Distinct ERK and PI3K dependencies mediate a heterogeneous response to RAS(ON) inhibition in KRAS-mutant colorectal

Philip H Choi1, Julia Meredith2, Malvika Sharma2

  • 1Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Program in Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Cell Reports
|June 19, 2026
PubMed

Insights

RAS inhibitors show limited efficacy in KRAS-mutant colorectal cancer (CRC). New research identifies cyclin D1 as a key factor, suggesting combination therapies targeting RAS and PI3K or MEK for improved CRC treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • RAS inhibitors have shown limited success in KRAS-mutant colorectal cancer (CRC).
  • Understanding resistance mechanisms is crucial for developing effective treatments.
  • Cyclin D1 (CCND1) regulation is implicated in cancer cell proliferation.

Purpose of the Study:

  • To evaluate the efficacy of RMC-7977, a novel RAS(ON) multi-selective inhibitor, in preclinical CRC models.
  • To identify biomarkers and resistance mechanisms associated with RAS inhibitor response.
  • To inform optimal combination strategies for KRAS-mutant CRC.

Main Methods:

  • Preclinical testing of RMC-7977 in a panel of colorectal cancer models.
  • Analysis of PI3K signaling inhibition and cyclin D1 (CCND1) expression.
  • Stratification of tumors based on ERK dependence of cyclin D1 and CCND1 mRNA regulation.
  • Evaluation of combination therapies including RAS, PI3K, and MEK inhibitors.

Main Results:

  • RMC-7977 demonstrated heterogeneous responses in CRC models.
  • PI3K signaling inhibition and CCND1 expression levels correlated strongly with treatment response.
  • Two distinct resistance mechanisms were identified based on ERK dependence of CCND1.
  • Concurrent RAS and PI3K inhibition showed synergistic effects in less ERK-dependent tumors.
  • Vertical RAS and MEK inhibition was more effective in strongly ERK-dependent tumors.

Conclusions:

  • Cyclin D1 (CCND1) serves as a critical integrator of upstream signaling in KRAS-mutant CRC.
  • Stratifying tumors by ERK dependence of CCND1 can guide combination therapy selection.
  • Targeting PI3K or MEK alongside RAS inhibitors offers potential for improved efficacy in CRC.

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