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Updated: Jun 2, 2026

A Multiplexed Luciferase-based Screening Platform for Interrogating Cancer-associated Signal Transduction in Cultured Cells
Published on: July 3, 2013
Differential gene expression signatures between colorectal cancers with and without KRAS mutations: crosstalk between
Toshiaki Watanabe1, Takashi Kobunai, Yoko Yamamoto
1Department of Surgery, Teikyo University School of Medicine, Itabashi-ku, Tokyo 173-8605, Japan. toshwatanabe@yahoo.co.jp
Purpose:
KRAS mutation is an important predictive marker in determining resistance to anti-Epidermal Growth Factor Receptor (EGFR) antibody therapies. In order to clarify whether not only KRAS related signalling pathways but also other signalling pathways are altered in patients with colorectal cancers (CRCs) with KRAS mutations, we examined the differences in the gene expression signatures between CRCs with and without KRAS mutation.
Patients And Methods:
One-hundred and thirteen patients who underwent a surgical resection of a primary CRC were examined. KRAS mutational status was determined using the Peptide Nucleic Acid (PNA)-clamp real-time polymerase chain reaction (PCR) TaqMan assay. Gene expression profiles were compared between CRCs with and without KRAS mutation using the Human Genome GeneChip array U133.
Results:
Among 113 CRCs, KRAS mutations were present in 35 tumours (31%). We identified 30 genes (probes) that were differentially expressed between CRCs with and without KRAS mutation (False Discovery Rate (FDR), p<0.01), by which we were able to predict the KRAS status with an accuracy of 90.3%. Thirty discriminating genes included TC21, paired-like homeodomain 1 (PITX1), Sprouty-2, dickkopf homologue 4 (DKK-4), SET and MYND domain containing 3 (SMYD3), mitogen-activated protein kinase kinase kinase 14 (MAP3K14) and c-mer Proto-oncogene tyrosine kinase (MerTK). These genes were related to not only KRAS related signalling pathway but also to other signalling pathways, such as the Wnt-signalling pathway, the NF-kappa B activation pathway and the TGF-beta signalling pathway.
Conclusions:
KRAS mutant CRCs exhibited a distinct gene expression signature different from wild-type KRAS CRCs. Using human CRC samples, we were able to show that there is crosstalk between the KRAS-mediated pathway and other signalling pathways. These results are necessary to be taken into account in establishing chemotherapeutic strategies for patients with anti-EGFR-refractory KRAS mutant CRCs.
Insights
KRAS mutations in colorectal cancer (CRC) create unique gene expression profiles. These findings reveal pathway crosstalk and inform anti-EGFR therapy strategies for KRAS mutant CRCs.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- KRAS mutation status is crucial for predicting response to anti-Epidermal Growth Factor Receptor (EGFR) therapies in colorectal cancer (CRC).
- Understanding alterations in signaling pathways beyond KRAS is essential for comprehensive treatment strategies.
Purpose of the Study:
- To investigate differences in gene expression signatures between CRCs with and without KRAS mutations.
- To identify novel signaling pathways affected by KRAS mutations in colorectal cancer.
Main Methods:
- Analysis of gene expression profiles from 113 primary CRC samples using Human Genome GeneChip array U133.
- KRAS mutational status determined by Peptide Nucleic Acid (PNA)-clamp real-time polymerase chain reaction (PCR) TaqMan assay.
Main Results:
- KRAS mutations were identified in 31% of the CRCs analyzed.
- A distinct gene expression signature comprising 30 differentially expressed genes was identified, enabling KRAS status prediction with 90.3% accuracy.
- These differentially expressed genes are involved in KRAS, Wnt, NF-kappa B, and TGF-beta signaling pathways.
Conclusions:
- KRAS mutant CRCs display a unique gene expression signature compared to wild-type KRAS CRCs.
- Evidence of crosstalk between KRAS-mediated and other signaling pathways (Wnt, NF-kappa B, TGF-beta) was demonstrated in human CRC samples.
- These findings necessitate consideration in developing chemotherapeutic strategies for anti-EGFR-refractory KRAS mutant CRCs.
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