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The Key Role of Calmodulin in KRAS-Driven Adenocarcinomas
Ruth Nussinov1, Serena Muratcioglu2, Chung-Jung Tsai3
1Cancer and Inflammation Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, NCI at Frederick, Frederick, Maryland. Department of Human Molecular Genetics and Biochemistry, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. nussinor@helix.nih.gov.
Abstract:
KRAS4B is a highly oncogenic splice variant of the KRAS isoform. It is the only isoform associated with initiation of adenocarcinomas. Insight into why and how KRAS4B can mediate ductal adenocarcinomas, particularly of the pancreas, is vastly important for its therapeutics. Here we point out the overlooked critical role of calmodulin (CaM). Calmodulin selectively binds to GTP-bound K-Ras4B; but not to other Ras isoforms. Cell proliferation and growth require the MAPK (Raf/MEK/ERK) and PI3K/Akt pathways. We propose that Ca(2+)/calmodulin promote PI3Kα/Akt signaling, and suggest how. The elevated calcium levels clinically observed in adenocarcinomas may explain calmodulin's involvement in recruiting and stimulating PI3Kα through interaction with its n/cSH2 domains as well as K-Ras4B; importantly, it also explains why K-Ras4B specifically is a key player in ductal carcinomas, such as pancreatic (PDAC), colorectal (CRC), and lung cancers. We hypothesize that calmodulin recruits and helps activate PI3Kα at the membrane, and that this is the likely reason for Ca(2+)/calmodulin dependence in adenocarcinomas. Calmodulin can contribute to initiation/progression of ductal cancers via both PI3Kα/Akt and Raf/MEK/ERK pathways. Blocking the K-Ras4B/MAPK pathway and calmodulin/PI3Kα binding in a K-Ras4B/calmodulin/PI3Kα trimer could be a promising adenocarcinoma-specific therapeutic strategy.
Insights
Calmodulin (CaM) selectively binds to oncogenic KRAS4B, promoting cancer cell growth. Targeting this KRAS4B/CaM interaction may offer a novel therapeutic strategy for adenocarcinomas.
Area of Science:
- Molecular oncology
- Cell signaling pathways
Background:
- KRAS4B is a key oncogenic driver in adenocarcinomas, particularly pancreatic ductal adenocarcinoma (PDAC).
- The precise mechanisms by which KRAS4B initiates and promotes ductal cancers remain incompletely understood.
- Elevated intracellular calcium levels are a hallmark of many adenocarcinomas.
Purpose of the Study:
- To investigate the role of calmodulin (CaM) in KRAS4B-mediated adenocarcinoma development.
- To elucidate the mechanism by which CaM interacts with KRAS4B and influences downstream signaling.
- To explore potential therapeutic strategies targeting the KRAS4B-CaM interaction.
Main Methods:
- The study focuses on the selective binding of CaM to GTP-bound KRAS4B.
- It proposes a mechanism involving Ca(2+)/CaM in recruiting and activating PI3Kα at the cell membrane.
- The research integrates signaling through MAPK (Raf/MEK/ERK) and PI3K/Akt pathways.
Main Results:
- Calmodulin selectively binds to GTP-bound KRAS4B, but not other Ras isoforms.
- Ca(2+)/calmodulin is proposed to promote PI3Kα/Akt signaling by recruiting and activating PI3Kα.
- This interaction explains KRAS4B's specific role in ductal carcinomas (PDAC, CRC, lung cancer) and elevated calcium levels.
Conclusions:
- Calmodulin plays a critical, previously overlooked role in KRAS4B-driven adenocarcinomas.
- CaM contributes to cancer initiation and progression via both PI3Kα/Akt and MAPK pathways.
- Targeting the KRAS4B/CaM/PI3Kα complex presents a promising adenocarcinoma-specific therapeutic avenue.
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