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Establishment of Coloproctitis Cancer Model in Mice and Evaluation of Therapeutic Effect of Chinese Medicine
Published on: October 13, 2023
RAS signalling in the colorectum in health and disease
George Poulogiannis1, Feijun Luo, Mark J Arends
1Department of Systems Biology, Harvard Medical School, and Beth Israel Deaconess Medical Center, Boston, MA 02115, USA.
Abstract:
RAS proteins act as molecular switches between several homeostatic inputs and signal transduction pathways that regulate important cellular processes including cell growth, differentiation and survival. Activating mutations change the function of normal proto-oncogenic RAS proteins to oncogenic RAS proteins that trigger a wide range of downstream effectors altering expression of transcription factors that together stimulate cell proliferation and modulate apoptosis and differentiation. RAS genes are amongst the most frequently mutated genes in human cancers, in particular KRAS is mutated in 40-50% of colorectal cancers. Mutation of this gene has a significant impact on treatment management and patients' survival, particularly in relation to anti-EGFR therapy, which is only effective in KRAS wild-type cases. Here, we discuss the regulation of KRAS signalling in the colorectum, some of the post-transcriptional and post-translational modifications that control its activity, the mutations and other DNA alterations that are found in this tumour type and the implications that they have for disease progression and current drug treatments.
Insights
RAS proteins regulate cell growth and survival. KRAS mutations are common in colorectal cancer, impacting treatment efficacy and patient outcomes, especially for anti-EGFR therapy.
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- RAS proteins function as molecular switches controlling cell growth, differentiation, and survival.
- Activating mutations in RAS proto-oncogenes yield oncogenic RAS proteins, driving cancer progression.
- KRAS mutations are prevalent in 40-50% of colorectal cancers, significantly influencing clinical management.
Purpose of the Study:
- To review KRAS signaling regulation in colorectal cancer.
- To discuss post-transcriptional and post-translational modifications of KRAS.
- To explore KRAS mutations and their implications for disease progression and therapy.
Main Methods:
- Literature review and synthesis of existing research on KRAS signaling.
- Analysis of genetic alterations and their functional consequences in colorectal cancer.
- Discussion of therapeutic strategies targeting KRAS.
Main Results:
- KRAS mutations significantly affect colorectal cancer patient survival and treatment response.
- The efficacy of anti-EGFR therapy is restricted to KRAS wild-type tumors.
- Understanding KRAS regulation and alterations is crucial for effective cancer treatment.
Conclusions:
- KRAS signaling pathways are critical in colorectal cancer development and progression.
- Targeted therapies must consider KRAS mutational status for optimal patient benefit.
- Further research into KRAS modifications and targeted interventions is warranted.
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