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.

Oncotarget
|February 22, 2018
PubMed
Abstract

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.

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