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Updated: Jun 10, 2026

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
[K-RAS gene mutations in patients with non-small cell lung cancer]
Yang Zhang1, Zhenkui Pan, Xing Zhang
1State Key Laboratory of Oncology in South China, Guangzhou 510060, China.
Background And Objective:
Recent studies indicated that Non-small cell lung cancer (NSCLC) patients with mutant K-RAS failed to benefit from adjuvant chemotherapy, and the cancer did not respond to epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs). These findings indicated that K-RAS gene status can be a biomarker to predict the sensitivity of EGFR TKIs. The aim of this study is to analyze K-RAS gene mutations with NSCLC patients in Cancer Center of Sun Yet-sen University.
Methods:
52 fresh frozen tumor tissues were collected and K-RAS genes were amplified by PCR. Then PCR amplification fragments were sequenced and analyzed.
Results:
Somatic mutations in the codon 12 of K-RAS gene in tumors were identified from 2 of 52 (3.8%) patients. There were no relationships among K-RAS gene mutations and gender, pathology, smoking, differentiation and stage.
Conclusion:
The frequency of K-RAS gene mutations with NSCLC in our center is very low and is similar to that in Asia patients, and is lower than that in Caucasian population.
Insights
K-RAS gene mutations are rare in Non-small cell lung cancer (NSCLC) patients at Sun Yet-sen University, suggesting limited predictive value for EGFR tyrosine kinase inhibitors (TKIs) in this population.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Non-small cell lung cancer (NSCLC) prognosis is influenced by K-RAS gene mutations.
- K-RAS mutations predict poor response to chemotherapy and EGFR tyrosine kinase inhibitors (TKIs).
Purpose of the Study:
- To investigate the prevalence of K-RAS gene mutations in NSCLC patients.
- To assess the potential of K-RAS as a biomarker for EGFR TKI sensitivity in this cohort.
Main Methods:
- K-RAS gene mutations were analyzed in 52 fresh frozen NSCLC tumor tissues.
- Polymerase Chain Reaction (PCR) amplification followed by gene sequencing was employed.
Main Results:
- Somatic mutations in K-RAS codon 12 were detected in 3.8% of patients (2 out of 52).
- No significant associations were found between K-RAS mutations and clinicopathological factors like gender, smoking, or disease stage.
Conclusions:
- The frequency of K-RAS mutations in NSCLC at this center is low, aligning with Asian populations.
- This low mutation rate may indicate limited utility of K-RAS as a predictive biomarker for EGFR TKIs in this specific patient group.
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