Article ; Online: KRASG12C mutant lung adenocarcinoma: unique biology, novel therapies and new challenges.
Pathology oncology research : POR
2024 Volume 29, Page(s) 1611580
Abstract: KRAS mutant lung cancer is the most prevalent molecular subclass of adenocarcinoma (LUAD), which is a heterogenous group depending on the mutation-type which affects not only the function of the oncogene but affects the biological behavior of the cancer ... ...
Abstract | KRAS mutant lung cancer is the most prevalent molecular subclass of adenocarcinoma (LUAD), which is a heterogenous group depending on the mutation-type which affects not only the function of the oncogene but affects the biological behavior of the cancer as well. Furthermore, KRAS mutation affects radiation sensitivity but leads also to bevacizumab and bisphosphonate resistance as well. It was highly significant that allele specific irreversible inhibitors have been developed for the smoking associated G12C mutant KRAS (sotorasib and adagrasib). Based on trial data both sotorasib and adagrasib obtained conditional approval by FDA for the treatment of previously treated advanced LUAD. Similar to other target therapies, clinical administration of KRASG12C inhibitors (sotorasib and adagrasib) resulted in acquired resistance due to various genetic changes not only in KRAS but in other oncogenes as well. Recent clinical studies are aiming to increase the efficacy of G12C inhibitors by novel combination strategies. |
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MeSH term(s) | Humans ; Proto-Oncogene Proteins p21(ras)/genetics ; Adenocarcinoma of Lung/drug therapy ; Adenocarcinoma of Lung/genetics ; Lung Neoplasms/drug therapy ; Lung Neoplasms/genetics ; Mutation ; Biology ; Acetonitriles ; Piperazines ; Pyrimidines |
Chemical Substances | adagrasib (8EOO6HQF8Y) ; Proto-Oncogene Proteins p21(ras) (EC 3.6.5.2) ; Acetonitriles ; Piperazines ; Pyrimidines |
Language | English |
Publishing date | 2024-01-04 |
Publishing country | Switzerland |
Document type | Journal Article ; Review |
ZDB-ID | 1375979-6 |
ISSN | 1532-2807 ; 1219-4956 |
ISSN (online) | 1532-2807 |
ISSN | 1219-4956 |
DOI | 10.3389/pore.2023.1611580 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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