Article
Multidisciplinary Sciences
Tereza Vaclova, Atanu Chakraborty, James Sherwood, Sarah Ross, Danielle Carroll, J. Carl Barrett, Julian Downward, Elza C. de Bruin
Summary: The study investigates the co-occurrence of additional KRAS mutations with KRAS G12C in non-small cell lung cancer (NSCLC) tumors and its impact on cellular response to G12C-specific inhibitors. The results show that KRAS c.35G>T mutation most frequently co-occurred with KRAS G12C and led to cellular resistance to G12C inhibitors. Therefore, comprehensive genotyping of KRAS tumors is necessary for optimal patient selection for treatment with a KRAS G12C inhibitor.
SCIENTIFIC REPORTS
(2022)
Article
Oncology
Luiz Henrique Araujo, Bianca Mendes Souza, Laura Rabelo Leite, Sabrina A. F. Parma, Natalia P. Lopes, Frederico S. V. Malta, Maira C. M. Freire
Summary: KRAS G12C mutation frequency is higher than other driver mutations in colorectal and non-small cell lung cancer, suggesting KRAS testing should be considered for all patients regardless of clinical or demographic characteristics.
Editorial Material
Oncology
Sarina Z. W. Heng, Regina Hoo, Daniel S. W. Tan
Summary: Negrao and colleagues demonstrated that coalterations in KEAP1, SMARCA4, and CDKN2A genes were linked to poor clinical outcomes in patients with KRAS (G12C)-mutated non-small cell lung cancer treated with sotorasib or adagrasib. Their study emphasizes the potential of integrating high-resolution real-world genomic data with clinical outcomes to enable risk-stratified precision therapies.
Article
Oncology
Haini Wang, Junli Zuo
Summary: Overexpressed survivin is associated with worse survival of several types of human tumors. In this study, the antitumor activity of shikonin in non-small-cell lung cancer (NSCLC) by regulating survivin pathway was investigated. Result showed that shikonin inhibited the NSCLC H1299 cell proliferation in a dose-dependent manner. Moreover, shikonin fits well with survivin by molecular docking. Shikonin also inhibited the mRNA expression and protein level of survivin in H1299 cells. Shikonin arrested H1299 cell cycle at the G0/G1 phase by regulating CDK/cyclin family members. In addition, shikonin regulated the expression of X-linked inhibitor of apoptosis- (XIAP-) mediated caspases 3 and 9, thus leading to the damage of mitochondrial membrane potential and induction of H1299 cell apoptosis. Overall, shikonin inhibited H1299 cell growth by inducing apoptosis and blocking the cell cycle. The underlying mechanism involves targeting survivin, which subsequently regulates the protein expression of XIAP/caspase 3/9, CDK2/4, and cyclin E/D1. Thus, shikonin, a survivin inhibitor, is a promising therapeutic strategy in NSCLC treatment.
ANALYTICAL CELLULAR PATHOLOGY
(2021)
Article
Oncology
Cloud P. Paweletz, Grace A. Heavey, Yanan Kuang, Emily Durlacher, Thian Kheoh, Richard C. Chao, Alexander I. Spira, Konstantinos Leventakos, Melissa L. Johnson, Sai-Hong Ignatius Ou, Gregory J. Riely, Kenna Anderes, Wenjing Yang, James G. Christensen, Pasi A. Janne
Summary: This study reports on early ctDNA changes of KRAS G12C in lung cancer patients and suggests that ctDNA changes can be used as a potential measure for early prediction of clinical response.
CLINICAL CANCER RESEARCH
(2023)
Review
Biochemistry & Molecular Biology
Mahruba Sultana Niloy, Md Salman Shakil, Md Meharab Hassan Alif, Rhonda J. Rosengren
Summary: Approximately 85% of lung cancer cases are classified as non-small cell lung cancer (NSCLC), with KRAS mutations frequently occurring and leading to decreased overall survival. Plant-based compounds show promise in targeting KRAS-mutated NSCLC cells, inhibiting signaling pathways and offering a wider therapeutic index compared to traditional chemotherapeutic drugs. Further research is needed to explore the potential benefits of natural compounds in treating KRAS-mutant NSCLC.
CURRENT MEDICINAL CHEMISTRY
(2021)
Article
Oncology
Markus Y. Wu, Eric W. Zhang, Matthew R. Strickland, Dexter P. Mendoza, Lev Lipkin, Jochen K. Lennerz, Justin F. Gainor, Rebecca S. Heist, Subba R. Digumarthy
Summary: KRAS G12C mutations in lung cancer are important oncogenic mutations that exhibit distinct primary tumor imaging features and patterns of metastasis compared to lung cancers driven by other genetic alterations. These unique imaging features may provide clues to the presence of KRAS G12C NSCLC and potentially guide management strategies in the future.
Review
Oncology
Alessandro Di Federico, Ilaria Ricciotti, Valentina Favorito, Sandra Vietti Michelina, Pietro Scaparone, Giulio Metro, Andrea De Giglio, Federica Pecci, Giuseppe Lamberti, Chiara Ambrogio, Biagio Ricciuti
Summary: The recent development of direct KRAS(G12C) inhibitors has improved outcomes in KRAS mutant cancers, but acquired resistance still occurs. The mechanisms of acquired resistance are heterogeneous, involving both on-target and off-target resistance, including mutations in KRAS and other pathways. Understanding and overcoming resistance is important for targeted therapies.
CURRENT ONCOLOGY REPORTS
(2023)
Article
Oncology
Kathryn C. Arbour, Hira Rizvi, Andrew J. Plodkowski, Matthew D. Hellmann, Andrea Knezevic, Glenn Heller, Helena A. Yu, Marc Ladanyi, Mark G. Kris, Maria E. Arcila, Charles M. Rudin, Piro Lito, Gregory J. Riely
Summary: The study found that NSCLC patients with KRAS G12C mutations have similar clinical characteristics and treatment responses to those with KRAS non-G12C mutations, with no significant differences in response to immune checkpoint inhibitors.
CLINICAL CANCER RESEARCH
(2021)
Review
Oncology
Cian O'Leary, Grace Murphy, Yong Yeung, Ming Tang, Vikram Jain, Connor G. O'Leary
Summary: Non-small-cell lung cancer (NSCLC) is a common and often fatal malignancy, with Kirsten rat sarcoma virus (KRAS) mutation being a commonly mutated oncogene in NSCLC. Recently developed KRAS G12C inhibitors have overcome the therapeutic hurdle of targeting KRAS mutations. While these medications show substantial response rates in heavily pre-treated NSCLC patients, phase-3 evidence has not yet demonstrated an overall survival benefit compared to standard-of-care chemotherapy. Additionally, these medications may have a negative interaction with immunotherapies, leading to higher hepatotoxicity rates. Despite these limitations, these medications represent an important advancement in targeted and personalized oncological treatment, and future trials may provide further meaningful outcomes for guiding treatment in this patient cohort.
Article
Multidisciplinary Sciences
Atish Mohanty, Arin Nam, Saumya Srivastava, Jeff Jones, Brett Lomenick, Sharad S. Singhal, Linlin Guo, Hyejin Cho, Aimin Li, Amita Behal, Tamara Mirzapoiazova, Erminia Massarelli, Marianna Koczywas, Leonidas D. Arvanitis, Tonya Walser, Victoria Villaflor, Stanley Hamilton, Isa Mambetsariev, Martin Sattler, Mohd W. Nasser, Maneesh Jain, Surinder K. Batra, Raffaella Soldi, Sunil Sharma, Marwan Fakih, Saswat Kumar Mohanty, Avijit Mainan, Xiwei Wu, Yihong Chen, Yanan He, Tsui-Fen Chou, Susmita Roy, John Orban, Prakash Kulkarni, Ravi Salgia
Summary: This study reveals non-genetic mechanisms of resistance to sotorasib and proposes a treatment strategy to enhance sensitivity by targeting both ITGB4 and beta-catenin.
Article
Oncology
Gabriela Palma, Faisal Khurshid, Kevin Lu, Brian Woodward, Hatim Husain
Summary: Patients with tumors harboring KRAS G12C mutations have poor prognosis, but targeted therapies like sotorasib and Adagrasib have shown promising overall response rates. While single agent efficacy is observed, combination approaches may offer better outcomes.
NPJ PRECISION ONCOLOGY
(2021)
Review
Oncology
Arnold Lee
Summary: Sotorasib is the first approved drug that inhibits the G12C mutant form of the KRAS protein, which is involved in cell growth and differentiation. It has shown promising results in treating patients with advanced, previously treated, KRAS G12C mutation-positive NSCLC, with manageable adverse reactions.
Review
Oncology
Matthew Z. Guo, Kristen A. Marrone, Alexander Spira, Samuel Rosner
Summary: Adagrasib is a newly approved targeted therapy for KRAS(G12C)-mutated non-small-cell lung cancer. It has shown clinical efficacy with an objective response rate of 42.9% and a median duration of response of 8.5 months in pretreated patients. Gastrointestinal adverse events were the most common, occurring in 97.4% of patients, with grade 3+ events in 44.8% of patients. This review provides comprehensive data on the preclinical and clinical use of adagrasib, as well as guidelines for clinical administration and toxicity management. It also discusses resistance mechanisms, other KRAS(G12C) inhibitors in development, and future directions for adagrasib-based combination therapies.
Article
Oncology
Anjali Rohatgi, Ramaswamy Govindan
Summary: Lung cancer remains a major cause of cancer related deaths globally. Specific targeted therapies for driver mutations have shown significant survival benefits, but patients with KRAS mutations lacked such options until the recent FDA approval of sotorasib. This article discusses the efficacy, toxicities, acquired resistance, and novel combinatorial treatment strategies of KRAS G12C inhibitors.