4.3 Editorial Material

The type of KRAS mutation drives PI3Kα/γ signalling dependency: Implication for the choice of targeted therapy in pancreatic adenocarcinoma patients

Publisher

ELSEVIER MASSON, CORP OFF
DOI: 10.1016/j.clinre.2020.05.021

Keywords

PDAC; KRAS mutation; Pancreatic adenocarcinoma; PI3K; Pancreatic cancer; Macropinocytosis

Funding

  1. ARC [PJA20171206596]
  2. Toucan ANR Laboratory of Excellence
  3. Ligue Nationale contre le Cancer
  4. Fonroga

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Pancreatic ductal adenocarcinoma (PDAC) is a complex disease with significant genetic alterations among patients, with KRAS mutation being a major oncogenic driver. Recent research has shown that the type of KRAS mutation is important in detecting signaling vulnerabilities in a subset of PDAC patients. This has implications for designing clinical trials with PI3K targeted therapies in PDAC.
Pancreatic ductal adenocarcinoma PDAC is a complex disease with an important diversity of genetic alterations found between patients. KRAS mutation is considered as a major oncogenic driver in this cancer (around 90% of the patients), but there exists different KRAS mutation types. The type of KRAS mutation was recently shown to be of importance to detect signalling vulnerabilities in a subset of PDAC patients. We comment on these innovative results and discuss their importance when designing clinical trials with PI3K targeted therapies in this cancer. (C) 2020 Elsevier Masson SAS. All rights reserved.

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