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1m
Mutant and Wild-type RAS Crosstalk and Stoichiometric Deficiencies are Determinants of Sensitivity to Targeted Therapies in KRASG12R Pancreatic Ductal Adenocarcinoma. (PubMed, Cancer Res)
To substantiate the preclinical findings, the utility of MEKi in combination with the autophagy inhibitor hydroxychloroquine was analyzed in patients with KRASG12R mutated metastatic PDAC...Three patients had impressive disease control: two had stable disease of 11 and 22.7 months, and one achieved a partial response with an 83% decrease in tumor size that lasted for 8.9 months. Overall, this work highlights how systems-based approaches in precision medicine can uncover mechanistic insights to guide the identification of PDAC patients most likely to benefit from tailored therapeutic strategies.
Journal
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KRAS (KRAS proto-oncogene GTPase) • NRAS (Neuroblastoma RAS viral oncogene homolog) • HRAS (Harvey rat sarcoma viral oncogene homolog) • NF1 (Neurofibromin 1) • RAS (Rat Sarcoma Virus)
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KRAS mutation • KRAS G12D • KRAS G12R • RAS wild-type • KRAS G12 • NRAS wild-type • NRAS G12
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hydroxychloroquine
1m
Comprehensive phosphoproteomic profiling reveals sex-specific regulatory mechanisms in HrasG12V-driven hepatocarcinogenesis. (PubMed, Cancer Cell Int)
This study establishes the first sexual dimorphism-aware phosphoproteomic resource for Ras-driven hepatocarcinogenesis, systematically characterizing conserved and sex-divergent phosphorylation networks. The findings provide preliminary molecular insights into gender disparities in HCC progression and may guide future therapeutic exploration.
Journal
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HRAS (Harvey rat sarcoma viral oncogene homolog) • HSPA5 (Heat Shock Protein Family A (Hsp70) Member 5)
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NRAS G12
2ms
Efficacy and Safety of Trametinib Therapy for Complex Lymphatic Malformations. (PubMed, Pediatr Blood Cancer)
NRAS proto-oncogene mutations were detected in 80% of cases, but clinical benefit occurred without mutation. Trametinib is an effective, safe, first-line therapy for KLA/GLA.
Journal
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NRAS (Neuroblastoma RAS viral oncogene homolog)
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NRAS G12
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Mekinist (trametinib)
2ms
Successful Treatment of Disseminated Carcinomatosis of the Bone Marrow Secondary to Colorectal Cancer With Modified FOLFOX6 Plus Panitumumab: A Case Report. (PubMed, Cureus)
To our knowledge, there are no previous reports of end-organ improvement and sustained response to chemotherapy containing an anti-EGFR antibody in a patient with CRC complicated by DCBM and DIC. This case highlights the potential benefits of early and appropriate therapy even in critically ill patients with rare metastatic patterns.
Journal
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BRAF (B-raf proto-oncogene) • NRAS (Neuroblastoma RAS viral oncogene homolog)
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NRAS mutation • BRAF wild-type • NRAS G12
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Vectibix (panitumumab) • oxaliplatin
2ms
Fetal context conveys heritable protection against MLL-rearranged AML that depends on MLL3. (PubMed, Blood)
The fetal barrier to transformation was enforced by the histone methyltransferase MLL3, and it could be overcome by cooperating mutations, such as NrasG12D. Heritable fetal protection against leukemic transformation may contribute to the low incidence of congenital and infant leukemias in humans.
Journal
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KMT2A (Lysine Methyltransferase 2A) • KMT2C (Lysine Methyltransferase 2C)
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MLL rearrangement • NRAS G12
3ms
Wild-type RAS signaling is an essential therapeutic target in RAS-mutated cancers. (PubMed, Sci Signal)
The farnesyltransferase inhibitor tipifarnib blocked mutant HRAS-PI3K signaling and synergized with MEK inhibitors in HRAS-mutated cells, whereas KRASG12C inhibitors blocked mutant KRAS-MEK signaling and synergized with PI3K inhibitors in KRASG12C-mutated cells. Synergy was abolished in MEFs lacking all RAS proteins and in cancer cell lines in which nonmutated RAS family members were deleted. Our data highlight the critical role of wild-type RAS family members in supporting mutant RAS signaling and its importance as a therapeutic cotarget in RAS-mutated cancers.
Journal
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KRAS (KRAS proto-oncogene GTPase) • NRAS (Neuroblastoma RAS viral oncogene homolog)
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KRAS mutation • KRAS wild-type • RAS mutation • RAS wild-type • HRAS mutation • NRAS wild-type • NRAS G12
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Zarnestra (tipifarnib)
3ms
Ulixertinib/Palbociclib in Patients With Advanced Pancreatic and Other Solid Tumors (clinicaltrials.gov)
P1, N=45, Recruiting, UNC Lineberger Comprehensive Cancer Center | Trial primary completion date: Aug 2025 --> Jul 2026
Trial primary completion date
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KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene) • NRAS (Neuroblastoma RAS viral oncogene homolog) • HRAS (Harvey rat sarcoma viral oncogene homolog) • NF1 (Neurofibromin 1) • CA 19-9 (Cancer antigen 19-9)
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BRAF V600 • RAS mutation • KRAS G12 • NRAS Q61 • KRAS G13 • KRAS amplification • NRAS G12 • NRAS G13 • KRAS Q61
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Ibrance (palbociclib) • ulixertinib (BVD-523)
3ms
Chemogenetic tuning reveals optimal MAPK signaling for cell-fate programming. (PubMed, Cell Rep)
In addition to proliferation, MAPK signaling influences conversion by regulating Ngn2 activity. Our results highlight the need to tune therapeutic interventions within a non-monotonic landscape that is shaped by genetics and levels of gene expression.
Journal
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HRAS (Harvey rat sarcoma viral oncogene homolog)
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HRAS mutation • NRAS G12
3ms
Plasma cfDNA analysis of alectinib resistance-related gene alterations in the J-ALEX study. (PubMed, ESMO Open)
Plasma cfDNA analysis using NGS is feasible and offers insights into alectinib resistance mechanisms. Early detection of resistance-associated mutations may guide personalized treatment strategies. Larger prospective studies are needed to validate these findings.
Journal
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KRAS (KRAS proto-oncogene GTPase) • ALK (Anaplastic lymphoma kinase) • MET (MET proto-oncogene, receptor tyrosine kinase) • NRAS (Neuroblastoma RAS viral oncogene homolog)
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KRAS mutation • NRAS mutation • MET amplification • KRAS G12D • ALK rearrangement • ALK mutation • MET mutation • KRAS G12 • KRAS G13 • ALK G1202R • KRAS amplification • NRAS G12 • NRAS G13
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Alecensa (alectinib)
3ms
AMPLIFY-201: A Study of ELI-002 in Subjects With KRAS Mutated Pancreatic Ductal Adenocarcinoma (PDAC) and Other Solid Tumors (clinicaltrials.gov)
P1, N=25, Completed, Elicio Therapeutics | Active, not recruiting --> Completed | Trial completion date: Mar 2026 --> Sep 2024
Trial completion • Trial completion date • IO biomarker
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KRAS (KRAS proto-oncogene GTPase) • NRAS (Neuroblastoma RAS viral oncogene homolog)
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KRAS mutation • NRAS mutation • KRAS G12D • KRAS G12 • NRAS G12
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ELI-002 7P
4ms
Chemoprevention for hepatocellular carcinoma using GalNAc-siRNAs. (PubMed, Dis Model Mech)
siCdk1 and siAnln prevented cancer in a diethylnitrosamine/phenobarbital model, in which tumor formation is driven by mutagenesis and chemical injury...Given that siAnln was effective in several models, we validated Anln effects using Cre-lox, and found that histologic features of MASH and HCC development were independently reduced. This demonstrates that siRNAs are safe and effective in preventing HCC in a large panel of preclinical cancer models, and identify ANLN as an effective chemoprevention target.
Journal
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CTNNB1 (Catenin (cadherin-associated protein), beta 1) • CDK1 (Cyclin-dependent kinase 1) • SMYD3 (SET And MYND Domain Containing 3) • ANLN (Anillin Actin Binding Protein)
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NRAS G12
5ms
Molecular mechanisms of unique therapeutic potential of CUDC-907 for MEF2D fusion-driven BCP-ALL. (PubMed, Signal Transduct Target Ther)
Furthermore, this compound's effectiveness and safety were confirmed in both MH/NRASG12D BCP-ALL mouse model and MB patient-derived xenograft (PDX) model, outperforming conventional therapies. These results support the therapeutic potential of dual-pathway inhibition in MEF2D fusion (+) BCP-ALL and suggest CUDC-907 as a promising candidate for precision treatment in fusion-driven leukemias with similar molecular dependencies.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • MEF2D (Myocyte Enhancer Factor 2D) • BCL9 (BCL9 Transcription Coactivator) • HDAC9 (Histone Deacetylase 9) • HNRNPUL1 (Heterogeneous Nuclear Ribonucleoprotein U Like 1)
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NRAS G12
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fimepinostat (CUDC-907)