Related Experiment Video
Updated: Feb 14, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Implications of KRAS mutations in acquired resistance to treatment in NSCLC
Marzia Del Re1, Eleonora Rofi1, Giuliana Restante1
1Clinical Pharmacology and Pharmacogenetics Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Rationale:
KRAS is the most common and, simultaneously, the most ambiguous oncogene implicated in human cancer. Despite KRAS mutations were identified in Non Small Cell Lung Cancers (NSCLCs) more than 20 years ago, selective and specific inhibitors aimed at directly abrogating KRAS activity are not yet available. Nevertheless, many therapeutic approaches have been developed potentially useful to treat NSCLC patients mutated for KRAS and refractory to both standard chemotherapy and targeted therapies.The focus of this review will be to provide an overview of the network related to the intricate molecular KRAS pathways, stressing on preclinical and clinical studies that investigate the predictive value of KRAS mutations in NSCLC patients.
Materials And Methods:
A bibliographic search of the Medline database was conducted for articles published in English, with the keywords KRAS, KRAS mutations in non-small cell lung cancer, KRAS and tumorigenesis, KRAS and TKIs, KRAS and chemotherapy, KRAS and monoclonal antibody, KRAS and immunotherapy, KRAS and drugs, KRAS and drug resistance.
Insights
KRAS mutations are common in Non-Small Cell Lung Cancer (NSCLC) but lack specific inhibitors. This review explores KRAS pathways and predictive biomarkers for NSCLC treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- KRAS is a frequently mutated oncogene in human cancers, particularly Non-Small Cell Lung Cancer (NSCLC).
- Despite over two decades since KRAS mutations were identified in NSCLC, targeted therapies directly inhibiting KRAS remain unavailable.
- Numerous therapeutic strategies are being investigated for KRAS-mutated NSCLC patients resistant to standard treatments.
Purpose of the Study:
- To review the molecular pathways associated with KRAS.
- To analyze preclinical and clinical studies on KRAS mutations in NSCLC.
- To investigate the predictive value of KRAS mutations for therapeutic interventions in NSCLC.
Main Methods:
- Bibliographic search of the Medline database.
- Keywords included: KRAS, KRAS mutations in non-small cell lung cancer, KRAS and tumorigenesis, KRAS and TKIs, KRAS and chemotherapy, KRAS and monoclonal antibody, KRAS and immunotherapy, KRAS and drugs, KRAS and drug resistance.
- Focus on English-language articles.
Main Results:
- KRAS mutations are a significant challenge in NSCLC treatment.
- The KRAS network involves complex molecular pathways.
- Predictive value of KRAS mutations is under investigation for various therapies.
Conclusions:
- Targeting KRAS directly remains a critical unmet need in NSCLC.
- Understanding KRAS pathways is essential for developing effective therapies.
- Further research is needed to leverage KRAS mutations as predictive biomarkers for treatment selection in NSCLC.
More Related Videos
08:59Looking for Driver Pathways of Acquired Resistance to Targeted Therapy: Drug Resistant Subclone Generation and Sensitivity Restoring by Gene Knock-down
Published on: December 11, 2017
08:20MRI-guided dmPFC-rTMS as a Treatment for Treatment-resistant Major Depressive Disorder
Published on: August 11, 2015
Related Concept Videos
Treatment Resistant Cancers
Mutations
Mutations
Chromosomal Alterations Are Large-Scale Mutations
While point mutations are changes in a single nucleotide in...
Viral Mutations
Mutation, Gene Flow, and Genetic Drift
Mutations in Microorganisms