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Published on: September 30, 2016
Prognostic and predictive roles of KRAS mutation in colorectal cancer
Amanda K Arrington1, Eileen L Heinrich, Wendy Lee
1Division of Surgical Oncology, City of Hope Comprehensive Cancer Center, Duarte, CA 91010, USA. aarrington@coh.org.
Abstract:
The RAS gene family is among the most studied and best characterized of the known cancer-related genes. Of the three human ras isoforms, KRAS is the most frequently altered gene, with mutations occurring in 17%-25% of all cancers. In particular, approximately 30%-40% of colon cancers harbor a KRAS mutation. KRAS mutations in colon cancers have been associated with poorer survival and increased tumor aggressiveness. Additionally, KRAS mutations in colorectal cancer lead to resistance to select treatment strategies. In this review we examine the history of KRAS, its prognostic value in patients with colorectal cancer, and evidence supporting its predictive value in determining appropriate therapies for patients with colorectal cancer.
Insights
KRAS mutations are common in colon cancer, impacting survival and treatment. This review explores KRAS history, its prognostic value, and predictive role in colorectal cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The RAS gene family, including KRAS, is crucial in cancer development.
- KRAS is the most frequently altered RAS isoform, found in 17%-25% of all cancers.
- KRAS mutations specifically occur in 30%-40% of colon cancers, correlating with aggressive disease.
Purpose of the Study:
- To review the history and significance of KRAS in colorectal cancer.
- To analyze the prognostic implications of KRAS mutations in colon cancer patients.
- To evaluate the predictive value of KRAS mutations for targeted colorectal cancer therapies.
Main Methods:
- Literature review of studies on KRAS gene.
- Analysis of prognostic and predictive data related to KRAS mutations in colorectal cancer.
- Examination of treatment resistance associated with KRAS alterations.
Main Results:
- KRAS mutations are linked to poorer survival and increased tumor aggressiveness in colon cancer.
- These mutations confer resistance to certain treatment strategies in colorectal cancer.
- KRAS status is a key factor in determining patient prognosis and therapeutic options.
Conclusions:
- KRAS is a critical oncogene in colorectal cancer, influencing patient outcomes.
- Understanding KRAS mutation status is essential for personalized treatment strategies.
- Further research into KRAS-targeted therapies holds promise for improving colorectal cancer management.
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