found that removal of WT KRAS enhanced mutant KRAS-driven signaling, proliferation, and tumorigenesis.”
MethodSHP2 inhibition diminishes KRASG12C cycling and promotes tumor microenvironment remodeling
Fedele, C., Li, S., Teng, K. W., Foster, C. J. R., Peng, D., Ran, H., Mita, P., Geer, M. J., Hattori, T., Koide, A., et al. (2021) · Journal of Experimental Medicine · doi:10.1084/jem.20201414 · Cited by 265 · see citing works
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TAK1 Inhibition Promotes Apoptosis in KRAS-Dependent Colon Cancers
Singh, A., Sweeney, M. F., Yu, M., Burger, A., Greninger, P., Benes, C. H., Haber, D. A., & Settleman, J. (2012) · Cell · doi:10.1016/j.cell.2011.12.033 · Cited by 260 · see citing works
KRAS G12C NSCLC Models Are Sensitive to Direct Targeting of KRAS in Combination with PI3K Inhibition
Misale, S., Fatherree, J. P., Cortez, E., Li, C., Bilton, S., Timonina, D., Myers, D. T., Lee, D., Gomez-Caraballo, M., Greenberg, M., et al. (2019) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-18-0368 · Cited by 259 · see citing works
Sos, M. L., Fischer, S., Ullrich, R. T., Peifer, M., Heuckmann, J. M., Koker, M., Heynck, S., Stückrath, I., Weiss, J. M., Fischer, F., et al. (2009) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0907325106 · Cited by 255 · cited 1× · see citing works
“Combinations of MEK and PI3K/mTOR inhibitors were successful preclinically [98,109], but clinical success has been limited by toxicity [108,110,111].”
BackgroundRao, S., Cunningham, D., de Gramont, A., Scheithauer, W., Šmakal, M., Humblet, Y., Kourteva, G., Iveson, T. J., André, T., Dostalova, J., et al. (2004) · Journal of Clinical Oncology · doi:10.1200/jco.2004.10.037 · Cited by 244 · see citing works
Treatment of Patients With Late-Stage Colorectal Cancer: ASCO Resource-Stratified Guideline
Chiorean, E. G., Nandakumar, G., Fadelu, T. A., Temin, S., Alarcon-Rozas, A. E., Bejarano, S., Croitoru, A. E., Grover, S., Lohar, P. V., Odhiambo, A. O., et al. (2020) · JCO Global Oncology · doi:10.1200/jgo.19.00367 · Cited by 244 · see citing works
Negative Feedback and Adaptive Resistance to the Targeted Therapy of Cancer
Chandarlapaty, S. (2012) · Cancer Discovery · doi:10.1158/2159-8290.cd-12-0018 · Cited by 235 · see citing works
Peeters, M., Douillard, J.-Y., Van Cutsem, E., Siena, S., Zhang, K., Williams, R., & Wiezorek, J. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2012.45.1492 · Cited by 232 · see citing works
Atypical KRASG12R Mutant Is Impaired in PI3K Signaling and Macropinocytosis in Pancreatic Cancer
Hobbs, G. A., Baker, N. M., Miermont, A. M., Thurman, R. D., Pierobon, M., Tran, T. H., Anderson, A. O., Waters, A. M., Diehl, J. N., Papke, B., et al. (2020) · Cancer Discovery · doi:10.1158/2159-8290.cd-19-1006 · Cited by 231 · see citing works
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“with decreased survival in lung cancer compared to KRAS mutations without copy number gains (LOH due to uniparental disomy or no LOH) [40].”
BackgroundInfluentialJaffee, E. M., Hruban, R. H., Canto, M. I., & Kern, S. E. (2002) · Cancer Cell · doi:10.1016/s1535-6108(02)00093-4 · Cited by 222 · cited 1× · see citing works
“KRAS is the most frequently mutated RAS family member (75% of RAS mutations), including high incidence of mutations in lung [4], colon [5], and pancreatic cancers [6], three of the top four causes of cancer-related death [2,7,8].”
BackgroundYoung, A., Lou, D., & McCormick, F. (2013) · Cancer Discovery · doi:10.1158/2159-8290.cd-12-0231 · Cited by 211 · cited 8× · see citing works
“Mechanistically, knockdown of either the mutated RAS isoform or WT RAS differentially altered basal versus RTK-stimulated effector pathway activation [50].”
BackgroundInfluentialEbi, H., Corcoran, R. B., Singh, A., Chen, Z., Song, Y., Lifshits, E., Ryan, D. P., Meyerhardt, J. A., Benes, C., Settleman, J., et al. (2011) · Journal of Clinical Investigation · doi:10.1172/jci57909 · Cited by 210 · cited 7× · see citing works
“[92] showed that PI3K signaling was most often downstream of IGF-1R in KRAS-mutated colorectal cancer cells and that IGF-1R inhibition did indirectly block PI3K signaling and cooperate with MEK inhibitors to induce cell death.”
BackgroundInfluentialThe origins and genetic interactions of KRAS mutations are allele- and tissue-specific
Cook, J. H., Melloni, G. E. M., Gulhan, D. C., Park, P. J., & Haigis, K. M. (2021) · Nature Communications · doi:10.1038/s41467-021-22125-z · Cited by 208 · cited 14× · see citing works
“In LUAD, 40% of KRAS mutations are G12C, whereas KRASG12C mutations occur less frequently in COAD (7%) and PAAD (1%) [8,11,14].”
BackgroundInfluentialDevelopment of combination therapies to maximize the impact of KRAS-G12C inhibitors in lung cancer
Molina-Arcas, M., Moore, C., Rana, S., van Maldegem, F., Mugarza, E., Romero-Clavijo, P., Herbert, E., Horswell, S., Li, L.-S., Janes, M. R., et al. (2019) · Science Translational Medicine · doi:10.1126/scitranslmed.aaw7999 · Cited by 203 · see citing works
Effects of Raf Dimerization and Its Inhibition on Normal and Disease-Associated Raf Signaling
Freeman, A. K., Ritt, D. A., & Morrison, D. K. (2013) · Molecular Cell · doi:10.1016/j.molcel.2012.12.018 · Cited by 201 · cited 1× · see citing works
“Upon RAS activation, RAF proteins form homo- and heterodimers, with BRAF/CRAF heterodimers being the dominant complex responsible for downstream MEK/ERK activation to promote mutant KRAS-driven transformation [88].”
BackgroundKRAS Allelic Imbalance Enhances Fitness and Modulates MAP Kinase Dependence in Cancer
Burgess, M. R., Hwang, E., Mroue, R., Bielski, C. M., Wandler, A. M., Huang, B. J., Firestone, A. J., Young, A., Lacap, J. A., Crocker, L., et al. (2017) · Cell · doi:10.1016/j.cell.2017.01.020 · Cited by 183 · cited 4× · see citing works
“Increased copy number of KRAS has been corre ated with increased cell fitness in AML and CRC cells [41] and more aggressive and undifferentiated states in metastatic murine PDAC cells [45].”
BackgroundResultInfluentialEstep, A. L., Tidyman, W. E., Teitell, M. A., Cotter, P. D., & Rauen, K. A. (2005) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.31078 · Cited by 180 · see citing works
Sos-mediated cross-activation of wild-type Ras by oncogenic Ras is essential for tumorigenesis
Jeng, H., Taylor, L. J., & Bar‐Sagi, D. (2012) · Nature Communications · doi:10.1038/ncomms2173 · Cited by 176 · see citing works
KRAS <sup>G12C</sup> inhibition produces a driver-limited state revealing collateral dependencies
Lou, K., Steri, V., Ge, A. Y., Hwang, Y. C., Yogodzinski, C. H., Shkedi, A. R., Choi, A. L. M., Mitchell, D. C., Swaney, D. L., Hann, B., et al. (2019) · Science Signaling · doi:10.1126/scisignal.aaw9450 · Cited by 175 · see citing works
Roose, J. P., Mollenauer, M. N., Ho, M., Kurosaki, T., & Weiss, A. (2007) · Molecular and Cellular Biology · doi:10.1128/mcb.01882-06 · Cited by 172 · cited 2× · see citing works
“For example, positive feedback activation of SOS1 by active RAS-GTP potentiates EGF signaling to downstream effectors in vitro [66] and supports prolonged RAS and ERK activation downstream of T cell and B cell receptors [75,76].”
BackgroundBuchmann, A., Bauer-Hofmann, R., Mahr, J., Drinkwater, N. R., Luz, A., & Schwarz, M. (1991) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.88.3.911 · Cited by 159 · see citing works
Molina-Arcas, M., Hancock, D. C., Sheridan, C., Kumar, M. S., & Downward, J. (2013) · Cancer Discovery · doi:10.1158/2159-8290.cd-12-0446 · Cited by 157 · cited 4× · see citing works
“Conversely, in KRAS-mutated colorectal [92] and lung [93] adenocarcinoma cells, PI3K/AKT pathway activation is dependent on RTK signaling.”
BackgroundInfluentialTreatment of Patients With Early-Stage Colorectal Cancer: ASCO Resource-Stratified Guideline
Costas‐Chavarri, A., Nandakumar, G., Temin, S., Junior, G. L. L., Cervantes, A. M. R., Correa, M. C., Engineer, R., Hamashima, C., Ho, G. F., Huitzil-Melendez, F. D., et al. (2019) · Journal of Global Oncology · doi:10.1200/jgo.18.00214 · Cited by 157 · see citing works
H-Ras forms dimers on membrane surfaces via a protein–protein interface
Lin, W., Iversen, L., Tu, H., Rhodes, C., Christensen, S. M., Iwig, J. S., Hansen, S. D., Huang, W. Y. C., & Groves, J. T. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1321155111 · Cited by 156 · see citing works
Ras activation by SOS: Allosteric regulation by altered fluctuation dynamics
Iversen, L., Tu, H.-L., Lin, W.-C., Christensen, S. M., Abel, S. M., Iwig, J., Wu, H.-J., Gureasko, J., Rhodes, C., Petit, R. S., et al. (2014) · Science · doi:10.1126/science.1250373 · Cited by 154 · see citing works
Renshaw, J., Taylor, K. R., Bishop, R. T., Valenti, M. R., Brandon, A. D. H., Gowan, S. M., Eccles, S. A., Ruddle, R. R., Johnson, L. D., Raynaud, F. I., et al. (2013) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-13-0850 · Cited by 152 · see citing works
Differential effector engagement by oncogenic KRAS
Yuan, T. L., Amzallag, A., Bagni, R., Yi, M., Afghani, S., Burgan, W., Fer, N., Strathern, L. A., Powell, K., Smith, B., et al. (2018) · Cell Reports · doi:10.1016/j.celrep.2018.01.051 · Cited by 150 · cited 4× · see citing works
“To broadly examine the effects of WT RAS deletion in KRAS-mutated cancer cells, we performed a meta-analysis of mutated KRAS, WT HRAS, and WT NRAS dependencies in KRAS-mutated colorectal cancer, non-small cell lung cancer, and pancreatic cancer cell lines from both the Dependency Map Portal (DepMap) [51–53] and a larg…”
BackgroundMethodInfluentialN-Ras Forms Dimers at POPC Membranes
Güldenhaupt, J., Rudack, T., Bachler, P. S., Mann, D., Triola, G., Waldmann, H., Kötting, C., & Gerwert, K. B. (2012) · Biophysical Journal · doi:10.1016/j.bpj.2012.08.043 · Cited by 148 · see citing works
MEK inhibition induces MYOG and remodels super-enhancers in RAS-driven rhabdomyosarcoma
Yohe, M. E., Gryder, B. E., Shern, J. F., Song, Y., Chou, H.-C., Sindiri, S., Mendoza, A., Patidar, R., Zhang, X., Guha, R., et al. (2018) · Science Translational Medicine · doi:10.1126/scitranslmed.aan4470 · Cited by 148 · see citing works
Grabocka, E., Pylayeva‐Gupta, Y., Jones, M. V., Lubkov, V., Yemanaberhan, E., Taylor, L. J., Jeng, H. H., & Bar‐Sagi, D. (2014) · Cancer Cell · doi:10.1016/j.ccr.2014.01.005 · Cited by 141 · cited 1× · see citing works
“RTK−WT RAS signaling supplements basal mutant RAS signaling to fully activate RAF/MEK/ERK and PI3K/AKT effector pathways [50,78] to promote proliferation [50] and G2 checkpoint integrity [79] in RAS-mutated cancer cells.”
BackgroundAn <i>In Vivo Kras</i> Allelic Series Reveals Distinct Phenotypes of Common Oncogenic Variants
Zafra, M. P., Parsons, M. J., Kim, J., Alonso-Curbelo, D., Goswami, S., Schatoff, E. M., Han, T., Katti, A., Fernandez, M. T. C., Wilkinson, J. E., et al. (2020) · Cancer Discovery · doi:10.1158/2159-8290.cd-20-0442 · Cited by 139 · see citing works
The role of wild type RAS isoforms in cancer
Zhou, B., Der, C. J., & Cox, A. D. (2016) · Seminars in Cell & Developmental Biology · doi:10.1016/j.semcdb.2016.07.012 · Cited by 130 · cited 2× · see citing works
“Evidence for LOH as a frequent event in cancer initiation has been observed in model systems for all three RAS genes (HRAS [23,31–34], NRAS [21,24,35], KRAS [21,36–39]).”
BackgroundKRAS G13D sensitivity to neurofibromin-mediated GTP hydrolysis
Rabara, D., Tran, T. H., Dharmaiah, S., Stephens, R. M., McCormick, F., Simanshu, D. K., & Holderfield, M. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1908353116 · Cited by 128 · see citing works
Rotem, A., Janzer, A., Izar, B., Ji, Z., Doench, J. G., Garraway, L. A., & Struhl, K. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1505979112 · Cited by 126 · see citing works
Regulation of Ras Signaling Dynamics by Sos-Mediated Positive Feedback
Boykevisch, S., Zhao, C., Sondermann, H., Philippidou, P., Halegoua, S., Kuriyan, J., & Bar‐Sagi, D. (2006) · Current Biology · doi:10.1016/j.cub.2006.09.033 · Cited by 125 · cited 2× · see citing works
“RAS-GTP binding to this allosteric pocket relieves SOS1 autoinhibition [65,66], increasing SOS1 catalytic activity 80- to 500-fold [64] and activating a RAS-GTP–SOS1–WT RAS positive feedback that has been proposed to allow for ‘switch-like’ digital RAS activation [67–69].”
BackgroundMutant KRAS as a critical determinant of the therapeutic response of colorectal cancer
Knickelbein, K., & Zhang, L. (2014) · Genes & Diseases · doi:10.1016/j.gendis.2014.10.002 · Cited by 118 · see citing works
MEK and PI3K inhibition in solid tumors: rationale and evidence to date
Jokinen, E., & Koivunen, J. P. (2015) · Therapeutic Advances in Medical Oncology · doi:10.1177/1758834015571111 · Cited by 116 · see citing works
Terrell, E. M., Durrant, D., Ritt, D. A., Sealover, N. E., Sheffels, E., Spencer-Smith, R., Esposito, D., Zhou, Y., Hancock, J. F., Kortum, R. L., et al. (2019) · Molecular Cell · doi:10.1016/j.molcel.2019.09.004 · Cited by 115 · cited 6× · see citing works
“BRAF preferentially interacts with KRAS via an interaction between the KRAS (4B) polybasic region and an acidic N-terminal region in BRAF [87].”
BackgroundInfluentialSelf-citationRAF Suppression Synergizes with MEK Inhibition in KRAS Mutant Cancer Cells
Lamba, S., Russo, M., Sun, C., Lazzari, L., Cancelliere, C., Grernrum, W., Lieftink, C., Bernards, R., Nicolantonio, F. D., & Bardelli, A. (2014) · Cell Reports · doi:10.1016/j.celrep.2014.07.033 · Cited by 109 · see citing works
Widespread Selection for Oncogenic Mutant Allele Imbalance in Cancer
Bielski, C. M., Donoghue, M. T. A., Gadiya, M. M., Hanrahan, A. J., Won, H. H., Chang, M. T., Jonsson, P., Penson, A. V., Gorelick, A. N., Harris, C., et al. (2018) · Cancer Cell · doi:10.1016/j.ccell.2018.10.003 · Cited by 103 · cited 2× · see citing works
“KRAS MASI is associated with worse prognosis in colorectal cancer and pancreatic cancer [44] and loss of the WT KRAS allele has been found at a higher rate in metastatic KRAS-mutated lung and pancreatic cancers compared to the primary tumors [36,37].”
BackgroundLoss of the normal N-ras allele in a mouse thymic lymphoma induced by a chemical carcinogen.
Guerrero, I., Villasanté, A., Corces, V. G., & Pellicer, À. (1985) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.82.23.7810 · Cited by 99 · see citing works
Qiu, W., Sahin, F., Iacobuzio-Donahue, C. A., Garcia-Carracedo, D., Wang, W. M., Kuo, C.-Y., Chen, D., Arking, D. E., Lowy, A. M., Hruban, R. H., et al. (2011) · Oncotarget · doi:10.18632/oncotarget.357 · Cited by 99 · cited 3× · see citing works
“KRAS MASI is associated with worse prognosis in colorectal cancer and pancreatic cancer [44] and loss of the WT KRAS allele has been found at a higher rate in metastatic KRAS-mutated lung and pancreatic cancers compared to the primary tumors [36,37].”
BackgroundWang, J., Liu, Y., Li, Z., Wang, Z., Tan, L. X., Ryu, M., Meline, B., Du, J., Young, K. H., Ranheim, E. A., et al. (2011) · Blood · doi:10.1182/blood-2010-12-326058 · Cited by 98 · cited 1× · see citing works
“Several studies have found that the WT allele corresponding to the specific mutated RAS gene (WT HRAS in HRAS-mutated cancers [22,23]; WT NRAS in NRAS-mutated cancers [24,25]; WT KRAS in KRAS-mutated cancers [23,26–30]) suppresses tumorigenesis.”
BackgroundManagement and Future Directions in Non-Small Cell Lung Cancer with Known Activating Mutations
Gerber, D. E., Gandhi, L., & Costa, D. B. (2014) · American Society of Clinical Oncology Educational Book · doi:10.14694/edbook_am.2014.34.e353 · Cited by 88 · see citing works
Reconstructing targetable pathways in lung cancer by integrating diverse omics data
Balbin, O. A., Prensner, J. R., Sahu, A., Yocum, A. K., Shankar, S., Malik, R., Fermin, D., Dhanasekaran, S. M., Chandler, B. C., Thomas, D. G., et al. (2013) · Nature Communications · doi:10.1038/ncomms3617 · Cited by 88 · see citing works
Interactions between wild-type and mutant Ras genes in lung and skin carcinogenesis
To, M. D., Rosario, R. D., Westcott, P. M. K., Banta, K. L., & Balmain, A. (2012) · Oncogene · doi:10.1038/onc.2012.404 · Cited by 82 · cited 5× · see citing works
“(C,D) Effect of siRNA knockdown of mutant KRAS or both non-mutated WT RAS (HRAS and NRAS) genes (C) or linear correlation between mutant KRAS and WT RAS knockdown (D) from the siREN screen [23] in KRAS-mutated colorectal, NSCLC, and pancreatic cancer cell lines.”
BackgroundInfluentialPettazzoni, P., Viale, A., Shah, P. K., Carugo, A., Ying, H., Wang, H., Genovese, G., Seth, S., Minelli, R., Green, T., et al. (2015) · Cancer Research · doi:10.1158/0008-5472.can-14-1854 · Cited by 80 · cited 2× · see citing works
“RNA-sequencing studies showed that MEK inhibitor treatment induces simultaneous upregulation of multiple RTKs and ligands [113,114], so co-inhibition of individual RTKs will likely be ineffective in blocking MEK inhibitor resistance [97,104,115].”
BackgroundAnderson, G. R., Winter, P. S., Lin, K. H., Nussbaum, D. P., Cakir, M., Stein, E. M., Soderquist, R. S., Crawford, L., Leeds, J. C., Newcomb, R., et al. (2017) · Cell Reports · doi:10.1016/j.celrep.2017.07.006 · Cited by 80 · see citing works
Targeting the MAPK Pathway in RAS Mutant CancersPreprint
Hymowitz, S. G., & Malek, S. (2018) · Cold Spring Harbor Perspectives in Medicine · doi:10.1101/cshperspect.a031492 · Cited by 79 · see citing works
Tipifarnib Inhibits HRAS-Driven Dedifferentiated Thyroid Cancers
Untch, B. R., Anjos, V. D., García-Rendueles, M. E. R., Knauf, J. A., Krishnamoorthy, G. P., Saqcena, M., Bhanot, U. K., Socci, N. D., Ho, A. L., Ghossein, R. A., et al. (2018) · Cancer Research · doi:10.1158/0008-5472.can-17-1925 · Cited by 78 · cited 3× · see citing works
“HRAS-mutated cancer cells require RTK–WT RAS signaling to activate RAF/MEK/ERK signaling [78,91].”
BackgroundEvidence for cell-specific differences in transformation by N-, H- and K-ras.
Maher, J., Baker, D. A., Manning, M. L., Dibb, N. J., & Roberts, I. A. G. (1995) · PubMed · Cited by 73 · see citing works
One Atom Makes All the Difference: Getting a Foot in the Door between SOS1 and KRAS
Ramharter, J., Kessler, D., Ettmayer, P., Hofmann, M. H., Gerstberger, T., Gmachl, M., Wunberg, T., Kofink, C. C., Sanderson, M. P., Arnhof, H., et al. (2021) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.0c01949 · Cited by 73 · see citing works
Origin of the sharp boundary that discriminates positive and negative selection of thymocytes
Prasad, A., Zikherman, J., Das, J., Roose, J. P., Weiss, A., & Chakraborty, A. K. (2008) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0805981105 · Cited by 70 · see citing works
A functional switch from lung cancer resistance to susceptibility at the Pas1 locus in Kras2LA2 mice
To, M. D., Pérez‐Losada, J., Mao, J., Hsu, J., Jacks, T., & Balmain, A. (2006) · Nature Genetics · doi:10.1038/ng1836 · Cited by 69 · cited 1× · see citing works
“[27] crossed the Kras2LA2 lung cancer model into different mouse strains that show differing amounts of expression from the endogenous WT Kras allele.”
BackgroundA systems mechanism for KRAS mutant allele–specific responses to targeted therapy
McFall, T., Diedrich, J. K., Mengistu, M., Littlechild, S. L., Paskvan, K. V., Sisk-Hackworth, L., Moresco, J. J., Shaw, A. S., & Stites, E. C. (2019) · Science Signaling · doi:10.1126/scisignal.aaw8288 · Cited by 65 · see citing works
Progress in targeting RAS with small molecule drugs
McCormick, F. P. (2019) · Biochemical Journal · doi:10.1042/bcj20170441 · Cited by 63 · cited 1× · see citing works
“While advances in targeting specific mutant RAS proteins have been made [15–18], the majority of RAS-mutated tumors remain resistant to currently available treatments [4,12,14,19,20].”
BackgroundValencia-Sama, I., Ladumor, Y., Kee, L., Adderley, T., Christopher, G., Robinson, C. M., Kano, Y., Ohh, M., & Irwin, M. S. (2020) · Cancer Research · doi:10.1158/0008-5472.can-19-3822 · Cited by 62 · see citing works
One-way membrane trafficking of SOS in receptor-triggered Ras activation
Christensen, S. M., Tu, H., Jun, J. E., Alvarez, S. A., Triplet, M. G., Iwig, J. S., Yadav, K. K., Bar‐Sagi, D., Roose, J. P., & Groves, J. T. (2016) · Nature Structural & Molecular Biology · doi:10.1038/nsmb.3275 · Cited by 61 · see citing works
Binimetinib inhibits MEK and is effective against neuroblastoma tumor cells with low NF1 expression
Woodfield, S., Zhang, L.-N., Scorsone, K. A., Liu, Y., & Zage, P. (2016) · BMC Cancer · doi:10.1186/s12885-016-2199-z · Cited by 59 · see citing works
Segelov, E., Thavaneswaran, S., Waring, P. M., Desai, J., Robledo, K. P., Gebski, V., Élez, E., Nott, L. M., Karapetis, C. S., Lunke, S., et al. (2016) · Journal of Clinical Oncology · doi:10.1200/jco.2015.65.6843 · Cited by 59 · see citing works
Sheffels, E., Sealover, N. E., Wang, C., Kim, D., Vazirani, I. A., Lee, E., Terrell, E. M., Morrison, D. K., Luo, J., & Kortum, R. L. (2018) · Science Signaling · doi:10.1126/scisignal.aar8371 · Cited by 59 · cited 2× · see citing works
“Furthermore, we showed that in KRAS-mutated cancer cells, RTK-SOS2-WT RAS signaling was necessary to provide adequate PI3K/AKT signaling for cells to survive in anchorage-independent growth conditions (protection from anoikis) [81], but HRAS- and NRAS-mutated cancer cells could survive in anchorage-independent conditi…”
BackgroundSelf-citationLOH of chromosome 12p correlates with Kras2 mutation in non-small cell lung cancer
Li, J., Zhang, Z., Zunyan Dai, Y., Plass, C., Morris, Q., Wang, Y., Wiest, J. S., Anderson, M. W., & You, M. (2003) · Oncogene · doi:10.1038/sj.onc.1206192 · Cited by 58 · see citing works
Tipifarnib in recurrent, metastatic HRAS‐mutant salivary gland cancer
Hanna, G. J., Guenette, J. P., Chau, N. G., Sayehli, C. M., Wilhelm, C., Metcalf, R. L., Wong, D. J. L., Brose, M. S., Razaq, M., Pérez-Ruiz, E., et al. (2020) · Cancer · doi:10.1002/cncr.33036 · Cited by 55 · see citing works
Fujita-Sato, S., Galeas, J., Truitt, M., Pitt, C., Urisman, A., Bandyopadhyay, S., Ruggero, D., & McCormick, F. P. (2015) · Cancer Research · doi:10.1158/0008-5472.can-14-1623 · Cited by 54 · see citing works
Zhang, Z., Jiang, G., Yang, F., & Wang, J. (2006) · Cancer Biology & Therapy · doi:10.4161/cbt.5.11.3297 · Cited by 54 · see citing works
Nagase, H., Mao, J., & Balmain, A. (2003) · PubMed · Cited by 51 · see citing works
Deconstructing Ras Signaling in the Thymus
Kortum, R. L., Sommers, C. L., Pinski, J. M., Alexander, C. P., Merrill, R. K., Li, W., Love, P. E., & Samelson, L. E. (2012) · Molecular and Cellular Biology · doi:10.1128/mcb.00317-12 · Cited by 51 · see citing works
Self-citationKRAS mutant allele-specific imbalance in lung adenocarcinoma
Chiosea, S. I., Sherer, C., Jelic, T. M., & Đačić, S. (2011) · Modern Pathology · doi:10.1038/modpathol.2011.109 · Cited by 50 · cited 2× · see citing works
“Other surveys of both KRAS-mutated [41,42] and HRAS-mutated [43] patient tumor samples have found similar results.”
ResultDíaz, R., Ahn, D. H., Lopez-Barcons, L. A., Malumbres, M., de Castro, I. P., Lue, J., Ferrer‐Miralles, N., Mangues, R., Tsong, J., Garcia, R., et al. (2002) · PubMed · Cited by 50 · see citing works
Hamilton, M., & Wolfman, A. (1998) · Journal of Biological Chemistry · doi:10.1074/jbc.273.43.28155 · Cited by 48 · cited 3× · see citing works
“HRAS-mutated cancer cells require RTK–WT RAS signaling to activate RAF/MEK/ERK signaling [78,91].”
BackgroundChen, X., Makarewicz, J., Knauf, J. A., Johnson, L. K., & Fagin, J. A. (2013) · Oncogene · doi:10.1038/onc.2013.489 · Cited by 46 · cited 8× · see citing works
“Other surveys of both KRAS-mutated [41,42] and HRAS- utated [43] patient tumor samples have found similar results.”
ResultInfluentialA requirement for wild-type Ras isoforms in mutant KRas-driven signalling and transformation
Bentley, C., Jurinka, S. S., Kljavin, N. M., Vartanian, S., Ramani, S. R., Gonzalez, L. C., Yu, K., Modrusan, Z. D., Du, P., Bourgon, R., et al. (2013) · Biochemical Journal · doi:10.1042/bj20121578 · Cited by 45 · cited 4× · see citing works
“Deletion of WT HRAS lead to decreased proliferation and increased apoptosis in KRAS-mutated endometrial cancer cells [30].”
BackgroundInfluentialLee, H. W., Sa, J. K., Gualberto, A., Scholz, C. R., Sung, H. H., Jeong, B. C., Choi, H. Y., Kwon, G. Y., & Park, S. H. (2020) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-20-1246 · Cited by 44 · see citing works
Yu, C.-C., Qiu, W., Juang, C. S., MANSUKHANI, M. M., Halmos, B., & Su, G. H. (2016) · Cancer Letters · doi:10.1016/j.canlet.2016.10.013 · Cited by 38 · cited 2× · see citing works
“KRAS MASI is associated with worse prognosis in colorectal cancer and pancreatic cancer [44] and loss of the WT KRAS allele has been found at a higher rate in metastatic KRAS-mutated lung and pancreatic cancers compared to the primary tumors [36,37].”
BackgroundSpandidos, D. A., Frame, M. C., & Wilkie, N. M. (1991) · PubMed · Cited by 36 · see citing works
PDEδ Binding to Ras Isoforms Provides a Route to Proper Membrane Localization
Muratcioğlu, S., Jang, H., Gürsoy, A., Keskin, Ö., & Nussinov, R. (2017) · The Journal of Physical Chemistry B · doi:10.1021/acs.jpcb.7b03035 · Cited by 30 · cited 1× · see citing works
“These data corroborated findings that mutant KRAS may act as a dimer, requiring both monomers to be activated to achieve full downstream effector engagement [46,47].”
BackgroundSheffels, E., Sealover, N. E., Theard, P. L., & Kortum, R. L. (2019) · Small GTPases · doi:10.1080/21541248.2019.1611168 · Cited by 30 · cited 2× · see citing works
“Furthermore, we showed that in KRAS-mutated cancer cells, RTK-SOS2-WT RAS signaling was necessary to provide adequate PI3K/AKT signaling for cells to survive in anchorage-independent growth conditions (protection from anoikis) [81], but HRAS- and NRAS-mutated cancer cells could survive in anchorage-independent conditi…”
BackgroundSelf-citationVariation of mutant allele frequency in NRAS Q61 mutated melanomas
Hélias‐Rodzewicz, Z., Funck‐Brentano, E., Terrones, N., Beauchet, A., Zimmermann, U. S., Marin, C., Saïag, P., & Emile, J. (2017) · BMC Dermatology · doi:10.1186/s12895-017-0061-x · Cited by 29 · cited 1× · see citing works
“Evidence for LOH as a frequent event in cancer initiation has been observed in model systems for all three RAS genes (HRAS [23,31–34], NRAS [21,24,35], KRAS [21,36–39]).”
BackgroundSmall molecule inhibitors of RAS proteins with oncogenic mutations
Orgován, Z., & Keserű, G. M. (2020) · Cancer and Metastasis Reviews · doi:10.1007/s10555-020-09911-9 · Cited by 25 · cited 1× · see citing works
“While advances in targeting specific mutant RAS proteins have been made [15–18], the majority of RAS-mutated tumors remain resistant to currently available treatments [4,12,14,19,20].”
BackgroundInhibition of Ras oncogenic activity by Ras protooncogenes
Diaz, R., Lue, J., Mathews, J. A., Yoon, A., Ahn, D. H., García‐España, A., Leonardi, P., Vargas, M. P., & Pellicer, À. (2004) · International Journal of Cancer · doi:10.1002/ijc.20563 · Cited by 18 · see citing works
Segelov, E., Waring, P. M., Desai, J., Wilson, K., Gebski, V., Thavaneswaran, S., Élez, E., Underhill, C. R., Pavlakis, N., Chantrill, L. A., et al. (2016) · BMC Cancer · doi:10.1186/s12885-016-2389-8 · Cited by 16 · see citing works
Nakamura, M., Aoyama, T., Ishibashi, K., Tsuji, A., Takinishi, Y., Shindo, Y., Sakamoto, J., Oba, K., & Mishima, H. (2016) · Cancer Chemotherapy and Pharmacology · doi:10.1007/s00280-016-3203-7 · Cited by 14 · see citing works
Ho, A. L., Chau, N. G., García, I., Ferté, C., Even, C., Burrows, F. J., Kessler, L. V., Mishra, V. S., Magnuson, K., Scholz, C. R., et al. (2018) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2017.12.156 · Cited by 8 · see citing works
Pinto, C., Normanno, N., Orlandi, A., Fenizia, F., Damato, A., Maiello, E., Tamburini, E., Costanzo, F. D., Tonini, G., Bilancia, D., et al. (2018) · Future Oncology · doi:10.2217/fon-2017-0592 · Cited by 7 · see citing works
Development of Noonan syndrome by deregulation of allosteric SOS autoactivation
Umutesi, H. G., Hoang, H. M., Johnson, H. E., Nam, K., & Heo, J. (2020) · Journal of Biological Chemistry · doi:10.1074/jbc.ra120.013275 · Cited by 7 · cited 1× · see citing works
“This ‘switch-like’ behavior is important for normal childhood development [70,71], T and B cell development [72–74] and activation [75,76], and mutant KRAS-dependent cell proliferation and oncogenesis [77].”
BackgroundVitiello, M., Palma, G., Monaco, M., Bello, A. M., Camorani, S., Francesca, P., Rea, D., Barbieri, A., Chiappetta, G., Vita, G. D., et al. (2019) · Genes · doi:10.3390/genes10020127 · Cited by 6 · see citing works
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1 of the 156 references couldn’t be matched to a known paper.
Cited by
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Expanding the Reach of Precision Oncology by Drugging All <i>KRAS</i> Mutants
Hofmann, M. H., Gerlach, D., Misale, S., Petronczki, M., & Kraut, N. (2022) · Cancer Discovery · doi:10.1158/2159-8290.cd-21-1331 · Cited by 336 · see citing works
“Pan-KRAS inhibitors and degraders could also become the prime choice for cancers driven by wild-type KRAS, such as KRAS wild-type–amplified or cancers driven by loss of the NF1 tumor suppressor, as well as neurofibromatosis type 1 or its associated malignancies (34, 62, 63).”
BackgroundPolyphenols as Antitumor Agents Targeting Key Players in Cancer-Driving Signaling Pathways
Cháirez‐Ramírez, M. H., de la Cruz-López, K. G., & García-Carrancá, A. M. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.710304 · Cited by 240 · see citing works
“These RAS-mutated cancers respond poorly to standard chemotherapy; therefore, targeted approaches need to be found (Sheffels and Kortum, 2021).”
BackgroundSOS2 Comes to the Fore: Differential Functionalities in Physiology and Pathology
Baltanás, F. C., García‐Navas, R., & Santos, E. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22126613 · Cited by 32 · see citing works
Rozengurt, E., & Eibl, G. (2021) · Cancers · doi:10.3390/cancers13205126 · Cited by 30 · see citing works
“, HRAS and NRAS in a KRAS-mutated cancer) are tumor promoting in RAS-mutated tumors (reviewed in [52]).”
BackgroundBaltanás, F. C., García‐Navas, R., Rodríguez-Ramos, P., Calzada, N., Cuesta, C., Borrajo, J., Fuentes‐Mateos, R., Juan, A. O.-S., Vidaña, N., Castellano, E., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-41583-1 · Cited by 26 · see citing works
“…are constitutively activated (GTP loaded) and, in theory, would not need the action of external GEF activators, various reports have shown that the cross-activation of WT RAS (which is SOS-dependent) by oncogenically mutated RAS is of critical importance for tumorigenic development 14 – 16 .”
BackgroundEvaluation of KRAS inhibitor-directed therapies for pancreatic cancer treatment
Long, S.-A., Amparo, A. M., Goodhart, G., Ahmad, S. A., & Waters, A. M. (2024) · Frontiers in Oncology · doi:10.3389/fonc.2024.1402128 · Cited by 26 · see citing works
“It has also been reported that KRAS preferentially activates the MAPK pathway whereas HRAS preferentially activates the PI3K pathway (64).”
BackgroundFoote, J. B., Mattox, T. E., Keeton, A. B., Chen, X., Smith, F., Berry, K. L., Holmes, T. W., Wang, J., Huang, C.-H., Ward, A., et al. (2024) · Cancer Research · doi:10.1158/0008-5472.can-24-0323 · Cited by 25 · see citing works
Plangger, A., Rath, B., Stickler, S., Hochmair, M., Lang, C., Weigl, L., Funovics, M., & Hamilton, G. (2022) · Discover Oncology · doi:10.1007/s12672-022-00550-w · Cited by 25 · see citing works
“KRAS G12C is not stably locked in the GTP bound state and is still dependent on activation by upstream RTKs for GEF-mediated reloading [44, 45].”
BackgroundIdentification of Potential Core Genes in Parkinson’s Disease Using Bioinformatics Analysis
Quan, W., Li, J., Jin, X., Liu, L., Zhang, Q., Qin, Y., Pei, X., & Chen, J. (2021) · Parkinson s Disease · doi:10.1155/2021/1690341 · Cited by 21 · see citing works
“HRAS is a member of the RAS oncogene family, and its mutations are common in a variety of cancers, including head and neck cancer, skin cancer, and hematopoietic cancers [17, 18].”
BackgroundTheard, P. L., Linke, A. J., Sealover, N. E., Daley, B. R., Yang, J. J., Cox, K., & Kortum, R. L. (2023) · Molecular Oncology · doi:10.1002/1878-0261.13564 · Cited by 17 · see citing works
“The RASGEFs Son of Sevenless 1 and 2 (SOS1 and SOS2) mediate RTK-stimulated RAS activation and represent common proximal RTK pathway intermediates whose inhibition has the potential to delay therapeutic resistance driven by RTK reactivation [4,20].”
BackgroundSelf-citationFoote, J. B., Mattox, T. E., Keeton, A. B., Chen, X., Smith, F., Berry, K. L., Holmes, T., Wang, J., Huang, C.-H., Ward, A. B., et al. (2023) · doi:10.1101/2023.05.17.541233 · Cited by 13 · see citing works
Baltanás, F. C., Kramer‐Drauberg, M., García‐Navas, R., Patrucco, E., Petrini, E., Arnhof, H., Juan, A. O.-S., Rodríguez-Ramos, P., Borrajo-Sánchez, J., Calzada, N., et al. (2025) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2422943122 · Cited by 16 · see citing works
KRAS, a New Target for Precision Medicine in Colorectal Cancer?
Boilève, A., Smolenschi, C., Lambert, A., Boige, V., Delaye, M., Camilleri, G. M., Tarabay, A., Valéry, M., Fuerea, A., Pudlarz, T., et al. (2024) · Cancers · doi:10.3390/cancers16203455 · Cited by 11 · see citing works
Werner, A. N., Kumar, A. I., & Charest, P. G. (2023) · Molecular Biology of the Cell · doi:10.1091/mbc.e23-05-0152 · Cited by 10 · see citing works
“These findings then add to a growing body of evidence that WT Ras proteins play critical roles in cancer, including in RAS -mutant cancers, although these roles appear to vary depending on the cellular context (Zhou et al. , 2016; Sheffels and Kortum, 2021).”
Amplification of Mutant NRAS in Melanocytic Tumors With Features of Spitz Tumors
Cloutier, J. M., Wang, M., Vemula, S. S., Mirza, S. A., Weier, J. F., Aquino, J. D., McCalmont, T. H., LeBoit, P. E., Bastian, B. C., & Yeh, I. (2024) · Modern Pathology · doi:10.1016/j.modpat.2024.100469 · Cited by 10 · see citing works
“Wildtype alleles of RAS (NRAS, KRAS, and HRAS) are known to exert tumor suppressive effects on their corresponding mutant cognate alleles 38,39 .”
Peng, T., Wu, T., Yi, T.-Y., & Wu, A. (2024) · Cancers · doi:10.3390/cancers16213676 · Cited by 9 · see citing works
RAS and Other Molecular Targets in Pancreatic Cancer: The Next Wave Is Coming
Miller‐Phillips, L., & Collisson, E. A. (2023) · Current Treatment Options in Oncology · doi:10.1007/s11864-023-01096-x · Cited by 9 · see citing works
Molecular landscape of borderline ovarian tumours: A systematic review
Sadłecki, P., & Walentowicz‐Sadlecka, M. (2024) · Open Medicine · doi:10.1515/med-2024-0976 · Cited by 8 · see citing works
“The latter pathways play pivotal roles in fundamental cellular processes, such as cell polarity, proliferation, di ff erentiation, adhesion, migration, and apoptosis [35].”
BackgroundPeptidomimetics designed to bind to RAS effector domain are promising cancer therapeutic compounds
Pallara, C., Cabot, D., Rivas, J., Brun, S., Seco, J., Abuasaker, B., Tarragó, T., Jaumot, M., Prades, R., & Agell, N. (2022) · Scientific Reports · doi:10.1038/s41598-022-19703-6 · Cited by 7 · see citing works
“Nonspecific binding was subtracted by using two linked channels (GST-KRAS minus GST).”
MethodPrajapati, V., Singh, A. K., Kumar, A. M., Singh, H., Pathak, P., Grishina, M., Kumar, V., Khalilullah, H., Verma, A., & Kumar, P. (2025) · RSC Medicinal Chemistry · doi:10.1039/d4md00923a · Cited by 6 · see citing works
Cofré, J., & Saalfeld, K. (2023) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.1067248 · Cited by 7 · see citing works
“and future strategies for cancer treatment (Sheffels and Kortum, 2021).”
Santos, L. M., & da Silveira, N. J. F. (2023) · Anti-Cancer Agents in Medicinal Chemistry · doi:10.2174/1871520623666230714163823 · Cited by 4 · see citing works
Nigam, A., Krishnamoorthy, G. P., Chatila, W. K., Berman, K., Saqcena, M., Walch, H. S., Venkatramani, M., Ho, A. L., Schultz, N. D., Fagin, J. A., et al. (2024) · Oncogene · doi:10.1038/s41388-024-03095-0 · Cited by 4 · see citing works
“Characterization and transfection of “ RASless ” mouse embryonic fi broblasts”
Wang, H., Moniruzzaman, R., Li, L., Ji, B., Liu, Y., Zuo, X., Abbasgholizadeh, R., Zhao, J., Liu, G., Wang, R. L., et al. (2023) · Journal of Clinical Investigation · doi:10.1172/jci163873 · Cited by 4 · see citing works
Baltanás, F. C., Kramer‐Drauberg, M., García‐Navas, R., Patrucco, E., Petrini, E., Arnhof, H., Juan, A. O.-S., Rodríguez-Ramos, P., Borrajo, J., Calzada, N., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.09.18.613686 · Cited by 4 · see citing works
Lui, K., Huang, Y. K., Sheikh, M. S., Cheung, K., Tam, W. Y., Sun, K.-T., Cheng, K. M., Ng, W. W. M., & Loh, A. W.-K. (2023) · Journal of Cancer · doi:10.7150/jca.84267 · Cited by 3 · see citing works
The Role of RAS in CNS Tumors: A Key Player or an Overlooked Oncogene?
Barbosa, I. D. S., Heming, C. P., Moura‐Neto, V., & Aran, V. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26094104 · Cited by 3 · see citing works
“A deep understanding of mutant RAS signaling is crucial for developing indirect targeting and combination therapies to improve treatment for these patients [27].”
Sahu, P., Mitra, A., & Ganguly, A. (2024) · International review of cytology · doi:10.1016/bs.ircmb.2024.01.005 · Cited by 2 · see citing works
Chen, S., Zeng, J., Saad, M., Lineaweaver, W. C., Chen, Z., & Pan, Y. (2024) · Annals of Plastic Surgery · doi:10.1097/sap.0000000000004007 · Cited by 2 · see citing works
Role of molecular biology in the management of pancreatic cancer
Boilève, A., Smolenschi, C., Lambert, A., Boige, V., Tarabay, A., Valéry, M., Fuerea, A. C., Pudlarz, T., Conroy, T., Hollebecque, A., et al. (2024) · World Journal of Gastrointestinal Oncology · doi:10.4251/wjgo.v16.i7.2902 · Cited by 2 · see citing works
Novel paradigms in KRAS targeting: Unveiling strategies to combat drug resistance
Luo, X., Zhou, F., Tang, Y., Liu, X., Xiao, R., Gu, M., Bai, J., Jiang, D., Yang, G., You, L., et al. (2025) · Chinese Medical Journal · doi:10.1097/cm9.0000000000003776 · Cited by 2 · see citing works
“[156] Preclinical studies highlight the synergistic anti-proliferative effects and augmented anti-tumor efficacy of SHP2 inhibitors in combination with KRAS G12C inhibitors, [145] as well as SOS1 inhibitors paired with a KRAS G12C inhibitor.”
Huang, W., Deng, G., Zhang, Q., Lv, F., Xie, D., Ren, C., Du, S., & Tan, P. (2025) · The International Journal of Biochemistry & Cell Biology · doi:10.1016/j.biocel.2025.106863 · Cited by 1 · see citing works
Intrinsic resistance to RAS inhibitors is driven by dysregulation of KRAS degradation
Ivanišević, T., Ma, Y., Boxel, E. V., Magits, W., Lechat, B., Koçberber, Z., Willnow, P., Fendt, S., Velde, G. V., Sewduth, R. N., et al. (2025) · Nature Communications · doi:10.1038/s41467-025-67109-5 · Cited by 2 · see citing works
“Although numerous studies have examined the role of wild-type (WT) and mutant KRAS allele dosage in tumorigenesis and therapeutic response 13 , they have overlooked the effect of this allele dosage on KRAS protein expression 14 .”
Luna-Ramírez, L., García‐Navas, R., Santos, E., & Baltanás, F. C. (2026) · Molecular Cancer · doi:10.1186/s12943-026-02632-7 · Cited by 3 · see citing works
“Importantly, oncogenic transformation driven by constitutively active mutant RAS proteins, which show impaired intrinsic GTPase activity, does not completely eliminate the requirement for upstream signaling regulation [17, 18].”
Unveiling the Mysteries of RAS Signaling: A Journey of Discovery and Breakthroughs
Castellano, E. (2023) · Genes · doi:10.3390/genes14111987 · Cited by 1 · see citing works
““The Role of Wild-Type RAS in Oncogenic RAS Transformation” [8] sheds light on the intricate interplay between wild-type and oncogenic RAS, enriching our comprehension of RAS-mediated oncogenesis.”
BackgroundMolecular Landscape of Borderline Ovarian Tumors: A Systematic ReviewPreprint
Sadłecki, P., & Walentowicz‐Sadlecka, M. (2023) · Preprints.org · doi:10.20944/preprints202311.0716.v1
Inhibitors of Son of Sevenless Isoform 1 (SOS1) as a Potential Treatment for RAS Mutant Cancers
Abdel‐Magid, A. F. (2023) · ACS Medicinal Chemistry Letters · doi:10.1021/acsmedchemlett.3c00521
The emergence of pan-KRAS drugs
McConnell, D. B., & Kraut, N. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-21861-3.00019-x
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Elevated KRAS protein level is associated with better survival in pancreatic cancer
Stålberg, S. M., Silwal‐Pandit, L., Hamfjord, J., Nebdal, D. J. H., Lehtiö, J., Lingjærde, O. C., Skålhegg, B. S., & Kure, E. H. (2025) · BMC Cancer · doi:10.1186/s12885-025-14461-w · Cited by 1 · see citing works
“One hypothesis is that KRAS protein measured in the patients with high levels mainly represent wildtype KRAS and therefore act as a tumor-suppressor, resulting in slower tumor growth and improved survival for the patients [34, 38].”
InfluentialLiao, R., Ma, C., Chen, X., Bai, L., Cao, Q., Zhang, Y., & Dong, C. (2026) · 癌症:英文版 · doi:10.34133/cancomm.0047
“Wild-type (WT) RAS plays critical roles in cancers in a context-dependent manner [ 5 ].”
Wang, R., Zhang, Y., Li, H., Liu, N., Li, S., Li, D., Ren, B., Ye, F., Ji, M., Hou, P., et al. (2026) · iScience · doi:10.1016/j.isci.2026.118080
- Authors
- Sheffels, E., & Kortum, R. L.
- Affiliations
- Uniformed Services University of the Health Sciences (US)
- Corresponding author
- Kortum, Robert L.
- Venue
- Genes
- Publisher
- MDPI AG
- Published
- 2021-04-28
- Volume
- 12
- Issue
- 5
- Pages
- 662
- ISSN
- 2073-4425 (ISSN-L)
- PMC
- PMC8146411
- OpenAlex
- W3158309248
- Cited by
- 42
- References
- 156
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 12 · 2023: 12 · 2022: 3 · 2021: 4
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Genes (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Congressionally Directed Medical Research Programs (LC180213)
- 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 › Protein Tyrosine Phosphatases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Melanoma and MAPK Pathways
- Keywords
- RAS wild-type, HRAS, NRAS, KRAS, receptor tyrosine kinase signaling, treatment resistance, SHP2, SOS1, SOS2, tumor suppression
- MeSH terms
- Animals, Cell Transformation, Neoplastic, Humans, ras Proteins, Drug Resistance, Neoplasm
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