KRAS

🧬 KRAS Gene Overview

  • KRAS (Kirsten rat sarcoma viral oncogene homolog) is a proto-oncogene that encodes a GTPase, a molecular switch that controls cell signaling pathways.
  • It is a key component of the RAS/MAPK and PI3K/AKT pathways, regulating cell proliferation, survival, and differentiation.

📊 Prevalence of KRAS Mutations in Cancer

KRAS is one of the most commonly mutated oncogenes in human cancers:

Cancer TypeKRAS Mutation Frequency
Pancreatic Adenocarcinoma~90%
Colorectal Cancer~40%
Non-small Cell Lung Cancer (NSCLC, especially adenocarcinoma)~30%
Endometrial Cancer~15–25%
Biliary Tract Cancers~20–30%
All Cancers (overall estimate)~15–20%

⚙️ Mechanism: How KRAS Mutations Could Cause Cancer

🔄 Normal KRAS Function

  • KRAS cycles between inactive (GDP-bound) and active (GTP-bound) forms.
  • Upon activation, KRAS initiates:
    • MAPK/ERK signaling → drives cell division
    • PI3K/AKT signaling → promotes survival and metabolism
  • Normally, KRAS activity is transient and tightly regulated.

🚨 Mutated KRAS

  • Mutations typically occur in codons 12, 13, or 61.
  • They prevent GTP hydrolysis, locking KRAS in a permanently active (GTP-bound) state.
  • Consequence: constant pro-growth signaling, even in the absence of extracellular growth factors → uncontrolled cell proliferation and tumor formation.

💊 Clinical Implications

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