Proteomic Perspectives on KRAS-Driven Cancers and Emerging Therapeutic Approaches
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Updated: Jan 10, 2026

A Streamlined Approach for Mass Spectrometry-Based Proteomics Using Selected Tissue Regions
Published on: April 18, 2025
Ramesh Karki1, Ru Chen2, Sheng Pan1,3
1The Brown Foundation Institute of Molecular Medicine, University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
Abstract:
KRAS mutations are implicated in approximately 23% of all human malignancies, with particularly high prevalence in pancreatic ductal adenocarcinoma (PDAC) (~92%), colorectal cancer (CRC) (~49%), and non-small cell lung cancer (NSCLC) (~35%). The recent approval of the KRASG12C-specific inhibitors for NSCLC represents a pivotal advancement in KRAS-targeted therapy. Nevertheless, the emergence of intrinsic and acquired resistance to KRAS-targeted therapies poses a significant clinical obstacle to targeting KRAS, which necessitates a deeper understanding of the resistance mechanisms. Recent progress in proteomic studies has enabled comprehensive profiling of the proteomic alterations driven by KRAS mutations, offering valuable insights into the disrupted KRAS interactome, aberrant signaling pathways and dysregulated cellular processes contributing to tumorigenesis. This review discusses current knowledge on proteomic alterations associated with oncogenic KRAS mutations, with particular focus on allele-specific proteome signatures and the roles of post-translational modifications (PTMs) of KRAS in modulating the functional networks. Furthermore, we highlight recent therapeutic advances targeting KRAS variants and discuss emerging resistance mechanisms from a proteomics-informed perspective.
Insights
Oncogenic KRAS mutations drive many cancers. Proteomic insights reveal resistance mechanisms to KRAS-targeted therapies, guiding future treatment strategies for cancers like pancreatic ductal adenocarcinoma and lung cancer.
Area of Science:
- Oncology
- Molecular Biology
- Proteomics
Background:
- KRAS mutations are prevalent in human cancers, including pancreatic ductal adenocarcinoma (PDAC), colorectal cancer (CRC), and non-small cell lung cancer (NSCLC).
- Targeting KRAS, particularly the KRASG12C variant, has shown promise but faces challenges due to resistance.
- Understanding proteomic alterations is crucial for overcoming therapeutic resistance.
Purpose of the Study:
- To review current knowledge on proteomic alterations driven by oncogenic KRAS mutations.
- To focus on allele-specific proteome signatures and the role of KRAS post-translational modifications (PTMs).
- To discuss emerging resistance mechanisms from a proteomics-informed perspective.
Main Methods:
- Comprehensive profiling of proteomic alterations associated with KRAS mutations.
- Analysis of KRAS interactome, signaling pathways, and cellular processes.
- Review of recent therapeutic advances and resistance mechanisms.
Main Results:
- KRAS mutations lead to significant proteomic changes, affecting cellular networks and contributing to tumorigenesis.
- Allele-specific proteome signatures and PTMs of KRAS play key roles in modulating protein function.
- Proteomics offers insights into intrinsic and acquired resistance to KRAS-targeted therapies.
Conclusions:
- Proteomic studies are vital for understanding KRAS-driven tumorigenesis and resistance.
- Targeting KRAS variants requires a deep understanding of associated proteomic landscapes.
- Future therapeutic strategies should leverage proteomics to overcome resistance and improve patient outcomes.
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